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Published on: September 20, 2018
[Patient-reported outcomes (PRO): historical profile, definitions, classifications and problems]
1Istituto di Bioetica, Facoltà di Medicina e chirurgia A. Gemelli, Università Cattolica del Sacro Cuore, Roma, Italia. pietro.refolo@rm.unicatt.it
Patient-reported outcomes (PROs) are crucial health measures reported by patients. This study explores their history, cultural background in patient-centered medicine, and ongoing debates regarding their healthcare application.
Area of Science:
- Health Services Research
- Medical Informatics
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are increasingly vital in healthcare.
- Their foundation lies in the patient-centered model of medicine.
- Understanding PROs requires examining their historical context and evolution.
Purpose of the Study:
- To provide a comprehensive overview of patient-reported outcomes (PROs).
- To trace the historical development of PROs from 1914 to present applications.
- To analyze the cultural background, classification, and key debates surrounding PROs in healthcare.
Main Methods:
- Literature review and historical analysis of outcome measurement.
- Survey of the cultural and theoretical underpinnings of PROs.
- Classification of PROs based on the scale of outcomes measured.
- Reconstruction of major discussions and debates on PRO utilization in healthcare.
Main Results:
- PROs have a historical trajectory dating back to 1914.
- Their application has expanded significantly in clinical trials and practice.
- Key debates revolve around their integration and interpretation within healthcare systems.
- PROs are classified based on the magnitude of outcomes they aim to detect.
Conclusions:
- Patient-reported outcomes are integral to modern patient-centered healthcare.
- A thorough understanding of their history and classification is essential for effective implementation.
- Ongoing discourse is necessary to optimize the use of PROs in clinical practice and research.
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