Abstract:
Patient-reported outcomes (PROMs) are becoming more widely implemented across health care for important reasons. However, with thousands of PROMs available and the science of psychometrics becoming more widely applied in health measurement, choosing the right ones to implement can be puzzling. This article provides a framework of the different types of PROMs by organizing them into 4 categories based upon \"what\" is being measured and \"from whom\" the questions are asked: (1) condition-specific and domain-specific, (2) condition-specific and global, (3) universal and global, and (4) universal and domain-specific. We delve deeper into each category with clinical examples. This framework can empower health care leaders and policymakers to make more informed decisions when selecting the best PROMs to implement, ensuring PROMs deliver on their potential to promote high quality, patient-centered care.
摘要:
由于重要原因,患者报告的结果(PROM)在整个医疗保健中得到了越来越广泛的实施。然而,随着成千上万的PROM可用,心理测量学在健康测量中的应用越来越广泛,选择正确的实施可能令人费解。本文提供了不同类型的PROM的框架,通过根据“正在测量的内容”和“来自谁”的问题将它们分为4类:(1)条件特定和领域特定,(2)特定条件和全球条件,(3)普遍性和全球性,和(4)通用和特定领域。我们通过临床实例深入研究每个类别。该框架可以使医疗保健领导者和政策制定者在选择要实施的最佳PROM时做出更明智的决定,确保PROM发挥其促进高质量的潜力,以病人为中心的护理。