Patient reported outcomes are measurement instruments that patients complete to provide information on aspects of their health status that are relevant to their quality of life, including symptoms, functionality and physical, mental and social health. They are essential to understanding whether health care services and procedures make a difference to patients’ health status and quality of life, and provide insight on the effectiveness of care from the patient’s perspective and complement existing information on the quality of care and services provided.[i]
There is increasing interest in Canada to use patient reported outcome measures (PROMs) to inform clinical practice. Current usage is limited, in Canada and elsewhere, to identifying ways to reduce waste, but there may be opportunities to use these measures to guide policy more broadly.
A scoping project is underway, directed by Drs. Mark Harrison and Nick Bansback. Their aim is to identify new options for improving the use of PROMs to improve sustainability of health care delivery. They have identified two case studies, in partnership with clinicians:
- Kam Shojania, a rheumatologist at the Mary Pack Arthritis Centre in Vancouver, uses PROMs to inform shared decision-making with patients about treatment options for rheumatoid arthritis.
- David Maberley, an ophthalmologist, is using PROMs with patients undergoing cataract surgery.
In addition to these case studies, the project leaders will identify key leaders in the use of PROMs, both in Canada and internationally, and create interview guides for the next phase of this project. They are also creating a search strategy to identify PROMs-related documents in the peer-reviewed and grey literature.
[i] From Canadian Institute for Health Information (CIHI), https://www.cihi.ca/en/health-system-performance/quality-of-care-and-outcomes/outcomes/patient-reported-outcome-measures (accessed on Aug 10 2016)