Saint Luke's Mid America Heart Institute, University of Missouri Kansas City,Kansas City, Missouri.
Methodist Debakey Cardiovasc J. 2021 Apr 5;17(1):e1-e9. doi: 10.14797/VUWD7697.
Patient-reported outcomes (PROs) are elicited directly from patients so they can describe their overall health status, including their symptoms, function, and quality of life. While commonly used as end points in clinical trials, PROs can play an important role in routine clinical care, population health management, and as a means for quantifying the quality of patient care. In this review, we propose that PROs be used to improve patient-centered care in the treatment of cardiovascular diseases given their importance to patients and society and their ability to improve doctor- provider communication. Furthermore, given the current variability in patients' health status across different clinics and the fact that PROs can be improved by titrating therapy, we contend that PROs have a key opportunity to serve as measures of healthcare quality.
患者报告的结局(PROs)直接从患者那里获得,以便他们能够描述自己的整体健康状况,包括症状、功能和生活质量。虽然常用于临床试验的终点,但 PROs 在常规临床护理、人群健康管理以及量化患者护理质量方面也可以发挥重要作用。在这篇综述中,我们提出鉴于 PROs 对患者和社会的重要性及其改善医患沟通的能力,应将 PROs 用于改善心血管疾病的以患者为中心的治疗。此外,鉴于目前不同诊所的患者健康状况存在差异,并且 PROs 可以通过滴定治疗来改善,我们认为 PROs 有机会成为医疗质量的衡量标准。