Flashcards in Session 5.1 - Patient reported outcomes Deck (12)
What are patient reported outcomes and why is it important to use patient-based outcomes as a measure of health?
-PB outcomes are a measure of health and assess wellbeing from a patients point of view by assigning a score before and after treatment
-Mortality not always accurately recorded and cannot access quality of care
-Morbidity cannot get information about patient experience
-Get more information then a biomedical test and provides the ability to look for iatrogenic factors of care
What is a HRQoL?
-Health related quality of life. A measure used in patient reported outcomes which takes the quality of life in clinical medicine and represents it as a functional effect on the life of a patient
In what situations can PROMs be used?
-Clinically, economically, audits, RCTs, service quality
Give 3 examples of treatments where PROMs are currently used
What factors do HRQoL take into account?
-Physical function and symptoms, global judgements of healthm psychological well-being, cognitive function, personal constructs and satisfaction with care
What mathods are used to measure HRQoL? State the advantages and disadvantages of each method
-Qualitative and quantitative methods
-Qual -> interviews are good for initial assessment and develeopment of quantitative methods, Resource hungry and not easy to evaluate
-Quan -> questionnaires are easy to evaluate but force people into specific groups
Why are PROMs a valuable measure of health?
-Reliable -> accurate over time and internally consistent
-Valid -> assesses one aspect at a time
-Allows comparisons between different groups of patients using standardised measures
What are the differences between generic and specific instruments used to measure HRQoL?
-Generic provide tools used to assess any population and gain an overall perception of health as well as social, emotional and physical functioning
-Specific instruments evaluate a series of diseases, sites or health dimensions
What are the advantages and disadvantages of generic instruments to measure HRQoL?
-Covers a broad range of health problems
-Detect unexpected positive/megative effects
-loss of relevance
-less sensitive to change
What are the advantages and disadvantages of specific instruments to measure HRQoL?
-Relevant to particular areas
-Sensitive to sudden changes
-Comparison limited as restricted to specific topic
-not good at detecting unexpected outcomes
Give an example of a generic instrument used to measure HRQoL
-SF36 -> questionnaire with a 4 week recall period which is widely used in research and population surveys covering physical, mental, social, role, pain and generic health