Patient-reported outcomes: pathways to better health, better services, and better societies

Black N.; Burke L.; Forrest C. B.Sieberer U. H. RavensAhmed S.Valderas J. M.Bartlett S. J.Alonso J.

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Patient-reported outcomes: pathways to better health, better services, and better societies

机译：Patient-reported outcomes: pathways to better health, better services, and better societies

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While the use of PROs in research is well established, many challenges lie ahead as their use is extended to other applications. There is consensus that health outcome evaluations that include PROs along with clinician-reported outcomes and administrative data are necessary to inform clinical and policy decisions. The initiatives presented in this paper underline evolving recognition that PROs play a unique role in adding the patient perspective alongside clinical (e.g., blood pressure) and organizational (e.g., admission rates) indicators for evaluating the effects of new products, selecting treatments, evaluating quality of care, and monitoring the health of the population. In this paper, we first explore the use of PRO measures to support drug approval and labeling claims. We critically evaluate the evidence and challenges associated with using PRO measures to improve healthcare delivery at individual and population levels. We further discuss the challenges associated with selecting from the abundance of measures available, opportunities afforded by agreeing on common metrics for constructs of interest, and the importance of establishing an evidence base that supports integrating PRO measures across the healthcare system to improve outcomes. We conclude that the integration of PROs as a key end point within individual patient care, healthcare organization and program performance evaluations, and population surveillance will be essential for evaluating whether increased healthcare expenditure is translating into better health outcomes.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2016年第5期|1103-1112|共10页
作者
Black N.; Burke L.; Forrest C. B.Sieberer U. H. RavensAhmed S.Valderas J. M.Bartlett S. J.Alonso J.;
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作者单位

London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London WC1H 9SH, England;

LORA Grp LLC, Royal Oak, MD USA;

Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USAUniv Penn, Sch Med, Dept Pediat, Philadelphia, PA 19104 USAMcGill Univ, Fac Med, Montreal, PQ, CanadaUniv Exeter, Sch Med, Hlth Serv & Policy Res, Exeter Collaborat Acad Primary Care APEx,Person CHosp Mar, Med Res Inst, IMIM, Hlth Serv Res Unit, Barcelona, Spain;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Patient-reported outcomes; Health evaluations; Health services; Population monitoring;

Patient-reported outcomes: pathways to better health, better services, and better societies

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