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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).
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.
The NOC contains 330 outcomes, and each with a label, a definition, and a set of indicators and measures to determine achievement of the nursing outcome and are included The terminology is an American Nurses' Association-recognized terminology, is included in the UMLS, and is HL7 registered. [1] [2]
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 CCC, capturing the essence of patient care, consists of two interrelated terminologies – the CCC of Nursing Diagnoses & Outcomes and the CCC of Nursing Interventions & and Actions – classified by 21 Care Components that link the two together. This merge enables a roadmap to other health-related classification systems.
Early versions of healthcare-related quality of life measures referred to simple assessments of physical abilities by an external rater (for example, the patient is able to get up, eat and drink, and take care of personal hygiene without any help from others) or even to a single measurement (for example, the angle to which a limb could be flexed).
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 ...
Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. [2] Quality of care plays an important role in describing the iron triangle of health care relationships between quality, cost, and accessibility of health care within a community. [3]