Olde Rikkert Marcel G M, van der Wees Philip J, Schoon Yvonne, Westert Gert P
Chair Dept Geriatrics and Radboudumc Alzheimer Center, Radboud University Medical Center, Nijmegen, NL.
IQ healthcare Radboud University Medical Center, Nijmegen, NL.
Int J Integr Care. 2018 Apr 19;18(2):8. doi: 10.5334/ijic.3961.
Patient reported outcome measures (PROMs) have been introduced as standardised outcomes, but have not been implemented widely for disease targeted pathways of care, nor for geriatric patients who prefer functional performance and quality of life.
We describe innovative multipurpose implementation of PROMs as evidenced by two best practices of PROMs application in geriatric and physiotherapy practice. We show that PROMs can show meaningful outcomes in older subjects' patient journeys, which can at the same time serve individuals and groups of both patients and professionals.
PROMs can deliver generic outcomes relevant for older patients, may improve patient-physician relationship, quality of care and prediction of future outcomes in geriatric care, if they are valid, reliable and responsive, but still short and simple. A precondition to make the hard tip from research to practice is that PROMs are carefully positioned in the clinical encounters and in electronic health records.
患者报告结局测量（PROMs）已作为标准化结局引入，但尚未在针对特定疾病的护理途径中广泛实施，也未在偏好功能表现和生活质量的老年患者中广泛应用。
我们描述了PROMs的创新性多用途实施，这体现在老年医学和物理治疗实践中PROMs应用的两个最佳实践中。我们表明，PROMs可以在老年患者的就医过程中显示出有意义的结果，同时可以为患者个体以及患者和专业人员群体服务。
如果PROMs有效、可靠且具有反应性，同时简短且简单，那么它们可以提供与老年患者相关的一般结果，可能改善医患关系、护理质量以及老年护理中未来结果的预测。从研究到实践的关键前提是，PROMs要在临床诊疗过程和电子健康记录中得到妥善定位。
