PATIENT-REPORTED OUTCOME MEASURES: THE IMPLEMENTATION GUIDE
Abstract
The assessment of the quality of medical care in many countries includes the assessment of patient-reported outcome measures (PROMs). The article defines and differentiates the concept, provides classification of PROM-questionnaires and guidelines for use in routine clinical practice and for research purposes. Measuring patient-reported outcomes bears a number of advantages for patients and the healthcare system. Routine use of PROMs is an important element of personalized therapy, improves patients’ adherence and satisfaction. The implementation of PROMs at the national level is a base of the examination of the quality of medical care and monitors the effectiveness of clinical teams. PROMs data can be used as a base of budget allocation, planning funding programs, for the study of how spending levels relate to the health outcomes of patients by exact region and healthcare provider. The choice of PROMs should be focused on rele vant disease; be the latest version of a validated questionary; be convenient for the patient. The main problems of PROMs implementation include: lack of understanding of the role of PROMs in improving the quality of medical care and as one of the mechanisms for improving the efficiency of the healthcare system; lack of questionnaires with validated translation; lack of working mechanisms for linking PROMs results to medical care payments; low awareness of clinicians and patients; lack of time at routine clinical processes to PROMs implementation; lack of online services and platforms.
References
Найговзина Н.Б., Филатов В.Б., Бороздина О.А., Николаева Н.А. Стандартизация в здравоохранении. Преодоление противоречий законодательства, практики, идей. М.: ГЭОТАР-Медиа; 2015.
Мухина С.М., Орлова Е.В. Исходы, сообщаемые пациентами: обзор направлений применения. Реальная клиническая практика: данные и доказательства. 2022;2(2):7. DOI: 10.37489/2782-3784-myrwd-12.
Pritchard A. Measuring government health services output in the UK national accounts: the new methodology and further analysis. Economic Trends. 2004;613:69–81. Available at: www.statistics.gov.uk/articles/economic_trends/ET613Pritchard.pdf (accessed: 19.09.2023).
Хатьков И.Е., Минаева О.А., Домрачев С.А., Приймак М.А., Соловьев Н.О., Тютюнник П.С. PROM — современный подход к оценке качества жизни пациентов с онкологическими заболеваниями. Терапевтический архив. 2022;94(1):122–128. DOI: 10.26442/00403660.2022.01.201343.
Бабазада Р.И., Ваганов А.А., Корольков А.Ю., Морозов В.П. Сравнительная характеристика шкал оценки качества жизни стомированных пациентов (обзор литературы). Колопроктология. 2023;22(85):134–139. DOI: 10.33878/2073-7556-2023-22-3-134-139. EDN: UXSHXG.
Weldring T., Smith S.M. Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs). Health Serv Insights. 2013;6:61–8. DOI: 10.4137/HSI.S11093.
Dawson J., Fitzpatrick R., Murray D., Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998;80(1):63–9. DOI: 10.1302/0301-620x.80b1.7859.
Damman O.C., Jani A., de Jong B.A., Becker A., Metz M.J., de Bruijne M.C., Timmermans D.R., Cornel M.C., Ubbink D.T., van der Steen M., Gray M., van El C. The use of PROMs and shared decision-making in medical encounters with patients: An opportunity to deliver value-based health care to patients. J Eval Clin Pract. 2020;26(2):524–540. DOI: 10.1111/jep.13321.
Basch E., Torda P., Adams K. Standards for patient-reported outcome-based performance measures. JAMA. 2013;310(2):139–40. DOI: 10.1001/jama.2013.6855.
Новик А.А., Ионова Т.И. Исследование качества жизни в клинической медицине. Вестник Национального медико-хирургического Центра им. Н.И. Пирогова. 2006;1:91–99.
Stover A.M., McLeod L.D., Langer M.M., Chen W.H., Reeve B.B. State of the psychometric methods: patient-reported outcome measure development and refinement using item response theory. J Patient Rep Outcomes. 2019;3(1):50. DOI: 10.1186/s41687-019-0130-5.
Generalova O., Roy M., Hall E., Shah S.A., Cunanan K., Fardeen T., Velazquez B., Chu G., Bruzzone B., Cabot A., Fisher G.A., Srinivas S., Fan A.C., Haraldsdottir S., Wakelee H.A., Neal J.W., Padda S.K., Johnson T., Heestand G.M., Hsieh R.W., Ramchandran K. Implementation of a cloud-based electronic patient-reported outcome (ePRO) platform in patients with advanced cancer. J Patient Rep Outcomes. 2021;15(1):91. DOI: 10.1186/s41687-021-00358-2.
Burge P., Devlin N., Appleby J., Gallo F., Nason E., Ling T. Understanding Patients’ Choices at the Point of Referral. Technical report TR359-DOH.; Cambridge: RAND Europe. 2006. Available at: www.rand.org/pubs/technical_reports/TR359/ (accessed: 10.09.2023).
Dawson D., Gravelle H., O’Mahony M., Street A., Weale M., Castelli A., Jacobs R., Kind P., Loveridge P., Martin S., Stevens P., Stokes L. Developing New Approaches to Measuring NHS Outputs and Activity. Centre for Health Economics Research Paper 6. York: University of York. 2005. Available at: www.york.ac.uk/inst/che/pdf/rp6.pdf. (accessed: 10.09.2023).
Browne J., Jamieson L., Lewsey J., van der Meulen J., Black N., Cairns J., Lamping D., Smith S., Copley L., Horrocks J. Patient Reported Outcome Measures (PROMs) in Elective Surgery. Report to the Department of Health. London: Health Services Research Unit, London School of Hygiene & Tropical Medicine and Clinical Effectiveness Unit, Royal College of Surgeons of England. 2007. Available at: www.lshtm.ac.uk/hsru/research/PROMs-Report-12-Dec-07.pdf (accessed: 10.09.2023).
Marshall S., Haywood K., Fitzpatrick R. Impact of patient-reported outcome measures on routine clinical practice: a structured review. Journal of Evaluation in Clinical Practice. 2006;12(5):559–68.
