Health Policyand Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Health Aff (Millwood). 2010 Oct;29(10):1863-71. doi: 10.1377/hlthaff.2010.0660.
Comparative effectiveness research generates evidence that helps consumers, clinicians, purchasers, and policy makers make better decisions about health care. Capturing the patient's perspective is central to this research because it provides a complete picture of treatment impact. This can be done with standardized questionnaires that ask patients to report on their functioning, well-being, symptoms, and satisfaction with care. These data, however, are not collected routinely in either clinical research or practice. Strategies and incentives to link patient-reported outcomes to data from conventional sources--including clinical research, electronic health records, and administrative data--will accelerate the development of useful evidence.
比较疗效研究产生的证据可以帮助消费者、临床医生、购买者和政策制定者做出更好的医疗保健决策。从患者的角度出发进行研究至关重要,因为它提供了治疗效果的全貌。这可以通过使用标准化问卷来实现,这些问卷要求患者报告他们的功能、健康状况、症状和对护理的满意度。然而,这些数据在临床研究或实践中并没有常规收集。将患者报告的结果与常规来源(包括临床研究、电子健康记录和管理数据)的数据联系起来的策略和激励措施将加速有用证据的开发。