Using patient-reported outcomes in clinical practice: challenges and opportunities
Using patient-reported outcomes in clinical practice: challenges and opportunities
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DOI：
10.1007/s11136-008-9413-7
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发表时间：
2009-02-01
影响因子：
3.5
通讯作者：
Zebrack, Bradley J.
中科院分区：
文献类型：
--
作者：
Lohr, Kathleen N.;Zebrack, Bradley J.
在国际会议上介绍和探索有关在临床实践中使用患者报告结果（PRO）的国际会议的问题。重新浏览显着文学，临床和个人经验，会议演讲和讨论以及外部专家的会议后评论（信息）（信息）至少四十年来，已经通过自我报告评估了有关健康状况及其管理的患者。传统应用在临床和卫生服务研究中。在临床实践中的用途虽然增加，但较不常见，更具挑战性。优点可以增强对患者对治疗的经验和反应的理解，并为临床实践提供依据。我们提出并讨论四个主要问题：（1）临床医生会接受Pro措施吗？ （2）临床医生会采用专业措施吗？ （3）衡量专业人士实际上会改善这些结果吗？ （4）专业人士会被认为具有其他有益的目的吗？以患者为中心的PRO测量观点提出了有关专业人士可以准确捕捉患者体验并评估影响与临床医生沟通和最终结果的社会心理和环境因素的程度的问题。我们以有关优秀与生物伦理学交集的评论结束，并指出了专业人士可能对福利，患者自主权和分配正义所做的贡献。
Introduce and explore issues at an international conference about the use of patient-reported outcomes (PROs) in clinical practice.Review of salient literature, clinical and personal experiences, conference presentations and discussions, and post-conference comments from outside experts.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.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.