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PROMs need PRIMs: Standardised Outcome Measures Lack the Preference-Sensitivity Needed in Person-Centred Care

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

Abstract

A growing number of condition-specific standard outcome sets have been developed by the International Consortium for Health Outcomes Measurement in pursuit of 'value-based care'. These sets embrace many Patient-Reported Outcome Measures (PROMs), reflecting a simultaneous commitment to 'patient-centred care'. However, none of these sets embody recognition of the preference-sensitive nature of the decisions that eventually generate the outcome database. 'Patient-Reported Importance Measures' (PRIMs) are the valid source of the required preferences. The ICHOM Stroke standard set is input into a hypothetical Multi-Criteria Decision Analysis-based decision support tool to provide simple confirmation that PROMs should be preference-mix adjusted as well as case-mix adjusted. PROMs need PRIMs if value-based care is to be personalised values-based care.

Original languageEnglish
Title of host publicationHealth Informatics Vision : From Data via Information to Knowledge
EditorsJohn Mantas, Arie Hasman, Parisis Gallos, Aikaterini Kolokathi, Mowafa S. Househ, Joseph Liaskos
Volume262
PublisherIOS Press
Publication date2019
Pages118-121
ISBN (Print)9781614999867
ISBN (Electronic)978-1-61499-987-4
DOIs
Publication statusPublished - 2019
SeriesStudies in Health Technology and Informatics
ISSN0926-9630

Funding

The software at https:// ale.rsyd.dk was funded in a project to develop decision support tools (Danish National Board of Health/SATS J.nr. 1-1010/116/27).

Keywords

  • Multi-Criteria Decision Analysis
  • Patient Reported Outcome Measures
  • Preference-sensitive decisions
  • Value-based care

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