为什么很难在日常健康和护理中使用PROM和PREM?
Tim Benson1,2
1R-Outcomes Ltd, Newbury, UK tim.benson@r-outcomes.com.
BMJ open quality
|December 22, 2023
概括
患者报告的结果指标 (PROM) 和患者报告的经验指标 (PREM) 提高了医疗保健质量和患者护理. 通过NASSS和PDSA等框架解决实施障碍是成功采用和持续使用的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者为中心的护理
- 数字健康创新创新数字健康创新
背景情况:
- 患者报告的结果测量 (PROM) 和患者报告的体验测量 (PREM) 通过问卷收集患者的反.
- 这些措施可以提高整体医疗保健质量,并使个性化患者护理成为可能.
- 广泛采用PROM和PREM面临实施挑战.
研究的目的:
- 确定阻碍PROM和PREM广泛实施的障碍.
- 提出潜在的解决方案,以克服这些实施障碍.
- 突出成功地将PROM和PREM整合到医疗保健中的好处.
主要方法:
- 分析复杂的医疗保健和护理服务中的实施挑战.
- 应用NASSS框架来了解对数字健康创新的抵抗力.
- 利用计划-执行-研究-行动 (PDSA) 周期进行系统的实施.
- 关于技术标准的建议,如快速健康互操作性资源 (FHIR) 和编码方案 (SNOMED CT,LOINC).
主要成果:
- 实施需要各级参与,克服对创新的谨慎态度.
- 该NASSS框架阐明了数字健康工具扩展的复杂性和潜在失败原因.
- 解决数据收集中的"噪音"等问题,确保互操作性至关重要.
- 根据相关性,可用性和响应率进行仔细的措施选择至关重要.
结论:
- 克服实施障碍对于实现PROM和PREM的全部潜力至关重要.
- 成功的整合可以带来改善患者的结果,增强患者体验,以及更大的健康公平.
- 通过适当的框架和技术标准支持的战略实施对于成功至关重要.
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