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Outcome contains all the effects of healthcare on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and health-related quality of life. Outcomes are sometimes seen as the most important indicators of quality because improving patient health status is the primary goal of healthcare.
Routine health outcomes measurement is the process of examining whether or not interventions are associated with change (for better or worse) in the patient's health status. This change can be directly measured (e.g. by rating scales used by the clinician or patient) or assumed by the use of proxy measurement (e.g. a blood test result).
The Patient-Reported Outcomes Measurement Information System [1] (PROMIS) provides clinicians and researchers access to reliable, valid, and flexible measures of health status that assess physical, mental, and social well–being from the patient perspective. PROMIS measures are standardized, allowing for assessment of many patient-reported ...
Patrick DL, Bergner M. Measurement of Health Status in the 1990s. Annu Rev Public Health. 1990; 11: 165–83. Tennant A, McKenna SP. Conceptualising and defining outcome. Br J Rheumatol 1995;34:899-900. Valderas JM, Alonso J. Patient reported outcome measures: a model-based classification system for research and clinical practice.
The process to develop the measures is not completely "transparent," that is, "information about existing conditions, decisions and actions" is not completely "accessible, visible and understandable”. [20] In some cases, attainment of HEDIS measures is not proven to be associated with better health outcomes.
[9] [10] [2] Patient-centered outcomes research involves questions and outcomes that are "meaningful and important to patients and caregivers" [11] in order to help those individuals make informed decisions for their own care. As of 2019, there have been 65 research standards developed to support patient-centered outcomes research. [12]