Chen An, Tchitcherin Oona, Väyrynen Kirsi, Torkki Paulus, Heinonen Seppo, Tekay Aydin
School of Public Health, Zhejiang Chinese Medical University, Zhejiang, China.
Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Int J Health Policy Manag. 2025;14:8921. doi: 10.34172/ijhpm.8921. Epub 2025 Jul 15.
McDonald and colleagues' work "Achieving Diagnostic Excellence: Roadmaps to Develop and Use Patient-Reported Measures With an Equity Lens" emphasizes the critical role of patient-reported measures (PRMs) in achieving diagnostic excellence, with a focus on equity. PRMs capture patients' experiences, symptoms, and concerns throughout the diagnostic process, enhancing accuracy and addressing uncertainties. In contexts like maternity care, PRMs have been applied to reveal and reduce communication gaps and alleviate anxiety, offering crucial support for improving diagnostic experiences and outcomes. This commentary explores the application of McDonald and colleagues' visions and roadmaps to prenatal diagnosis, specifically focusing "prenatal screening and testing" (PreST), a complex process where diverse patient populations face challenges in understanding and responding to sequential test results. Tailored diagnosis-related PRMs can provide healthcare providers with tools to enhance shared decision-making, equitable communication, and patient satisfaction, leading to more inclusive and personalized diagnostic pathways.
麦克唐纳及其同事的著作《实现卓越诊断:以公平视角制定和使用患者报告措施的路线图》强调了患者报告措施(PRMs)在实现卓越诊断中所起的关键作用,重点在于公平性。患者报告措施在整个诊断过程中捕捉患者的经历、症状和担忧,提高诊断准确性并解决不确定性问题。在产科护理等背景下,患者报告措施已被用于揭示和减少沟通差距并减轻焦虑,为改善诊断体验和结果提供了至关重要的支持。本评论探讨了麦克唐纳及其同事的愿景和路线图在产前诊断中的应用,特别关注“产前筛查与检测”(PreST),这是一个复杂的过程,不同患者群体在理解和应对一系列检测结果时面临挑战。量身定制的与诊断相关的患者报告措施可以为医疗保健提供者提供工具,以加强共同决策、公平沟通和患者满意度,从而形成更具包容性和个性化的诊断途径。