Using Patient Reported Outcomes to Improve Health Care (eBook)

John Appleby, Nancy Devlin, David Parkin (Autoren)

eBook Download: PDF

2015
John Wiley & Sons (Verlag)
978-1-118-94859-0 (ISBN)

Infos

A practical, introductory guide to the best use of Patient Reported Outcomes (PROs) to improve the quality of health care and patient health.

• Only title to exclusively introduce, explain and show how PROs can be best used to improve healthcare and patient outcomes 
• Includes real life examples and case studies of PROs in practice 
• Assesses the growing evidence base for PROs in practice 
• Editor team from Office of Health Economics (OHE), The King's Fund and King's College London with contributions from practising clinicians, GPs and other healthcare professionals

Professor John Appleby is chief economist at the King's Fund. He has worked in the National Health Service in Birmingham and London, and as senior lecturer at the universities of Birmingham and East Anglia. He is a regular contributor to the British Medical Journal on health and economic issues and has acted as an adviser to the UK government and parliament in various capacities. Professor Appleby is also a Visiting Professor at the Department of Economics at City University, London and at the Institute of Global Health Innovation, Imperial College London.

Professor Nancy Devlin's principal areas of research expertise are the measurement and valuation of patient reported health outcomes; the cost effectiveness thresholds used in making judgments about value for money in health care; priority setting in health care; production, performance and efficiency of hospitals; and the determinants of patient choice. Professor Devlin holds honorary chairs at the Centre for Health Economics, University of York; Cass Business School, London; and in the Economics Department at City University, London. She is the elected Chair of the EuroQol Group, a European-based international network of researchers that developed the EQ-5D.

Professor David Parkin is Professor of Health Economics at King's College London.  He has held academic appointments at the Universities of Manchester, Aberdeen and Newcastle and at City University London, and was formerly Chief Economist at NHS South East Coast.  He is co-author of a popular Health Economics textbook Economic Analysis in Health Care (Wiley, 2012), contributor to other health economics books including Econometric Analysis of Health Data (Wiley, 2002) and is author of many published papers.  He has been a member of the EuroQol group, the developer and owner of the EQ-5D, since 1998.

Inhalt

Using Patient Reported Outcomes to Improve Health Care 3
Contents 7
Foreword 8
Foreword 9
Acknowledgements 11
Chapter 1 Introduction 13
The economic context 14
Special issues with measuring and valuing health 15
A fundamental shift in focus 16
Routine measurement of PROs: a step forward in the NHS 16
Getting the most out of patient reported outcomes 18
References 19
Chapter 2 A primer on patient reported outcomes 21
What are PROs? 21
How do PROs measure health? 22
How is a patient’s self-reported health on the various dimensions summarised? 26
Condition-specific and generic PROs 28
Subjective health measures 29
Measuring changes in health 29
Ways of summarising and presenting PROs 30
Measurement of overall health 34
Conclusions 36
References 36
Chapter 3 Patients: information and choice 39
Patient choice 39
Which treatment? 40
Which hospital? 44
Which clinician? 50
Will PROs make a difference to patients’ choices? 51
References 52
Chapter 4 Clinicians: clinical decision making 53
Using PROs in clinical practice 54
Are PROs relevant to decisions about referral? 55
International use of PROs in referral management 56
The potential role of points systems in the NHS 59
PROs and other health professions 60
References 60
Chapter 5 Hospitals: managing clinical quality 63
What PRO data are available to NHS hospitals? 64
Quality Accounts 64
Understanding outcome variations 66
The issue of case mix 70
Examining variations in health and health care using PROs 71
How do provider characteristics affect outcomes measured by PROs? 74
Incentives 74
PROs, costs and hospital efficiency 75
What can the NHS learn from the independent healthcare sector? 76
References 80
Chapter 6 Commissioners: quality, value for money and fairness 82
Value-for-money from commissioner budgets 83
PROs and commissioning 84
Using PROs to choose providers and manage performance 84
Equitable health outcomes? 85
References 86
Chapter 7 Regulation, value for money and productivity 87
Patient reported outcomes and regulation of health care 87
Using PRO data to measure cost-effectiveness 90
Measuring NHS output and productivity 95
References 98
Chapter 8 Where next for patient reported outcomes? 100
Lessons and challenges 100
References 102
Appendix 1 103
Appendix 2 113
Appendix 3 115
Index 119
EULA 122

Produkt-Details

• Erscheint lt. Verlag: 24.11.2015
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Themenwelt: Medizin / Pharmazie ► Pflege
• Themenwelt: Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung
• Themenwelt: Technik ► Medizintechnik
• Schlagworte: Evidence-based Health Care • Evidenzbasierte Forschung im Gesundheitswesen • Gesundheitspolitik • Gesundheitspolitik, Risiken, Sicherheit des Patienten • Gesundheitswesen • Health Policy, Health Risk & Patient Safety • <p>John Appleby</p> <p>Nancy Devlin</p> <p>David Parkin</p> <p>Kalipso Chalkidou</p> <p>Bruce Keogh</p> <p>Patient reported outcomes</p> <p>PROs</p> <p>PROMs</p> <p>Patient</p> <p>Shared decision-making</p> <p>Care</p> <p>Health care</p> <p>Hospital</p> <p>Information</p> <p>Clinical decision making</p> <p>Clinical quality</p> <p>Commissioners</p> <p>Commissioning</p> <p>Regulation</p> <p>Value for money</p> • Medical Professional Development • Medical Science • Medizin • Perspektiven in medizinischen Berufen
• ISBN-10: 1-118-94859-9 / 1118948599
• ISBN-13: 978-1-118-94859-0 / 9781118948590