Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
J Am Coll Radiol. 2012 Oct;9(10):725-8. doi: 10.1016/j.jacr.2012.06.008.
The Patient-Centered Outcomes Research Institute was created in response to a mandate to conduct comparative effectiveness research in clinical care to inform decision making. The institute will be funded by the Patient-Centered Outcomes Research Trust Fund, through congressional set-asides, and by Medicare and private health insurers, through a per beneficiary fee. The institute is governed by a board with a broad stakeholder constitution. Key committees set the national agenda for patient-centered outcomes research, the agenda for funding priorities, and communication and dissemination of the evidence with the goal of increasing the rate of implementation of the evidence into policy. In imaging, patient-centered outcomes go beyond the traditional metrics of patient satisfaction. Instead, these outcomes need to encompass the benefits and harms, focus on outcomes relevant to patients, and provide information to inform decision making. Therefore, radiologists need to be involved as stakeholders in the design, conduct, and dissemination of this research.
患者为中心的结局研究所是应在临床护理中进行比较效果研究以辅助决策的指令而成立的。该研究所将通过患者为中心的结局研究信托基金、国会拨款、医疗保险和私人健康保险公司的按人收费来获得资金。该研究所由一个利益相关者构成广泛的董事会管理。主要委员会为以患者为中心的结局研究设定国家议程、为资金优先事项设定议程、以及沟通和传播证据，旨在提高证据转化为政策的速度。在影像学中，以患者为中心的结局超出了传统的患者满意度指标。相反，这些结局需要包含获益和危害，关注对患者相关的结局，并提供信息来辅助决策。因此，放射科医生需要作为利益相关者参与这项研究的设计、进行和传播。
