본문 바로가기
KERD
논문KCI 등재후보

환자성과보고 및 삶의 질 도구 개념 및 적용: 국내의 적용 도입 제언

Concepts and Applications of Patient-Reported Outcomes & Quality of Life Measure: Practical Recommendations for Korea

2

조회

0

다운로드

4

인용

0

참고문헌

초록

Objectives: This study reviewed the concepts and applications of Patient-Reported Outcomes (PRO) and measures of Quality of Life (QoL). Methods: We overviewed the current measures of PROs and QoL measures, development methods for measures, and clinical and policy applications with various examples. Results: Clinicians use PROs to make decisions for better effective treat- ments in clinical settings. Health providers or administrators use PROs to monitor and evaluate quality of services for clinical improvements and, to make decisions for efficient managments for fi- nancial reason. Also, PROs are good tools to observe patients’ responses in new clinical trials and to confirm patients’ compliance of treatments. Given the current these versatile applications of PROs in other country, we think there are good practical lessons for clinical or policy implications in Ko- rea. Despite many efforts to use PROs in local studies already, there are still rooms to apply for prac- tical policy applications with PROs. Conclusion: PROs have become significant measures to prove treatments or to make decision for patients with chronic illness. We suggest that Korean clinicians and policy makers should pay more attention to try feasible innovative PROs applications with real- world data.

Abstract

Objectives: This study reviewed the concepts and applications of Patient-Reported Outcomes (PRO) and measures of Quality of Life (QoL). Methods: We overviewed the current measures of PROs and QoL measures, development methods for measures, and clinical and policy applications with various examples. Results: Clinicians use PROs to make decisions for better effective treat- ments in clinical settings. Health providers or administrators use PROs to monitor and evaluate quality of services for clinical improvements and, to make decisions for efficient managments for fi- nancial reason. Also, PROs are good tools to observe patients’ responses in new clinical trials and to confirm patients’ compliance of treatments. Given the current these versatile applications of PROs in other country, we think there are good practical lessons for clinical or policy implications in Ko- rea. Despite many efforts to use PROs in local studies already, there are still rooms to apply for prac- tical policy applications with PROs. Conclusion: PROs have become significant measures to prove treatments or to make decision for patients with chronic illness. We suggest that Korean clinicians and policy makers should pay more attention to try feasible innovative PROs applications with real- world data.

참고문헌 (59)

