PATIENT-REPORTED OUTCOME MEASURES IN THE NHS: NEW METHODS FOR ANALYSING AND REPORTING EQ-5D DATA
PATIENT-REPORTED OUTCOME MEASURES IN THE NHS: NEW METHODS FOR ANALYSING AND REPORTING EQ-5D DATA
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DOI：
10.1002/hec.1608
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发表时间：
2010-08-01
期刊：
影响因子：
2.1
通讯作者：
Browne, John
中科院分区：
文献类型：
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作者：
Devlin, Nancy J.;Parkin, David;Browne, John
在一个具有里程碑意义的举措中，英国卫生部（DH）引入了患者报告结果指标（PROM）的常规收集，以衡量医疗保健提供者的表现。从2009年4月起，在四次外科手术前后从患者中收集通用（EQ-5D）和特定条件的PROM;最终这将扩展到包括广泛的其他NHS服务。本文的目的是报告由卫生署委托进行的一项试验研究所产生的EQ-5D数据的分析，并考虑使用EQ-5D数据在绩效指标和衡量病人利益的影响。我们提出了两种新的方法，我们已经开发了分析和显示EQ-5D配置文件数据：健康变化的帕累托分类和健康配置文件网格。我们表明，EQ-5D曲线数据可以很容易地进行分析，以深入了解患者报告的健康变化的性质，这些变化可能会被他们的指数评分总结这些曲线所掩盖，或者只关注术后结局。我们的方法表明供应商之间的差异和患者的亚组之间。我们的研究结果还显示，外科手术之间EQ-5D曲线的变化存在显著差异，这需要进一步研究。版权所有（C）2010约翰威利父子有限公司
In a landmark move, the UK Department of Health (DH) has introduced the routine collection of patient-reported outcome measures (PROMs) to measure the performance of health-care providers. From April 2009, generic (EQ-5D) and condition-specific PROMs are being collected from patients before and after four surgical procedures; eventually this will be extended to include a wide range of other NHS services. The aim of this article is to report analysis of the EQ-5D data generated from a pilot study commissioned by the DH and to consider the implications for the use of EQ-5D data in performance indicators and measures of patient benefit. We present two new methods that we have developed for analysing and displaying EQ-5D profile data: a Paretian Classification of Health Change and a health profile grid. We show that EQ-5D profile data can be readily analysed to generate insights into the nature of changes in patient-reported health that would be obscured by summarising these profiles by their index scores, or focusing just on the post operative outcomes. Our methods indicate differences between providers and between sub-groups of patients. Our results also show striking differences in changes in EQ-5D profiles between surgical procedures, which require further investigation. Copyright (C) 2010 John Wiley & Sons, Ltd.