title: Why Measure Outcomes?
abstract: The concept of measuring the outcomes of treatment in health care was promoted by Ernest Amory Codman in the early 1900s, but, until recently, his ideas were generally ignored. The forces that have advanced outcome measurement to the forefront of health care include the shift in payers for health care from the patient to large insurance companies or government agencies, the movement toward assessing the care of populations not individuals, and the effort to find value (or cost-effective treatments) amid rising healthcare costs. No ideal method exists to measure outcomes, and the information gathered depends on the reason the outcome information is required. Outcome measures used in research are best able to answer research questions. The methods for assessing physician and hospital performance include process measures, patient-experience measures, structure measures, and measures used to assess the outcomes of treatment. The methods used to assess performance should be validated, be reliable, and reflect a patient's perception of the treatment results. The healthcare industry must measure outcomes to identify which treatments are most effective and provide the most benefit to patients.
authors.affiliation: Kenneth D. Schermerhorn Professor of Orthopaedics and Rehabilitation, Department of Orthopaedic Surgery, Vanderbilt University Medical School, Nashville, Tennessee.
authors.forename: John E
authors.initials: JE
authors.lastname: Kuhn
mesh_terms: D006801:Humans; D009985:Orthopedics / Q000379:methods / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010346:Patient Care Management / Q000592:standards*; D057240:Patient Preference; D011787:Quality of Health Care / Q000592:standards; D015203:Reproducibility of Results