8) Patient Reported Outcomes Flashcards
Why do we measure health?
Indication of need for healthcare Target resources Effectiveness of interventions Quality of health services Monitor patients' progress
What are some ways that health can be measured?
Mortality, morbidity and patient based outcomes
What is the advantage of using mortality as a measure of health?
Easily defined
What are the disadvantages of using mortality as a measure of health?
Not always recorded accurately
Not good for assessing outcomes or quality of care
What is the advantage of using morbidity as a measure of health?
Routinely collected
What are the disadvantages of using morbidity as a measure of health?
Not always reliable
Doesn’t reveal patients’ experience
Why do we use patient based outcomes to measure health?
There are more conditions where aim is management over cure
Patient centred
Iatrogenic effects of care
Biomedical tests not enough
What are PROMs?
Patient reported outcome measures - measures of health directly from patient
What can the results of patient based outcomes be used for?
Clinical audits
Compare interventions or hospitals
Health status of population
What are some examples of PROMs that the NHS uses?
Hip and knee replacements, groin hernia and varicose veins
Who is the data obtained from PROMs of interest to?
Commissioners as indicates quality of care
Patients for decision making
What are the challenges in using PROMs?
Minimising time and cost
Getting high rates of patient participation
Avoiding misuse
Appropriate output of data
What is health related quality of life?
Functional effect of an illness and its consequent therapy, as perceived by the patient
What aspects are considered in HRQoL?
Physical function Symptoms Psychological Social Cognitive function Personal constructs Satisfaction with care
In what way can HRQoL be measured?
Qualitative or quantitative (questionnaires)
