利用公开报告的全球医院排名改善患者报告结果测量(PROMs)的传播

David W. Bates, Jens Deerberg-Wittram, Gregory Katz, Katharina Braeger, Lena S. Hirsch, Gary S. Kaplan, Lukas Kwietniewski, Christoph A. Meier, Camila Plaza de Laifer, Eyal Zimlichman
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引用次数: 0

摘要

患者报告的结果测量(PROMs)是世界各地卫生保健部门基于价值的护理的基本要素,它将质量定义从过程转移到以结果为基础的指标,重点关注患者的需求。然而,prom在医院的采用率仍然很低。为了应对这一挑战,并考虑到基于价值的医疗保健日益增长的重要性,《新闻周刊》和Statista与全球医学专家委员会一起开展了一项PROMs实施情况调查,以确定医院中PROMs实施的现状。该调查结果被纳入《新闻周刊》2023年版的“世界最佳专科医院”和“世界最佳医院”排名。纳入PROMs增加了以患者结果为中心的维度,克服了方法学上的局限性,提高了这些排名的全面性。此外,公开报告临床结果,如PROMs,可作为提高护理质量的催化剂。在这篇文章中,作者描述了他们所认为的基于价值的医疗保健与PROMs之间日益增长的相关性,开发和启动PROMs实施调查的过程,以及将其纳入医院排名以提高全球患者护理价值的过程。
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Using Publicly Reported Global Hospital Rankings to Improve Dissemination of Patient-Reported Outcome Measures (PROMs)
SummaryPatient-reported outcome measures (PROMs) represent an essential element of value-based care in health care sectors worldwide by transferring the quality definition from process- to outcome-based indicators that focus on the patients’ needs. However, the adoption rate of PROMs in hospitals is still low. To address this challenge and to account for the growing importance of value-based health care, Newsweek and Statista developed a PROMs implementation survey along with a global board of medical experts to determine the current state of PROMs implementation in hospitals. The results of this survey were incorporated into the 2023 editions of Newsweek’s World’s Best Specialized Hospitals and World’s Best Hospitals rankings. The inclusion of PROMs adds a patient outcome–focused dimension that overcomes methodologic limitations and improves the comprehensiveness of these rankings. Furthermore, the public reporting of clinical outcomes such as PROMs serves as a catalyst to improve the quality of care. In this article, the authors describe what they believe is the increasing relevance of value-based health care and PROMs, the process of developing and launching the PROMs implementation survey, and its incorporation into hospital rankings to improve the value of care for patients on a global level.
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