Document Detail


Using patient-reported outcomes in clinical practice: challenges and opportunities.
MedLine Citation:
PMID:  19034690     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Introduce and explore issues at an international conference about the use of patient-reported outcomes (PROs) in clinical practice. METHODS: Review of salient literature, clinical and personal experiences, conference presentations and discussions, and post-conference comments from outside experts. RESULTS: 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. CONCLUSIONS: 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.
Authors:
Kathleen N Lohr; Bradley J Zebrack
Publication Detail:
Type:  Journal Article     Date:  2008-11-25
Journal Detail:
Title:  Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation     Volume:  18     ISSN:  1573-2649     ISO Abbreviation:  Qual Life Res     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-08-28     Revised Date:  2009-10-09    
Medline Journal Info:
Nlm Unique ID:  9210257     Medline TA:  Qual Life Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  99-107     Citation Subset:  IM    
Affiliation:
Social and Statistical Sciences, RTI International, 3040 Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA. klohr@rti.org
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MeSH Terms
Descriptor/Qualifier:
Bioethics
Delivery of Health Care*
Health Status
Humans
Outcome Assessment (Health Care) / methods*
Patient Satisfaction*
Quality of Life
Questionnaires
Review Literature as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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