Framework and guidance for implementing patient-reported outcomes in clinical practice: evidence, challenges and opportunities

Author:

Porter Ian1,Gonçalves-Bradley Daniela2,Ricci-Cabello Ignacio3,Gibbons Chris45,Gangannagaripalli Jaheeda1,Fitzpatrick Ray2,Black Nick6,Greenhalgh Joanne7,Valderas Jose M1

Affiliation:

1. Health Services & Policy Research Group, Exeter Collaboration for Academic Primary Care (APEx) (Person centerd Care), University of Exeter Medical School, University of Exeter, Exeter, UK

2. Nuffield Department of Population Health, University of Oxford, Oxford, UK

3. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK

4. Primary Care Unit, Cambridge Center for Health Services Research, University of Cambridge, UK

5. The Psychometrics Centre, Judge Business School, University of Cambridge, UK

6. Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UK

7. School of Sociology & Social Policy, University of Leeds, Leeds, UK

Abstract

Patient-reported outcomes (PROs) are reports of the status of a patient's health condition that come directly from the patient. While PRO measures are a well-developed technology with robust standards in research, their use for informing healthcare decisions is still poorly understood. We review relevant examples of their application in the provision of healthcare and examine the challenges associated with implementing PROs in clinical settings. We evaluate evidence for their use and examine barriers to their uptake, and present an evidence-based framework for the successful implementation of PROs in clinical practice. We discuss current and future developments for the use of PROs in clinical practice, such as individualized measurement and computer-adaptive testing.

Publisher

Future Medicine Ltd

Subject

Health Policy

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