5 Patient-based Outcomes Flashcards
Why are patient-based outcomes important?
Can be a useful measure of healthcare
Why measure health?
Indication of need Resource Allocation Assess effectiveness of interventions Evaluate the quality of health services Improve value for money Monitor patients' progress
What are commonly used measures of health?
MORTALITY
MORBIDITY
PATIENT-BASED OUTCOMES
Pros/Cons of using mortality as a measure of health
Pros
Easily defined
Not always accurately recorded
Cons
Not a very good way of assessing outcomes other than life/death and not a good measure of quality of care
Pros/cons of using morbidity as a measure of health
Pros Routinely collected (HES Data) Cons No info about patient experience Not easy to use in evaluation
What are patient based outcomes?
Attempt to assess wellbeing from the patient’s point of view
e.g. HRQoL is a patient based outcome
Compare scores from before and after treatment
What is a PROM?
Patient Reported Outcome Measure- used a lot in literature. Measures of health directly from patients.
Why is there a growing use of Patient-based outcomes over mortality and other data?
Mortality tells you nothing about the quality of care for over 90% of procedures, where death is not a possibility. Just because less people die does not mean it is a superior treatment.
What can patient based outcomes be used for?
Used:
- Clinically
- To assess cost-effectiveness
- In Clinical Audit
- Measure health status of population
- Measure of service quality
Why introduce PROMS?
Improve clinical management
Compare provider trusts
What is the indicator used to measure quality of life for people with long term conditions?
HRQoL
What is NHS Englands PROMS programme? What procedures does it cover?
Hip replacements
Kneee replacements
Groin hernias
Varicose veins
What happens to collected PROMS data?
Published
Allows comparison between NHS providers
Of interests to patients in decision making
Define HRQoL
Functional affect of an illness and its consequent therapy on a patient, as perceived by the patient.
What factors do patients think about when considering their QoL?
- Losses of physical function e.g. mobility
- Symptoms e.g. nausea
- Perception of what health means - negative, positive or functional
- Psychological wellbeing e.g. anxious
- Social wellbeing - relationships, integration
- Cognitive function e.g. alertness, memory
- Personal constructs e.g. satisfaction with appearance
- Satisfaction with care
Think about these measure when choosing which tool to use to calculate HR-QoL
