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Interventions can be direct (e.g. medication) or indirect (e.g. change in the process of health care like integration care by different specialists). Some definitions of health outcomes measurement stipulate that the population or group has to be defined (different outcomes are expected for different people & conditions).
Bradley C. Importance of differentiating health status from quality of life. Lancet. 2001; 357 (9249):7-8. Fung CH, Hays RD. Prospects and challenges in using patient-reported outcomes in clinical practice. Quality of Life Research. 2008; 17: 1297–302. Doward LC, McKenna SP, Defining Patient-Reported Outcomes. Value in Health. 2004; 7(S1): S4-S8.
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.
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 second edition of the book where the model's application was expanded from PRECEDE to PROCEED with the addition of the policy, regulatory, and organizational aspects of planning for environmental changes that took health promotion beyond a narrower understanding of health education; Green L, Kreuter M. (1999).
Poor health outcomes appear to be an effect of economic inequality across a population. Nations and regions with greater economic inequality show poorer outcomes in life expectancy, [31]: Figure 1.1 mental health, [31]: Figure 5.1 drug abuse, [31]: Figure 5.3 obesity, [31]: Figure 7.1 educational performance, teenage birthrates, and ill health due to violence.
Improper reporting of health related outcomes: Many hospitals/healthcare providers do not properly report outcomes creating bias in studies. Lack of interpretability of measures/incorporation into clinical practice : Clinicians must be educated about the usefulness of outcome measures, and outcome measures must be easy to include into daily ...
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]