8) Patient Reported Outcomes Flashcards

1
Q

Why do we measure health?

A
Indication of need for healthcare 
Target resources 
Effectiveness of interventions
Quality of health services 
Monitor patients' progress
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2
Q

What are some ways that health can be measured?

A

Mortality, morbidity and patient based outcomes

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3
Q

What is the advantage of using mortality as a measure of health?

A

Easily defined

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4
Q

What are the disadvantages of using mortality as a measure of health?

A

Not always recorded accurately

Not good for assessing outcomes or quality of care

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5
Q

What is the advantage of using morbidity as a measure of health?

A

Routinely collected

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6
Q

What are the disadvantages of using morbidity as a measure of health?

A

Not always reliable

Doesn’t reveal patients’ experience

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7
Q

Why do we use patient based outcomes to measure health?

A

There are more conditions where aim is management over cure
Patient centred
Iatrogenic effects of care
Biomedical tests not enough

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8
Q

What are PROMs?

A

Patient reported outcome measures - measures of health directly from patient

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9
Q

What can the results of patient based outcomes be used for?

A

Clinical audits
Compare interventions or hospitals
Health status of population

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10
Q

What are some examples of PROMs that the NHS uses?

A

Hip and knee replacements, groin hernia and varicose veins

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11
Q

Who is the data obtained from PROMs of interest to?

A

Commissioners as indicates quality of care

Patients for decision making

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12
Q

What are the challenges in using PROMs?

A

Minimising time and cost
Getting high rates of patient participation
Avoiding misuse
Appropriate output of data

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13
Q

What is health related quality of life?

A

Functional effect of an illness and its consequent therapy, as perceived by the patient

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14
Q

What aspects are considered in HRQoL?

A
Physical function
Symptoms
Psychological 
Social 
Cognitive function 
Personal constructs
Satisfaction with care
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15
Q

In what way can HRQoL be measured?

A

Qualitative or quantitative (questionnaires)

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16
Q

What are the two important properties of PROMs?

A

Valid and reliable (internally consistent)

17
Q

What are generic QoL measures?

A

Can be used with any population and cover perceptions of overall health

18
Q

What are specific QoL measures?

A

Evaluates a series of health dimensions specific to a disease, site or dimension

19
Q

What are the advantages generic QoL measures?

A

Broad range of health problems
Comparisons can be made
Detect unexpected effects of intervention

20
Q

What are the disadvantages generic QoL measures?

A

Less detailed
Loss of relevance
Less sensitive to changes due to an intervention
Less acceptable to patients

21
Q

What are some examples of generic QoL measures?

A

Short Form 36

EuroQoL EQ-5D

22
Q

Give examples of specific QoL measures:

A

Disease specific: Asthma QoL questionnaire
Site specific: Oxford Hip Score
Dimension specific: Beck Depression inventory

23
Q

What are the advantages of specific QoL measures?

A

Relevant, sensitive to change and acceptable

24
Q

What are the disadvantages of specific QoL measures?

A

Cant be used if people don’t have disease
Limited comparison
May not detect unexpected effects