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Making the Case for Patient-Reported Outcome Measures in Big-Data Rehabilitation Research: Implications for Optimizing Patient-Centered Care
Archives of Physical Medicine and Rehabilitation ( IF 3.6 ) Pub Date : 2021-02-04 , DOI: 10.1016/j.apmr.2020.12.028
Tamra Keeney 1 , Amit Kumar 2 , Kimberly S Erler 3 , Amol M Karmarkar 4
Affiliation  

Advances in data science and timely access to health informatics provide a pathway to integrate patient-reported outcome measures (PROMs) into clinical workflows and optimize rehabilitation service delivery. With the shift toward value-based care in the US healthcare system, as highlighted by the recent Centers for Medicare and Medicaid Services incentive and penalty programs, it is critical for rehabilitation providers to systematically collect and effectively use PROMs to facilitate evaluation of quality and outcomes within and across health systems.

This editorial discusses the potential PROMs have to transform clinical practice, provides examples of health systems using PROMs to guide care, and identifies barriers to aggregating data from PROMs to conduct health services research. The paper proposes two priority areas to help advance rehabilitation health services research: 1) standardize collecting PROMs data in electronic health records to facilitate comparing health system performance and quality, and 2) increased partnerships between rehabilitation providers, researchers, and payors to accelerate health system learning. As healthcare reform continues to emphasize value-based payment strategies, it is essential for the field of physical medicine and rehabilitation to be at the forefront of demonstrating its value in the care continuum.



中文翻译:

在大数据康复研究中证明患者报告的结果测量:对优化以患者为中心的护理的影响

数据科学的进步和对健康信息学的及时访问为将患者报告的结果测量 (PROM) 整合到临床工作流程和优化康复服务提供提供了途径。随着美国医疗保健系统向基于价值的护理转变,正如最近的医疗保险和医疗补助服务中心奖励和惩罚计划所强调的那样,康复提供者系统地收集和有效使用 PROM 以促进质量和结果评估至关重要在卫生系统内和卫生系统之间。

这篇社论讨论了 PROM 必须改变临床实践的潜力,提供了使用 PROM 指导护理的卫生系统示例,并确定了从 PROM 收集数据以进行卫生服务研究的障碍。本文提出了两个优先领域来帮助推进康复健康服务研究:1) 标准化电子健康记录中 PROM 数据的收集,以促进比较健康系统的性能和质量,以及 2) 加强康复提供者、研究人员和付款人之间的伙伴关系以加速健康系统学习。随着医疗改革继续强调基于价值的支付策略,物理医学和康复领域必须走在展示其在护理连续体中价值的最前沿。

更新日期:2021-02-04
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