School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia.
JAMA Health Forum. 2022 Apr 1;3(4):e220326. doi: 10.1001/jamahealthforum.2022.0326.
Psychometrically robust patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are critical to evaluating quality and performance across health services and systems. However, the adoption and implementation of PROMs and PREMs remain a challenge in many countries. The aim of this guide is to support instrument selection and implementation to measure health system performance.
The guide is split into 3 step-by-step sections. Step 1: Knowing What to Measure discusses what PROMs and PREMs capture and how they differ from related instruments. Step 2: Choosing the Right Instrument describes the critical psychometric properties of validity, reliability, and responsiveness, and provides resources to support instrument selection and evaluation. Step 3: Mitigating Potential PROM and PREM Implementation Barriers outlines key barriers and supports for instrument implementation at system, service, and individual levels.
This guide aims to provide practical resources for the identification of psychometrically robust PROMs and PREMs, as well as support for their implementation to drive improvements across health systems globally.
心理测量学上可靠的患者报告结局测量（PROM）和患者报告体验测量（PREM）对于评估医疗服务和系统的质量和绩效至关重要。然而，在许多国家，PROM 和 PREM 的采用和实施仍然是一个挑战。本指南旨在支持仪器选择和实施，以衡量卫生系统绩效。
本指南分为三个逐步的部分。第 1 步：了解要测量的内容讨论了 PROM 和 PREM 所捕获的内容，以及它们与相关仪器的区别。第 2 步：选择正确的仪器描述了有效性、可靠性和响应性的关键心理测量特性，并提供资源以支持仪器选择和评估。第 3 步：减轻潜在的 PROM 和 PREM 实施障碍概述了在系统、服务和个人层面上实施仪器的关键障碍和支持。
本指南旨在为识别心理测量学上可靠的 PROM 和 PREM 提供实用资源，并为其实施提供支持，以推动全球卫生系统的改善。
