A method to create a standardized generic and condition-specific patient-reported outcome measure for patient care and healthcare improvement

摘要: Patient-reported outcome measures (PROMs), which are generic or condition-specific, used for a number of reasons, including clinical care, trials, and in national-level efforts to monitor the quality health care delivery. Creating PROMs that meet different purposes without overburdening patients, healthcare systems, providers, data systems is paramount. The objective this study was test generalizable method incorporate condition-specific issues into PROM as first step producing efficiently provide standardized score. This paper outlines preliminary findings focused on osteoarthritis knee (OA-K). We mixed-methods approach PROMIS® development combined OA-K-specific PROM. Qualitative methods included patient focus groups provider interviews identify impacts OA-K important patients. then conducted thematic analysis an item gap analysis: identified areas covered by existing PROMIS measures, “gap” not covered, compared legacy instruments verify relevance, developed new items address gaps. performed cognitive testing drafted instrument based findings. 52 24 across 14 domains. process creating bridge gaps measures. If successful, methodology will create gather patient’s perspective while allowing researchers, other interested parties compare outcomes over time, conditions, populations.