[患者报告结果的评估作为以患者为中心的护理工具?]
Matthias Rose1,2,3,4,5,6,7
1Medizinische Klinik mit Schwerpunkt Psychosomatik, Centrum für Innere Medizin und Dermatologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland. matthias.rose@charite.de.
患者报告的结果测量 (PROM) 对于评估医疗保健治疗成功和患者福祉至关重要. 尽管PROM有好处,但由于实施挑战,PROM在常规临床实践中未得到充分利用.
科学领域:
- 医疗保健研究 医疗保健研究
- 医疗信息学 医疗信息学
- 以患者为中心的护理
背景情况:
- 患者报告的结果指标 (PROM) 对于评估治疗疗效和患者生活质量至关重要.
- 现有大量的仪器用于评估症状,日常功能和生活质量.
- PROMs用于临床研究和质量保证,以及用于查心理困扰.
研究的目的:
- 突出PROM在医疗保健中的日益重要.
- 讨论在常规临床实践中实施PROM的挑战和先决条件.
- 探索旨在协调测量和将PROM集成到电子健康记录中的举措.
主要方法:
- 审查当前的文献和PROM在医疗保健中的应用.
- 对PROMs广泛临床采用障碍的分析.
- 检查德国和欧洲正在进行的PROM实施倡议.
主要成果:
- 临床研究 (近50%) 和质量保证中越来越多地使用PROM.
- 作为干预措施的PROM,特别是在瘤学中,对患者的生活质量产生了积极的影响.
- 常规使用的障碍包括临床医生所感知的额外努力和缺乏整合到电子健康记录.
结论:
- 成功实施需要跨部门协调测量和更好地整合到电子健康记录中.
- 德国和欧洲的倡议正在应对这些整合和协调挑战.
- 基于证据的医学的长期趋势支持PROM在捕捉患者结果方面的不可或缺的作用.
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