Abstract
Recognition of the importance of a patient's perception of their status and experience
has become central to medical care and its evaluation. This recognition has led to
a growing reliance on the use of patient-reported outcome measures (PROMs). Nevertheless,
although awareness of PROMs and acceptance of their utility has increased markedly,
few of us have a good insight into their development; their utility relative to clinician-rated
and performance measures such as the FIM and 6-minute walk test or how their “electronification”
and incorporation into electronic health records (EHRs) may improve the individualization,
value, and quality of medical care. In all, the goal of this commentary is to provide
some insight into historical factors and technology developments that we believe have
shaped modern clinical PROMs as they relate to medicine in general and to rehabilitation
in particular. In addition, we speculate that while the growth of PROM use may have
been triggered by an increased emphasis on the centrality of the patient in their
care, future uptake will be shaped by their embedding in EHRs and used to improve
clinical decision support though their integration with other sources of clinical
and sociodemographic data.
Keyword
List of abbreviations:
CAT (computerized adaptive test), CRO (clinician-rated outcome), EHR (electronic health record), ePROM (electronic patient-reported outcome), IRT (item response theory), MCID (minimal clinically important difference), MOS (Medical Outcomes Study), PHQ-9 (Patient Health Questionnaire-9), PROM (patient-reported outcome measure), SIP (Sickness Impact Profile), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 09, 2021
Accepted:
October 20,
2021
Received:
September 22,
2021
Footnotes
Supported by the Eunice Kennedy Shriver National Institutes of Child Health and Human Development of the National Institutes of Health under Award No. R01HD079439 to the Mayo Clinic in Rochester, Minnesota. The content is solely the responsibility of the authors and does not necessarily reflect the official views of the National Institutes of Health
Disclosures: none
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
Identification
Copyright
© 2021 by the American Congress of Rehabilitation Medicine.
