Health Division, OECD, 2 Rue Andre Pascal, Paris 75016, France.
Psychiatry, Aalborg University Hospital, Moelleparkvej 10, Aalborg 9000, Denmark.
Int J Qual Health Care. 2021 Mar 6;34(Suppl 1):ii7–ii12. doi: 10.1093/intqhc/mzab020.
Achieving people-centred health care systems requires new and innovative strategies to capture information about whether, and to what degree, health care is successful in improving health from the perspective of the patient. Patient-reported outcome measures (PROMs) and Patient-reported experience measures (PREMs) can bring some of these new insights, and are increasingly used in research, clinical care, and policymaking.
This paper reflects the ongoing discussions and findings of the OECD PaRIS Working Group on Patient-reported Indicators for Mental Health Care.
The OECD has been measuring quality of care for mental health conditions over the last 14 years through the Health Care Quality and Outcomes (HCQO) program; nonetheless, information on how persons with mental health problems value the services they receive, and impact of the services, remains limited. As of 2018, a survey from the OECD showed that only five of the twelve countries surveyed (Australia, Israel, Netherlands, Sweden, United Kingdom) reported PROMs and PREMs collection on a regular basis in mental health settings. The paper details some of the challenges specific to the collection and use of PROMs and PREMs in mental health care, and examples from countries which have implemented comprehensive programmes to gather information about PROMs and PREMs for individuals receiving mental health services.
Given the health and economic impact of mental ill-health across all OECD countries, there is significant value to being able to assess the quality and outcomes of care in this area using internationally-comparable measures. Continued international harmonisation of PROMs and PREMs for mental health through international coordination is a key way to facilitate the sharing of national experiences, promote the use of PROMs and PREMs, and create meaningful indicators for national and international benchmarking.
实现以人为本的医疗体系需要新的创新策略，以从患者角度获取有关医疗保健在改善健康方面是否成功以及在何种程度上成功的信息。患者报告的结果测量（PROMs）和患者报告的体验测量（PREMs）可以提供一些新的见解，并越来越多地用于研究、临床护理和决策制定。
本文反映了经合组织患者报告指标心理健康护理工作组的持续讨论和研究结果。
经合组织在过去 14 年中通过医疗保健质量和结果（HCQO）计划一直在衡量精神卫生保健的质量；尽管如此，关于有精神健康问题的人如何看待他们所接受的服务以及服务的影响的信息仍然有限。截至 2018 年，经合组织的一项调查显示，在所调查的 12 个国家中，只有 5 个国家（澳大利亚、以色列、荷兰、瑞典、英国）定期在精神卫生环境中报告 PROMs 和 PREMs 的收集情况。本文详细介绍了在精神卫生保健中收集和使用 PROMs 和 PREMs 所特有的一些挑战，以及一些已经实施了全面计划以收集有关接受精神卫生服务的个人的 PROMs 和 PREMs 信息的国家的例子。
鉴于所有经合组织国家精神健康不良对健康和经济的影响，使用国际可比的衡量标准评估该领域的护理质量和结果具有重要意义。通过国际协调，继续对精神卫生的 PROMs 和 PREMs 进行国际协调，是促进国家经验交流、促进 PROMs 和 PREMs 使用以及为国家和国际基准制定有意义的指标的关键途径。
