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Using patient-reported outcomes in clinical practice: challenges and opportunities
Kathleen N Lohr1, Bradley J Zebrack
1Social and Statistical Sciences, RTI International, 3040 Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA. klohr@rti.org
Summary
Patient-reported outcomes (PROs) offer valuable insights into patient experiences and treatment responses. However, their integration into clinical practice faces challenges regarding clinician acceptance, utilization, and impact on outcomes.
Area of Science:
- Health Services Research
- Clinical Practice Research
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) have been utilized in research for over 40 years.
- Traditional applications of PROs are primarily in clinical and health services research.
- The adoption of PROs in routine clinical practice is increasing but presents unique challenges.
Purpose of the Study:
- To introduce and explore the multifaceted issues surrounding the implementation of patient-reported outcomes (PROs) in clinical practice.
- To examine the potential benefits and challenges of integrating PROs into healthcare settings.
- To foster discussion on the role of PROs in enhancing patient care and understanding treatment responses.
Main Methods:
- A comprehensive review of existing literature on PROs.
- Incorporation of clinical and personal experiences with PROs.
- Analysis of conference presentations, discussions, and expert feedback.
Main Results:
- PROs provide crucial patient-generated data on health conditions and management.
- While established in research, PRO use in clinical practice is less common and more complex.
- PROs can significantly improve understanding of patient experiences and therapeutic responses.
Conclusions:
- Key questions remain regarding clinician acceptance and utilization of PRO measures.
- The impact of PRO measurement on actual patient outcomes requires further investigation.
- Ethical considerations, including patient autonomy and justice, are paramount in PRO implementation.
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