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Patient reported outcomes as indicators of pediatric health care quality

Katherine B Bevans1, JeanHee Moon2, Adam C Carle3

  • 1Department of Pediatrics, Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia, Pa.

Academic Pediatrics
|August 30, 2014
PubMed

Insights

Patient-reported outcomes (PROs) can enhance pediatric health care quality evaluations. Despite underutilization, PROs offer valuable insights for improving patient care and system performance.

Area of Science:

  • Pediatric Health Services Research
  • Health Outcomes Measurement
  • Quality Improvement Science

Background:

  • Increased demand for pediatric health care quality evaluations due to health care reform.
  • Patient-reported outcomes (PROs) are crucial for assessing childhood conditions' impact on patient and population health.
  • PROs are currently underutilized in pediatric care quality assessment.

Purpose of the Study:

  • To describe the functions, benefits, and challenges of using PROs in pediatric health care.
  • To illustrate PRO applications with case examples.
  • To highlight innovations facilitating PRO use as quality metrics.

Main Methods:

  • Review of PRO functions, benefits, and challenges in pediatric health care.
  • Illustration of PRO applications through case examples.
  • Discussion of methodological and technical innovations for PRO integration.

Main Results:

  • PROs have significant potential to improve pediatric health care quality at the point of care and system levels.
  • Methodological and technical innovations, including EHR integration and provider consensus, facilitate PRO use.
  • Advances in PRO measure development are enhancing their utility.

Conclusions:

  • Pediatric PROs are increasingly recognized as valuable indicators of health care quality.
  • PROs can be used for organization- and provider-level performance measurement.
  • Continued work is needed to address remaining methodological challenges for broader PRO adoption.

Keywords:
health care qualitypatient reported outcomespediatric

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