提高例行放射瘤治疗中患者报告结果的代表性:一种质量改善协议,以解决不响应问题
Chengbo Zeng1,2, Neil E Martin2,3,4, Andrea L Pusic5,2,6
1Patient Reported Outcomes, Value and Experience (PROVE) Center, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA czeng8@bwh.harvard.edu.
BMJ open
|December 13, 2024
概括
患者报告结果 (PRO) 数据中的非响应影响癌症护理. 本研究检查了PRO数据的代表性,确定了非响应的原因,并开发了改善数据质量的方法,以便更好地照顾患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 癌症护理质量 癌症护理质量
- 患者报告的结果
背景情况:
- 患者报告结果 (PRO) 数据中的非响应损害了其在癌症治疗中的有用性.
- 质量改进研究对于评估PRO数据的代表性和确定非响应原因至关重要.
- 开发新的方法对于确保PRO数据的代表性至关重要.
研究的目的:
- 在临床,医疗服务提供者和患者层面对Global-10 PRO测量表征非响应.
- 确定不响应的多层次原因,并制定改善PRO数据代表性的策略.
- 修改缺失数据的方法,以提高现有的PRO数据的代表性.
主要方法:
- 采用多层框架和混合方法方法,使用来自Mass General Brigham Radiation Oncology的数据.
- 通过多层次因素对全球10个地区的不响应进行定量分析.
- 采用与患者和临床医生进行定性访谈,以了解不响应的原因并确定改善策略.
- 将实施科学和发现整合到缺失数据方法中,以管理不响应并评估其性能.
主要成果:
- 定量分析将评估全球10个非响应在临床,提供者和患者层面的变化.
- 定性访谈将阐明非响应的原因,并为提高PRO数据的策略提供信息.
- 将开发修改的缺失数据方法,并评估它们在维护数据代表性方面的有效性.
结论:
- 在PRO数据中解决非响应问题对于高价值,公平的癌症护理至关重要.
- 了解影响非响应的多层次因素是制定有效改善策略的关键.
- 需要新的缺失数据方法来确保在例行护理中收集的PRO数据的代表性.
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