Hyland Colby J, Pusic Andrea L, Liu Jason B
Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Patient-Reported Outcomes, Value, and Experience (PROVE) Center, Brigham and Women's Hospital, Boston, Massachusetts.
Clin Colon Rectal Surg. 2023 Feb 10;36(4):259-264. doi: 10.1055/s-0043-1761594. eCollection 2023 Jul.
Delivering high-quality surgical care requires knowing how best to define and measure quality in surgery. Patient-reported outcomes (PROs) enable surgeons, health care systems, and payers to understand meaningful health outcomes from the patient's perspective and can be measured using patient-reported outcome measures (PROMs). As a result, there is much interest in using PROMs in routine surgical care, to guide quality improvement and to inform reimbursement pay structures. This chapter defines PROs and PROMs, differentiates PROMs from other quality measures such as patient-reported experience measures, describes PROMs in the context of routine clinical care, and provides an overview of interpreting PROM data. This chapter also describes how PROMs may be applied to quality improvement and value-based reimbursement in surgery.
提供高质量的外科护理需要了解如何最好地定义和衡量手术质量。患者报告的结局（PROs）使外科医生、医疗保健系统和支付方能够从患者的角度理解有意义的健康结局，并且可以使用患者报告结局测量工具（PROMs）进行测量。因此，人们对在常规外科护理中使用PROMs以指导质量改进和为报销支付结构提供信息非常感兴趣。本章定义了PROs和PROMs，将PROMs与其他质量测量方法（如患者报告的体验测量方法）区分开来，在常规临床护理的背景下描述了PROMs，并提供了PROM数据解读的概述。本章还描述了PROMs如何应用于外科手术的质量改进和基于价值的报销。
