Weldring Theresa, Smith Sheree M S
Research Nurse, Chelsea and Westminster Hospital, Fulham Road, London SW10 9NH, United Kingdom.
Director, Family and Community Health University Research Group, School of Nursing and Midwifery, University of Western Sydney, Sydney, NSW Australia. ; Visiting Professor, Centre for Pharmacology and Therapeutics, Imperial College, Chelsea and Westminster Campus, London, SW10 9NH, United Kingdom.
Health Serv Insights. 2013 Aug 4;6:61-8. doi: 10.4137/HSI.S11093. eCollection 2013.
In recent years, there has been an increased focus on placing patients at the center of health care research and evaluating clinical care in order to improve their experience and ensure that research is both robust and of maximum value for the use of medicinal products, therapy, or health services. This paper provides an overview of patients' involvement in clinical research and service evaluation along with its benefits and limitations. We describe and discuss patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs), including the trends in current research. Both the patient-reported experiences measures (PREMs) and patient and public involvement (PPI) initiative for including patients in the research processes are also outlined. PROs provide reports from patients about their own health, quality of life, or functional status associated with the health care or treatment they have received. PROMs are tools and/or instruments used to report PROs. Patient report experiences through the use of PREMs, such as satisfaction scales, providing insight into the patients' experience with their care or a health service. There is increasing international attention regarding the use of PREMS as a quality indicator of patient care and safety. This reflects the ongoing health service commitment of involving patients and the public within the wider context of the development and evaluation of health care service delivery and quality improvement.
近年来,人们越来越注重将患者置于医疗保健研究的中心并对临床护理进行评估,以改善患者体验,并确保研究对于药品、治疗方法或医疗服务的使用而言既稳健又具有最大价值。本文概述了患者参与临床研究和服务评估的情况及其利弊。我们描述并讨论了患者报告结局(PROs)和患者报告结局测量工具(PROMs),包括当前研究的趋势。还概述了患者报告体验测量工具(PREMs)以及让患者参与研究过程的患者及公众参与(PPI)倡议。PROs提供患者关于自身健康、生活质量或与所接受的医疗保健或治疗相关的功能状态的报告。PROMs是用于报告PROs的工具和/或仪器。患者通过使用PREMs(如满意度量表)来报告体验,从而深入了解患者对其护理或医疗服务的体验。国际上越来越关注将PREMs用作患者护理和安全的质量指标。这反映出在医疗保健服务提供的发展和评估以及质量改进的更广泛背景下,医疗服务持续致力于让患者和公众参与其中。