Flashcards in 8) Patient Reported Outcomes Deck (24):
Why do we measure health?
Indication of need for healthcare
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?
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?
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
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?
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
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?
Satisfaction with care
In what way can HRQoL be measured?
Qualitative or quantitative (questionnaires)
What are the two important properties of PROMs?
Valid and reliable (internally consistent)
What are generic QoL measures?
Can be used with any population and cover perceptions of overall health
What are specific QoL measures?
Evaluates a series of health dimensions specific to a disease, site or dimension
What are the advantages generic QoL measures?
Broad range of health problems
Comparisons can be made
Detect unexpected effects of intervention
What are the disadvantages generic QoL measures?
Loss of relevance
Less sensitive to changes due to an intervention
Less acceptable to patients
What are some examples of generic QoL measures?
Short Form 36
Give examples of specific QoL measures:
Disease specific: Asthma QoL questionnaire
Site specific: Oxford Hip Score
Dimension specific: Beck Depression inventory
What are the advantages of specific QoL measures?
Relevant, sensitive to change and acceptable