The challenges and opportunities of using patient reported outcome measures (PROMs) in clinical practice
The challenges and opportunities of using patient reported outcome measures (PROMs) in clinical practice
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DOI：
10.1016/j.ijosm.2018.03.003
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发表时间：
2018-06-01
影响因子：
1.9
通讯作者：
Vaughan, Brett
中科院分区：
文献类型：
--
作者：
Fleischmann, Michael;Vaughan, Brett
从医疗保健提供者的角度来看，患者临床表现的多个贡献者，将研究试验转化为实践的困难，相互矛盾的临床实践指南以及不断增加的文献量使临床医生难以确定最佳护理，这涉及生物学，心理学和社会学健康领域。如果临床医生采用以患者为中心的护理模式-常规使用经验证的患者报告结局指标（PROM），这些指标可以引起患者对其症状、功能状态、健康相关生活质量（HRQoL）的看法，所有这些都包括几个领域-这是至关重要的。本评注主张在比目前文献所述更广泛的范围内使用PROM。沿着提供了有关PROM的背景信息，并提出了临床医生在实践中实施这些问题时需要询问的重要问题。目前的评论解决了这些问题，并介绍了使用已发表的案例研究，描述了各种条件下的骨病管理的PROM的实施。皇冠版权所有（C）2018由爱思唯尔有限公司发布。保留所有权利。
From the standpoint of the healthcare provider, multiple contributors to a patients' clinical presentation, difficulty with translating research trials into one's practice, conflicting clinical practice guidelines, and an ever-increasing volume of literature compounds the difficulty for clinicians to determine best care, which addresses the biological, psychological and sociological health domains. If clinicians are adopting a patient centred model of care - routine use of validated patient reported outcome measures (PROMs) which elicit patients' views of their symptoms, their functional status, their health-related quality of life (HRQoL), all of which encompass several domains - are paramount. This commentary advocates for the use of PROMs on a wider scale than is currently described in the literature. Background information on PROMs is provided along with suggesting important questions to ask as a clinician when implementing these in practice. The current commentary addresses these questions and describes the implementation of PROMs using published case studies that describe osteopathy management for a variety of conditions. Crown Copyright (C) 2018 Published by Elsevier Ltd. All rights reserved.