  1. 이용주, "말기암환자의 영적 안녕과 통증, 불안 및 우울과의 연관성: 예비 연구", 한국호스피스완화의료학회지, 16(3), pp.175~182 (2013), 한국호스피스완화의료학회
  2. Siegert R, "A psychometric evaluation of the functional assessment of chronic illness therapy-palliative care (FACIT-Pal) scale with palliative care samples in three African countries", J Pain Symptom Manage, 48, pp.983~991 (2014)
  3. Lyons KD, "Reliability and validity of the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale", J Pain Symptom Manage, 37, pp.23~32 (2009)
  4. Bruera E, "Conceptual models for integrating palliative care at cancer centers", J Palliat Med, 15, pp.1261~1269 (2012)
  5. Cella DF, "The Functional Assessment of Cancer Therapy scale: development and validation of the general measure", J Clin Oncol, 11, pp.570~579 (1993)
  6. Bevans M, "Patient-Reported Outcomes Measurement Information System (PROMIS): efficient, standardized tools to measure self-reported health and quality of life", Nurs Outlook, 62, pp.339~345 (2014)
  7. Fayers P, "Quality of Life: the assessment, analysis and interpretation of patient-reported outcomes" (2009), John Wiley and Sons, Ltd
  8. Calman KC, "Quality of life in cancer patients--an hypothesis", J Med Ethics, 10, pp.124~127 (1984)
  9. Hunt SM, "The QLDS: a scale for the measurement of quality of life in depression", Health Policy, 22, pp.307~319 (1992)
  10. George J, "Development and validation of the Beliefs and Behaviour Questionnaire (BBQ)", Patient Educ Couns, 64, pp.50~60 (2006)
  11. Ware JE, "SF-36 health survey: manual and interpretation guide" (2000), Quality Metric Inc.
  12. Katz S, "Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function", JAMA, 185, pp.914~919 (1963)
  13. Smets EM, "The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue", J Psychosom Res, 39, pp.315~325 (1995)
  14. Cella D, "Self-reported fatigue: one dimension or more? Lessons from the Functional Assessment of Chronic Illness Therapy--Fatigue (FACIT-F) questionnaire", Support Care Cancer, 19, pp.1441~1450 (2011)
  15. Cella D, "The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008", J Clin Epidemiol, 63, pp.1179~1194 (2010)
  16. Devinsky O, "Development of the quality of life in epilepsy inventory", Epilepsia, 36, pp.1089~1104 (1995)
  17. Juniper EF, "Measuring quality of life in children with asthma", Qual Life Res, 5, pp.35~46 (1996)
  18. 김은주, "노인 통증사정을 위한 한국어 판 Short-form McGill Pain Questionnaire(SF-MPQ)의 신뢰도와 타당도", 임상간호연구, 10(1), pp.20~27 (2004), 병원간호사회
  19. Kim J, "Evaluation for Quality of Life among Patients with Epilepsy: a study using QOLIE (Quality of Life in Epilepsy)-89", pp.2002
  20. 성상석, "한국인에서 EQ-5D를 이용한 건강 관련 삶의 질 측정", 대한류마티스학회지, 11(3), pp.254~262 (2004), 대한류마티스학회
  21. 양진선, "한국인의 자가평가 겅강수준 측정도구(KHP 1.0) 개발", 예방의학회지, 36(1), pp.2~23 (2003), 대한예방의학회
  22. Gotay CC, "Assessing quality of life in head and neck cancer", Qual Life Res, 1, pp.5~17 (1992)
  23. Baker FB, "The Basics of Item Response Theory", Heinemann Educational Books
  24. Lee JS, "Iterm Response Theory and Application" (1991), Daekwang publisher
  25. Morisky DE, "Concurrent and predictive validity of a self-reported measure of medication adherence", Med Care, 24, pp.67~74 (1986)
  26. "HEDIS & Performance Measurement"[URL]
  27. Longworth L, "Mapping to obtain EQ-5D utility values for use in NICE health technology assessments", Value Health, 16, pp.202~210 (2013)
  28. Pickard AS, "Comparison of FACT- and EQ-5D-based utility scores in cancer", Value Health, 15, pp.305~311 (2012)
  29. Pickard AS, "Are decisions using cost-utility analyses robust to choice of SF-36", SF-12 preference-based algorithm?, 2005, pp.3, 11~
  30. Askew RL, "Mapping FACT-melanoma quality-of-life scores to EQ-5D health utility weights", Value Health, 14, pp.900~906 (2011)
  31. Clinical Outcome Assessments (COAs): a Conceptual Foundation. ISPOR Clinician-reported outcomes good measurement practices task force, "Walton MK", ISPOR, ~ (2014)
  32. "Initial Medication Adherence - A Review and Analysis of Methodology: a report by the ISPOR Medication Adherence Good Research Practices Working Group" (2014)[URL]
  33. Kim EJ, "Mapping the cancer-specific EORTC QLQ-C30 and EORTC QLQ-BR23 to the generic EQ-5D in metastatic breast cancer patients", Qual Life Res, 21, pp.1193~1203 (2012)
  34. 김성옥, "한국의료패널을 활용한 고혈압환자의 복약순응도가 의료이용 및의료비 지출에 미치는 영향 분석", 약 학 회 지, 57(5), pp.369~375 (2013), 대한약학회
  35. Park E, "Medication Compliance and Medication Cost burden", Health Welf Policy Forum, 182, pp.43~50 (2011)
  36. Medication Adherence of Elderly with Hypertension and, "or Diabetes-mellitus and its’ Influencing Factors", Kim S, 2008
  37. Bergner M, "The Sickness Impact Profile: development and final revision of a health status measure", Med Care, 19, pp.787~805 (1981)
  38. Yun HS, "A Study of Quality of Life among Patients Using Sickness Impact Profile (SIP)", Korean J Soc Welf, (25), pp.105~128 (1995)
  39. Hunt SM, "The Nottingham Health Profile: subjective health status and medical consultations", Soc Sci Med A, 15(3 Pt 1), pp.221~229 (1981)
  40. Nam BH, "Testing the Validity of the Korean SF-36 Health Survey", J Korea Soc Health Inform Stat, 28, pp.3~24 (2003)
  41. 윤재희, "한국인 만성 질환과 건강 관련 삶의 질", 대한류마티스학회지, 11(3), pp.263~274 (2004), 대한류마티스학회
  42. Kim SH, "Deriving a mapping algorithm for converting SF-36 scores to EQ-5D utility score in a Korean population", Health Qual Life Outcomes, 12, pp.145~ (2014)
  43. Brooks R, "EuroQol: the current state of play", Health Policy, 37, pp.53~72 (1996)
  44. Hickey AM, "A new short form individual quality of life measure (SEIQoL-DW): application in a cohort of individuals with HIV", AIDS, 1996, pp.313, 29~33
  45. 유성희, "노인 환자에서 영양평가 도구인 Patient-Generated Subjective Global Assessment (PG-SGA) 의 타당도 평가", 노인간호학회지, 13(3), pp.215~223 (2011), 노인간호학회
  46. Aaronson NK, "The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology", J Natl Cancer Inst, 85, pp.365~376 (1993)
  47. 김혜영, "Reliability and Validity of the Korean Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to Assess Chemotherapy-induced Peripheral Neuropathy", Journal of Korean Academy of Nursing, 44(6), pp.735~742 (2014), 한국간호과학회
  48. 이은현, "Multidimensional Constructs of the EORTC Quality of Life Questionnaire (QLQ-C30) in Korean Cancer Patients with Heterogeneous Diagnoses", Cancer Research and Treatment, 37(3), pp.148~156 (2005), 대한암학회
  49. Choi D, "Cross Sectional stydy for Quality of life among cancer patients- Using EORTC QLC-C30", National Inernal Medicine Conference (2011)
  50. Jeong Hee Hong, "The Functional Assessment of Cancer Therapy-Prostate (FACT-P) Scales in Men with Prostate Cancer: Reliability and Validity of theKorean Version", Journal of Korean Medical Science, 21(2), pp.295~299 (2006), 대한의학회
  51. 김환, "Functional Assessment Cancer Therapy-General(FACT-G)의 한국판 개발 및 타당화", Korean Journal of Clinical Psychology, 22(1), pp.215~229 (2003), 한국임상심리학회
  52. de Haes JC, "Assessment of values, utilities and preferences in cancer patients", Cancer Treat Rev, 22(Suppl A), pp.13~26 (1996)
  53. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
  54. Melzack R, "The McGill Pain Questionnaire: major properties and scoring methods", Pain, 1, pp.277~299 (1975)
  55. Mahoney FI, "Functional evaluation: the barthel index", Md State Med J, 14, pp.61~65 (1965)
  56. 김정연, "노인에서 건강행태, 건강수준, 일상생활수행능력, 건강관련 삶의 질과의 관계", 한국노년학, 30(2), pp.471~484 (2010), 한국노년학회
  57. 왕명자, "노인의 일상생활 수행능력, 자기 효능감, 신체활동 및 인지기능의 관계", 지역사회간호학회지, 21(1), pp.101~109 (2010), 한국지역사회간호학회
  58. 김태유, "알쯔하이머병에서 일상생활능력의 정도와 임상 양상과의 연관성", 대한신경과학회지, 21(4), pp.5~363 (2003), 대한신경과학회
  59. 박수정, "뇌졸중 환자의 수단적 일상생활 활동 불편도 조사", 대한고령친화산업학회지, 1(1), pp.21~29 (2009), 대한고령친화산업학회

