[评估肿瘤和慢性疾病的患者经验:对可用工具(PROMs, PREMs,满意度)的批判性分析]。

Bulletin du cancer Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI:10.1016/j.bulcan.2024.11.010
Loubna Diouri, Coralie Barbe, Stéphane Vignot
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引用次数: 0

摘要

护理质量评估出现在20世纪90年代末,导致用户融入医疗保健系统。为了整合患者的感知,开发了诸如pro(患者报告的结果),PROMs(患者报告的结果测量),满意度和患者专家或合作伙伴等资源。PREMs(病人报告体验测量)最近出现了,为提高质量和护理途径带来了新的视角,但仍然鲜为人知。本研究的目的是对现有出版物进行批判性分析,这些出版物用于评估患者对慢性疾病护理途径的体验,重点是肿瘤学,并确定共同主题。文献检索时间为2023年6月至2024年3月。它侧重于生活质量、满意度和患者体验的概念。79篇与患者经验相关的文章被确定,包括44篇肿瘤学和35篇肿瘤学以外的文章。分析的措施包括经验问题,以及满意度问题和/或PROMs措施。尽管如此,它们解决了对患者很重要的和谐域。这项研究显示了PROMs和患者满意度的持续发展。prom和患者体验仍然是新事物。它们的使用仍然集中在有针对性的护理阶段,并且缺乏更全面地评估患者护理途径的工具。
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[Evaluating patient experience in oncology and chronic diseases: Critical analysis of available tools (PROMs, PREMs, Satisfaction)].

Care quality assessment emerged in the late 1990s, leading to the integration of users into healthcare systems. To integrate patient perceptions, resources such as PROs (Patient Reported Outcomes), PROMs (Patient-Reported Outcome Measures), satisfaction and patient experts or partners have been developed. PREMs (Patient-Reported Experience Measures) have recently emerged, bringing a fresh perspective to improving quality and care pathways, but are still little-known. The aim of this study is to carry out a critical analysis of available publications on tools for evaluating the patient's experience of the care pathway for a chronic disease, with a focus on oncology, and to identify common themes. A literature search was carried out from June 2023 to March 2024. It focused on the concepts of quality of life, satisfaction and patient experience. Seventy-nine articles related to patient experience were identified, including 44 in oncology and 35 outside oncology. The measures analyzed include experience questions as well as satisfaction questions and/or PROMs measures. Nevertheless, they address concordant domains that are important to the patient. This study has shown a consistent development of PROMs and patient satisfaction. PROMs and patient experience are still new. Their use remains focused on targeted stages of care, and there is a lack of tools for assessing the patient's care pathway more globally.

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