公平地将患者报告的结果纳入临床实践 - - 机遇,挑战和实施路线图
Lauren M Shapiro1, Patricia Katz, Brocha Z Stern
1From the Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, CA (Shapiro), the Department of Medicine, University of California-San Francisco, San Francisco CA (Katz), the Leni and Peter W. May Department of Orthopaedics, Icahn School of Medicine, New York, NY (Stern), the VOICES Health Policy Research Center, and Department of Orthopaedic Surgery, Stanford University, Redwood City, CA (Kamal).
患者报告的结果措施 (PROM) 通过补充客观数据来增强患者的护理. 仔细实施是最大限度地提高效益和避免骨科手术的差异的关键.
科学领域:
- 整形外科手术 整形外科手术
- 健康 结果 研究 研究 结果
- 以患者为中心的护理
背景情况:
- 患者报告的结果措施 (PROM) 是患者对健康状况的评估.
- 在临床环境中,PROM越来越多地用于指导治疗和预测结果.
- 它们的使用可以改善患者的死亡率,参与度和沟通.
研究的目的:
- 审查目前在骨科手术中PROMs的使用情况.
- 确定临床PROM整合的机遇和挑战.
- 为公平的PROM实施提供路线图.
主要方法:
- 关于在骨科手术中使用PROM的文献综述.
- 对临床PROM使用的好处和潜在缺点的分析.
- 制定实践整合建议. 开发实践整合建议.
主要成果:
- 在客观测量之外,PROM提供了有价值的见解.
- 存在改善患者治疗结果和沟通的潜力.
- 风险包括混因素和医疗保健差异,如果实施不准确.
结论:
- PROMs可以显著有利于骨科患者的护理.
- 公平而准确的实施至关重要.
- 战略路线图可以支持有效的整合到常规实践中.
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