관련 논문AI추천

대한민국 상급 종합병원 임상현장에서 환자자기평가결과(Patient-Reported Outcome)의 일상적인 사용 현황강단비, 방가람, 조주희한국임상약학회 · 한국임상약학회지2022 · 제32권 제2호Outcomes Improvement in the Era of Value-Based Healthcare in the Republic of Korea: Introduction of the International Consortium for Health Outcomes Measurement허준, 고영희, 이상수한국보건의료기술평가학회 · 보건의료기술평가2017 · 제5권 제2호Development and Validation of a Novel Generic Health-related Quality of Life Instrument With 20 Items (HINT-20)김선하, 김수영, 안정훈, 옥민수, 이현정, 장혜정, 조민우대한예방의학회 · 예방의학회지2017 · 제50권 제1호Perceptions of the General Public About Health-related Quality of Life and the EQ-5D Questionnaire: A Qualitative Study in KoreaMinsu Ock, Min-Woo Jo대한예방의학회 · 예방의학회지2022 · 제55권 제3호Exploring Concurrent Validity and Item Level Analysis for Two Korean Versions of Health-Related Quality of Life Instrument: EQ-5D vs. WHOQOL-BREFchoi bongsam한국전문물리치료학회 · 한국전문물리치료학회지2020 · 제27권 제4호Validation of the Korean Version of the Patient-Reported Outcomes Measurement Information System 29 Profile V2.1 among Cancer Survivors강단비, 강은지, 김수연, 김영하, 남희수, 복혜숙, 신수용, 심성근, 안진석, 오동렬, 윤정희, 이만경, 이상원, 임지현, 조주희대한암학회 · Cancer Research and Treatment2022 · 제54권 제1호

이 간행물의 다른 논문 (6건)