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대한민국 상급 종합병원 임상현장에서 환자자기평가결과(Patient-Reported Outcome)의 일상적인 사용 현황

Current status of routine use of Patient-Reported Outcome in the tertiary hospital clinical setting in Republic of Korea

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Objective: There is a growing movement to introduce Patient-Reported Outcome (PRO) to clinical settings. This study aimed toinvestigate the routine use of PRO in tertiary hospital clinical settings. Methods: From January 2016 to December 2018, the usagestatus of Patient-Reported Outcome Measures (PROMs) submitted to the electronic medical record of a tertiary hospital clinicalsetting was investigated. Descriptive analysis was conducted to investigate the usage status of PROMs by 42 departments. Also, themost frequently used PROMs by departments, the purpose of measurement, the use rate of verified PROMs were investigated. Results: The PROMs accounted for 66% (98) of the 148 Instruments. Of the 98 PROMs, 64% (63) were using a validation Koreanversion of PROMs. Only about 1% of total outpatient visits applied PROMs, and among them, it was frequently used in urology(13%), orthopedics (8%), and otolaryngology (5%). The use rate of the validated PROMs was found to be 64%. Conclusions: Theuse of PROMs in domestic clinical settings was found to be very limited and frequently used only in specific departments. It isessential to use a PROMs that has been validated according to guidelines, as the use of validated PROMs will provide beneficialinformation to health professionals and also for the patient health improvement by objectively measuring the patient's health status.

Abstract

Objective: There is a growing movement to introduce Patient-Reported Outcome (PRO) to clinical settings. This study aimed toinvestigate the routine use of PRO in tertiary hospital clinical settings. Methods: From January 2016 to December 2018, the usagestatus of Patient-Reported Outcome Measures (PROMs) submitted to the electronic medical record of a tertiary hospital clinicalsetting was investigated. Descriptive analysis was conducted to investigate the usage status of PROMs by 42 departments. Also, themost frequently used PROMs by departments, the purpose of measurement, the use rate of verified PROMs were investigated. Results: The PROMs accounted for 66% (98) of the 148 Instruments. Of the 98 PROMs, 64% (63) were using a validation Koreanversion of PROMs. Only about 1% of total outpatient visits applied PROMs, and among them, it was frequently used in urology(13%), orthopedics (8%), and otolaryngology (5%). The use rate of the validated PROMs was found to be 64%. Conclusions: Theuse of PROMs in domestic clinical settings was found to be very limited and frequently used only in specific departments. It isessential to use a PROMs that has been validated according to guidelines, as the use of validated PROMs will provide beneficialinformation to health professionals and also for the patient health improvement by objectively measuring the patient's health status.

참고문헌 (41)

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