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Whose outcomes. Patients, providers, or payers?

R M Kleinpell1

  • 1Rush University College of Nursing, Chicago, Illinois, USA.

The Nursing Clinics of North America
|September 1, 1997
PubMed
Summary
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Selecting appropriate outcome measures is crucial but challenging. Choosing comprehensive, comparable, and meaningful measures is key for accurate healthcare effect assessment.

Area of Science:

  • Healthcare outcomes research
  • Medical informatics
  • Health services research

Background:

  • Measuring healthcare outcomes is essential for evaluating medical effectiveness.
  • Significant debate exists regarding the selection of specific outcome measures.
  • The purpose for which outcomes are measured (e.g., comparing overall medical outcomes vs. individual patient outcomes) influences measure selection.

Purpose of the Study:

  • To explore the challenges and considerations in selecting appropriate outcome measures for healthcare.
  • To address the controversy surrounding the choice of specific outcome measures.
  • To investigate whether different sets of outcome measures are needed for different purposes.

Main Methods:

  • This study involves a critical review and synthesis of existing literature on outcomes measurement.

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  • It analyzes the complexities in selecting measures that are comprehensive, comparable, meaningful, and accurate.
  • The discussion considers the implications of using uniform versus purpose-specific outcome measures.

    • Main Results:

    • There is no universal consensus on the optimal set of outcome measures.
    • The selection process is complicated by the need to balance comprehensiveness, comparability, and meaningfulness.
    • Different applications may necessitate distinct sets of outcome measures for accurate assessment.

    Conclusions:

    • Selecting the right outcome measures is a complex challenge in healthcare research and practice.
    • Measures must accurately reflect the effects of care while being suitable for the intended comparison or purpose.
    • Further research and consensus-building are needed to refine best practices in outcomes measurement.