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Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

机译:Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures

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Purpose Results of patient-reported outcome measures (PROMs) are increasingly used to inform healthcare decision-making. Research has shown that response shift can impact PROM results. As part of an international collaboration, our goal is to provide a framework regarding the implications of response shift at the level of patient care (micro), healthcare institute (meso), and healthcare policy (macro). Methods Empirical evidence of response shift that can influence patients' self-reported health and preferences provided the foundation for development of the framework. Measurement validity theory, hermeneutic philosophy, and micro-, meso-, and macro-level healthcare decision-making informed our theoretical analysis.

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