Centre for Research on Health and Social Care Management, SDA Bocconi Government, Health and Not for Profit Division, Milan, Italy; Evidence Synthesis & Modelling for Health Improvement, College of Medicine and Health, University of Exeter Medical School, Exeter, United Kingdom.
Centre for Research on Health and Social Care Management, SDA Bocconi Government, Health and Not for Profit Division, Milan, Italy; School of Engineering, Warwick University, Coventry, United Kingdom.
Clin Ther. 2020 Jan;42(1):25-33. doi: 10.1016/j.clinthera.2019.11.016. Epub 2020 Jan 10.
Patient-reported outcomes (PROs) are any report of the status of a patient's health condition that comes directly from the patient (or in some cases from a caregiver or surrogate responder), without interpretation by a practitioner or anyone else. PROs are increasingly used as a valuable source of data in different domains of health care, including research, clinical practice, health care management, and decision making on the regulation, coverage, and reimbursement of new technologies. Several factors must be considered when selecting which PRO measure to use to ensure their appropriate use and interpretation as well as their relevance for decision makers. The increasing availability of PRO data, its integration with other data sources, and the improvements in data analytics offer a valuable opportunity to place the patient at the center of any health care process. However, several issues need to be addressed, including interoperability, data governance, security, privacy, and ethics, to realize an effective, integrated, standardized, real-time assessment of PROs in the health care systems.
患者报告的结局（PROs）是指患者健康状况的任何报告，直接来自患者（或在某些情况下来自护理人员或替代响应者），而不由从业者或其他任何人解释。PROs 越来越多地被用作医疗保健不同领域的有价值的数据来源，包括研究、临床实践、医疗保健管理以及对新技术的监管、覆盖范围和报销的决策。在选择要使用的 PRO 测量指标时，必须考虑几个因素，以确保其正确使用和解释以及对决策者的相关性。PRO 数据的可用性不断增加，将其与其他数据源集成以及数据分析的改进为将患者置于任何医疗保健过程的中心提供了宝贵的机会。但是，需要解决一些问题，包括互操作性、数据治理、安全性、隐私和道德问题，以实现医疗保健系统中对 PROs 的有效、集成、标准化、实时评估。
