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首页> 外文期刊>Journal of Clinical Epidemiology >Measure once, cut twice-adding patient-reported outcome measures to the electronic health record for comparative effectiveness research
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Measure once, cut twice-adding patient-reported outcome measures to the electronic health record for comparative effectiveness research

机译:进行一次测量,减少两次,将患者报告的结果测量值添加到电子健康记录中以进行比较有效性研究

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Objective: This article presents the current state of patient-reported outcome measures and explains new opportunities for leveraging the recent adoption of electronic health records to expand the application of patient-reported outcomes in both clinical care and comparative effectiveness research.Study Design and Setting: Historic developments of patient-reported outcome, electronic health record, and comparative effectiveness research are analyzed in two dimensions: patient centeredness and digitization. We pose the question, "What needs to be standardized around the collection of patient-reported outcomes in electronic health records for comparative effectiveness research?"Results: We identified three converging trends: the progression of patient-reported outcomes toward greater patient centeredness and electronic adaptation; the evolution of electronic health records into personalized and fully digitized solutions; and the shift toward patient-oriented comparative effectiveness research. Related to this convergence, we propose an architecture for patient-reported outcome standardization that could serve as a first step toward a more comprehensive integration of patient-reported outcomes with electronic health record for both practice and research.Conclusion: The science of patient-reported outcome measurement has matured sufficiently to be integrated routinely into electronic health records and other electronic health solutions to collect data on an ongoing basis for clinical care and comparative effectiveness research. Further efforts and ideally coordinated efforts from various stakeholders are needed to refine the details of the proposed framework for standardization.
机译:目的:本文介绍了患者报告的结局指标的现状,并解释了利用电子健康记录的最新机会扩大患者报告的结局在临床护理和比较有效性研究中的应用的新机会。研究设计和设置:从两个方面分析了患者报告结果,电子健康记录和比较有效性研究的历史发展:以患者为中心和数字化。我们提出了一个问题:“在电子健康记录中收集患者报告的结果以进行比较有效性研究需要标准化什么?”结果:我们确定了三个趋同的趋势:患者报告的结果向着以患者为中心和电子化的进展适应;将电子病历转变为个性化的全数字化解决方案;以及转向以患者为中心的比较有效性研究。与此融合相关的是,我们提出了一种用于患者报告结果标准化的架构,这可以作为迈向将患者报告结果与电子健康记录更全面地集成以进行实践和研究的第一步。结论:患者报告科学结果测量已经足够成熟,可以常规地集成到电子健康记录和其他电子健康解决方案中,以持续收集数据以进行临床护理和比较有效性研究。需要各利益相关方的进一步努力和理想的协调努力,以完善提议的标准化框架的细节。

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