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Quality of Life Research

Gepubliceerd in:

01-02-2009

Using patient-reported outcomes in clinical practice: challenges and opportunities

Auteurs: Kathleen N. Lohr, Bradley J. Zebrack

Gepubliceerd in: Quality of Life Research | Uitgave 1/2009

Abstract

Purpose

Introduce and explore issues at an international conference about the use of patient-reported outcomes (PROs) in clinical practice.

Methods

Review of salient literature, clinical and personal experiences, conference presentations and discussions, and post-conference comments from outside experts.

Results

PROs (information from patients about a health condition and its management) have been assessed through self-reports for at least four decades. Traditional applications are in clinical and health services research. Uses in clinical practice, although increasing, are less common and more challenging. PROs can enhance the understanding of patients’ experiences and responses to therapy and inform clinical practice.

Conclusions

We pose and discuss four main questions: (1) Will clinicians accept PRO measures? (2) Will clinicians use PRO measures? (3) Will measuring PROs actually improve those outcomes? (4) Will PROs be perceived as having other, less salutary purposes? A patient-centered perspective on PRO measurement presents issues about the extent to which PROs can accurately capture patient experiences and assess psychosocial and environmental factors that influence communication with clinicians and eventual outcomes. We end with comments about the intersection of PROs and bioethics, noting contributions that PROs may make to beneficence, patient autonomy, and distributive justice.

vorige artikel Comparing SF-6D and EQ-5D utilities across groups differing in health status

volgende artikel A conceptual framework for patient–provider communication: a tool in the PRO research tool box

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Titel: Using patient-reported outcomes in clinical practice: challenges and opportunities
Auteurs: Kathleen N. Lohr
Bradley J. Zebrack
Publicatiedatum: 01-02-2009
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 1/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-008-9413-7

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Abstract

Purpose

Methods

Results

Conclusions

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