Bringing the patient's perspectives forward in drug development and health-care evaluation

被引:5
|
作者
Meadows, K. A. [1 ,3 ]
Reaney, M. [2 ]
机构
[1] Hlth Outcomes Insights Ltd, Oxford, Oxon, England
[2] IQVIA Patient Ctr Solut, Reading, England
[3] Hlth Outcomes Insights Ltd Elm Barn, Manor Farm Barns, Oxford SN7 8ED, Oxon, England
关键词
Clinical trials; drug evaluation; healthcare evaluation; narrative evidence; patient perspective; patient-reported outcomes; END-POINTS; SINGLE;
D O I
10.1080/14737167.2023.2166492
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
IntroductionFor many years, psychologists and other social scientists have been pushing for the individual patient's perspective - priorities, needs, feelings, and functioning - to be incorporated into drug development. This is usually achieved through the use of patient-reported outcome measures (PROMs) in clinical trials.Areas coveredThis paper discusses some key issues in the use of PROM data as the sole method of generating information about the patient's perspective and outlines the relevance of narrative evidence to enhance understanding and interpretation of PROM data.Expert opinionThe development and use of PROMs situates them at the vertex of two very different trends in medicine: patient-centered care and standardization. Indeed, the application of PROMs - which pull in the direction of standardization - results in a narrow conception of evidence by overriding the subjectivity of individual experiences, beliefs, and judgments. Without additional context, PROM data cannot easily support individual patient-level care. When collected systematically and with an interpretive phenomenological approach, narrative data can contain valuable information about the patient experience that numerical ratings from PRO measures do not capture.
引用
收藏
页码:267 / 271
页数:5
相关论文
共 50 条