Health span or life span: The role of patient-reported outcomes in informing health policy

Abstract Objectives Population ageing and the increasing burden of chronic conditions challenge traditional metrics of assessing the efficacy of health care interventions and as a consequence policy and planning. Using chronic heart failure (CHF) as an exemplar this manuscript seeks to describe the...

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Bibliographic Details
Published in:Health policy (Amsterdam) 2011-04, Vol.100 (1), p.96-104
Main Authors: Chang, Sungwon, Gholizadeh, Leila, Salamonson, Yenna, DiGiacomo, Michelle, Betihavas, Vasiliki, Davidson, Patricia M
Format: Article
Language:English
Subjects:
Chronic Disease
Chronic sickness
Diseases
Epidemiological transition
Family
Health administration
Health care
Health Policy
Health policy Heart failure Patient-reported outcomes Morbidity Mortality
Heart disease
Heart failure
Heart Failure - therapy
Humans
Internal Medicine
Life span
Medical service
Morbidity
Morbidity-Mortality
Mortality
Outcome Assessment (Health Care)
Patient Satisfaction
Patient-reported outcomes
Patients
Policy making
Population ageing
Population aging
Population policy
Quality of Life
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Summary:Abstract Objectives Population ageing and the increasing burden of chronic conditions challenge traditional metrics of assessing the efficacy of health care interventions and as a consequence policy and planning. Using chronic heart failure (CHF) as an exemplar this manuscript seeks to describe the importance of patient-reported outcomes to inform policy decisions. Methods The method of an integrative review has been used to identify patient-reported outcomes (PROs) in assessing CHF outcomes. Using the Innovative Care for Chronic Conditions the case for developing a metric to incorporate PROs in policy planning, implementation and evaluation is made. Results In spite of the increasing use of PROs in assessing CHF outcomes, their incorporation in the policy domain is limited. Conclusions Effective policy and planning is of health care services is dependent on the impact on the individual and their families. Epidemiological transitions and evolving treatment paradigms challenge traditional metrics of morbidity and mortality underscoring the importance of assessing PROs.
ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2010.07.001