Health Policy

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Sungwon Chang ; Sungwon Chang ; Leila Gholizadeh ; Yenna Salamonson ; Michelle DiGiacomo ; Vasiliki Betihavas ; Patricia M. Davidson

摘要

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.

Health policy; Heart failure; Patient-reported outcomes; Morbidity; Mortality

10.5

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