Using the Health Utilities Index in Routine Clinical Care: Process, Feasibility, and Acceptability A Randomized Controlled Trial
Using the Health Utilities Index in Routine Clinical Care: Process, Feasibility, and Acceptability A Randomized Controlled Trial
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DOI：
10.2165/11313620-000000000-00000
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发表时间：
2009-09-01
影响因子：
3.6
通讯作者：
Feeny, David H.
中科院分区：
文献类型：
--
作者：
Santana, Maria-Jose;Feeny, David H.
背景和目的：在常规临床实践中使用健康相关生活质量测量(HR-QOL)有可能改善医疗保健质量和预后。卫生实用指数(HU)是HR-QOL的一种基于偏好的通用测量方法。本研究的目的是描述回族在常规临床护理中使用的过程、可行性和可接受性。方法：研究在加拿大艾伯塔省埃德蒙顿的艾伯塔大学医院心肺移植门诊进行。在看临床医生之前，每次就诊的患者都会在触摸屏电脑上完成回访。这些信息被图形化地表示在回族记分卡上，并在访问期间呈现给临床医生。患者在基线和研究结束时完成了一系列问卷调查。定期向临床医生提供解释结果的培训。从临床医生和患者的角度对回民在临床实践中的应用进行了评估。临床医生在基线(期望值)和研究结束时(评估)完成了两份问卷，内容是关于常规临床护理中回族测量的有用性。结果：在151名患者中，135名患者乐于使用触摸屏电脑，138名患者确认问卷容易完成。151名患者中只有10人不愿意完成问卷调查。临床医生一致认为，回民的结果有助于改善患者与临床医生的沟通。团队成员表示，回族积分卡具有临床相关性，并证实了他们的诊断。结论：患者很快学会了如何在计算机上完成回族问卷调查。临床医生发现所提供的信息很有价值，并随后将回族的使用纳入了他们患者的常规临床护理。
Background and objective: Using measures of health-related quality of life (HR-QOL) in routine clinical practice has the potential to improve the quality of healthcare and outcomes. The Health Utilities Index (HUI) is a generic, preference-based measure of HR-QOL. The aim of this study was to describe the process, feasibility and acceptability of use of the HUI in routine clinical care.Methods: The study was conducted at the outpatient Heart and Lung Transplant Clinic, University of Alberta Hospital, Edmonton, Alberta, Canada. Before seeing the clinician, patients attending the clinic completed the HUI on a touch-screen computer at each visit. This information was graphically represented on the HUI score card and presented to the clinicians during the visit. Patients completed a battery of questionnaires at baseline and at the end of the study. Training in the interpretation of the results was provided on a regular basis to the clinicians. The use of HUI in clinical practice was assessed from the perspectives of clinicians and patients. Clinicians completed two questionnaires, at baseline (on expectations) and at the end of the study (an evaluation), regarding the usefulness of the HUI measure in routine clinical care. Patients completed an evaluation form at the end of the study.Results: Of 151 patients, 135 were happy to use the touch-screen computer and 138 patients confirmed that the questionnaire was easy to complete. Only 10 of 151 patients were unwilling to complete the questionnaires. Clinicians agreed that the results from the HUI helped to improve patient-clinician communication. Members of the team indicated that the HUI score card was clinically relevant and confirmed their diagnoses.Conclusions: Patients quickly learned how to complete the HUI questionnaire on the computer. Clinicians found that the information provided was valuable and have subsequently incorporated the use of the HUI in the routine clinical care of their patients.