Use of patient-reported outcomes in clinical oncology practice: a nonvisit approach to patient care based on the IOM report.
The Institute of Medicine report, Crossing the Quality Chasm, suggested some new ways of thinking about organizing care. This article describes how practices might create continuous healing relationships using methods that are independent of patient visits to monitor and address problems that may occur during cancer care. Such a system would be based on patient report, timely and useful, sensitive to change, and low burden for patients, clinicians, and administrative staff. Furthermore, it would be built into the delivery of care and be integrated with other data systems such as patient records, decision support, and community or other resources. Using reports for patients that are presented in a format that is easily understandable, patients should be able to monitor their own progress.
Donaldson
Molla S
MS
Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA. molla@msdhealth.com
D003142:Communication; D006801:Humans; D020407:Internet; D008495:Medical Oncology; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D017063:Outcome Assessment, Health Care; D010045:Outpatients; D010817:Physician-Patient Relations; D011788:Quality of Life; D012650:Self Disclosure; D014481:United States