患者による報告結果 (PROs) 現在と将来:米国保健医療連続体におけるPRO証拠利用の最適化に関する多方関係者の視点
Sharan Randhawa1, Adam Gater1, Roy Bentley2
1Adelphi Values Ltd, Bollington, Cheshire, UK.
まとめ
患者によって報告された結果 (PRO) の証拠は極めて重要ですが,医療決定において十分に活用されていません. 教育,標準化,実施,コミュニケーション,政策統合を通じてその使用を強化するための枠組みが開発されました.
科学分野:
- 医療サービス研究
- 患者による報告結果
- 医療に関する意思決定
背景:
- 患者によって報告された結果測定法 (PROM) は患者の経験を把握しますが,十分に活用されていません.
- PROの証拠は 規制当局の承認,払い戻し,臨床ケアに不可欠です.
- 医療の意思決定におけるPROエビデンスの現在の使用は,進歩が必要です.
研究 の 目的:
- PROの証拠利用に関する利害関係者の見解を理解する.
- 医療におけるPROエビデンスの利用を進める機会を特定する.
- PROのエビデンスインテグレーションの強化のための枠組みを開発する.
主な方法:
- 専門家パネルを招集し,さまざまな利害関係者とのラウンドテーブルを開催しました.
- 会議の記録をテーマ別分析した.
- 成果の共同検討と議論を促した.
主要な成果:
- 主なテーマは,利害関係者の教育,PROMの標準化,実施の検討,効果的なコミュニケーション,政策統合です.
- 5つのコンポーネントの枠組みが共同開発されました.
- PROMの開発には 患者の関与が不可欠です
結論:
- 患者中心の薬の開発とケアには PROのエビデンスが不可欠です
- 複数の利害関係者の協力と透明性は,PROの証拠価値の実現に不可欠です.
- 開発された枠組みは,強化されたコラボレーションとPROのエビデンスの統合をサポートします.
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