Related Experiment Video
Updated: Aug 14, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
23.8K
Evidentiary Standards for Patient-Centered Core Impact (PC-CIS) Value Claims.
1Adjunct Professor, College of Pharmacy, University of Minnesota, Minneapolis MN.
Innovations in Pharmacy
|January 11, 2023
Summary
Patient-centered core impact sets require rigorous adherence to fundamental measurement standards for relevance in healthcare decisions. Without established measurement criteria for clinical and patient outcomes, current proposals are premature.
Area of Science:
- Health economics and outcomes research
- Measurement theory
- Health services research
Background:
- Patient-centered core impact sets (PC-CIS) lack relevance for healthcare decisions without scientific rigor.
- Current proposals fail to meet fundamental measurement standards from physical sciences, economics, and health economics.
Purpose of the Study:
- To establish required standards for core impact patient-centric value claims.
- To outline a framework for evaluating these claims based on measurement principles.
Main Methods:
- Critically evaluate proposed core impact measures against standards of normal science and fundamental measurement.
- Delineate core impact elements: clinical, patient-centric, drug utilization, and resource utilization.
- Advocate for Rasch or modern measurement theory for calibrating patient-centric measures.
Main Results:
- PC-CIS proposals are premature due to weak evidentiary foundations and lack of agreed-upon measurement standards.
- Failure to recognize measurement constraints for patient populations will impede progress.
- Rasch or modern measurement theory is essential for patient-centric measures of latent traits.
Conclusions:
- Agreed-upon measurement standards for clinical, patient-centric, and resource utilization impacts are necessary before advancing PC-CIS.
- Implementing fundamental measurement principles is critical for the validity and utility of patient-centric value claims.
- Focusing on measurement rigor will ensure the relevance and reliability of core impact sets in healthcare.
More Related Videos
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.9K
Related Concept Videos
01:22Standards of Care I
747
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
747
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:19Standards of Care II
708
Nurses bear specific legal responsibilities under several federal statutes, including:
708
01:23Methods of Documentation V: CBE
948
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
948
01:22Ethics and Bioethics
1.5K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.5K
01:11Guidelines for Writing Outcome
2.9K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.9K