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Quality of Life and Patient-Centered Outcomes

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Chronic Illness Care

Abstract

Patient-centered care is a major design feature of twenty-first-century healthcare, and actionable strategies are needed to operationalize it in clinical practice. The use of research-based questionnaires, soliciting information on patients’ symptoms, functional status, quality of life, and health behaviors, enables the use of patient-centered information in care and quality improvement. The application of patient-reported outcomes in practice includes several areas in the care of individuals: screening and monitoring, facilitating patient-centered care during patient-provider encounters, enabling patient engagement in self-care, and assisting in decision-making about treatment options. Patient-reported outcomes can also enhance communication between members of multidisciplinary care teams, monitor and manage the health of populations, and assess and improve the quality of healthcare. Current challenges to, and future trends in, the widespread use of patient-reported outcomes in healthcare include the growing number of questionnaires soliciting information on patients’ experiences and the consistent use of the resulting data to improve health and healthcare for individuals and populations.

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References

  1. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies Press; 2001.

    Google Scholar 

  2. Schottenfeld L, Petersen D, Peikes D, Ricciardi R, Burak H, McNellis R, et al. Creating patient-centered team-based primary care. Agency for Healthcare Research and Quality; 2016. https://pcmh.ahrq.gov/page/creating-patient-centered-team-based-primary-care. Accessed 5 Oct 2016.

  3. Lavallee DC, Chenok KE, Love RM, Petersen C, Holve E, Segal CD, et al. Incorporating patient-reported outcomes into health care to engage patients and enhance care. Health Aff (Millwood). 2016;35(4):575–82. https://doi.org/10.1377/hlthaff.2015.1362.

    Article  Google Scholar 

  4. Bingham CO 3rd, Bartlett SJ, Merkel PA, Mielenz TJ, Pilkonis PA, Edmundson L, et al. Using patient-reported outcomes and PROMIS in research and clinical applications: experiences from the PCORI pilot projects. Qual Life Res. 2016;25(8):2109–16. https://doi.org/10.1007/s11136-016-1246-1.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Food and Drug Administration. Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims. Center for Drug Evaluation and Research, Food and Drug Administration; 2009. www.fda.gav/downlaods/Drugs/.../Guidances/UCM193282.pdf. Accessed 14 Oct 2016.

  6. Forsberg HH, Nelson EC, Reid R, Grossman D, Mastanduno MP, Weiss LT, et al. Using patient-reported outcomes in routine practice: three novel use cases and implications. J Ambul Care Manage. 2015;38(2):188–95. https://doi.org/10.1097/JAC.0000000000000052.

    Article  PubMed  Google Scholar 

  7. Griffin SJ, Kinmonth AL, Veltman MW, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med. 2004;2(6):595–608. https://doi.org/10.1370/afm.142.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Constand MK, MacDermid JC, Dal Bello-Haas V, Law M. Scoping review of patient-centered care approaches in healthcare. BMC Health Serv Res. 2014;14:271. https://doi.org/10.1186/1472-6963-14-271.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med. 2004;351(27):2870–4. https://doi.org/10.1056/NEJMsb042458.

    Article  CAS  PubMed  Google Scholar 

  10. Velikova G, Booth L, Smith AB, Brown PM, Lynch P, Brown JM, et al. Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol. 2004;22(4):714–24. https://doi.org/10.1200/JCO.2004.06.078.

    Article  PubMed  Google Scholar 

  11. Gutteling JJ, Darlington AS, Janssen HL, Duivenvoorden HJ, Busschbach JJ, de Man RA. Effectiveness of health-related quality-of-life measurement in clinical practice: a prospective, randomized controlled trial in patients with chronic liver disease and their physicians. Qual Life Res. 2008;17(2):195–205. https://doi.org/10.1007/s11136-008-9308-7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. de Wit M, Delemarre-van de Waal HA, Bokma JA, Haasnoot K, Houdijk MC, Gemke RJ, et al. Monitoring and discussing health-related quality of life in adolescents with type 1 diabetes improve psychosocial well-being: a randomized controlled trial. Diabetes Care. 2008;31(8):1521–6. https://doi.org/10.2337/dc08-0394.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Patrick DL, Guyatt GH, Acquadro C. For the cochrane patient reported outcomes methods group. Patient-reported outcomes. In: JPT H, Green S, editors. Cochrane handbook for systematic reviews of interventions, version 5.1.0. Oxford, UK: The Cochrane Collaboration; 2011.

    Google Scholar 

  14. Cleeland CS, Ryan KM. Pain assessment: global use of the brief pain inventory. Ann Acad Med Singap. 1994;23(2):129–38.

    CAS  PubMed  Google Scholar 

  15. Cleeland CS, Mendoza TR, Wang XS, Chou C, Harle MT, Morrissey M, et al. Assessing symptom distress in cancer patients: the M.D. Anderson Symptom Inventory. Cancer. 2000;89(7):1634–46.

    Article  CAS  PubMed  Google Scholar 

  16. Holland JC. Preliminary guidelines for the treatment of distress. Oncology (Williston Park). 1997;11(11A):109–14; discussion 15–7.

    CAS  Google Scholar 

  17. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473–83.

    Article  PubMed  Google Scholar 

  18. Oude Voshaar MA, ten Klooster PM, Taal E, van de Laar MA. Measurement properties of physical function scales validated for use in patients with rheumatoid arthritis: a systematic review of the literature. Health Qual Life Outcomes. 2011;9:99. https://doi.org/10.1186/1477-7525-9-99.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol. 1993;11(3):570–9.

    Article  CAS  PubMed  Google Scholar 

  20. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. 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. 1993;85(5):365–76.

    Article  CAS  PubMed  Google Scholar 

  21. Hurst NP, Kind P, Ruta D, Hunter M, Stubbings A. Measuring health-related quality of life in rheumatoid arthritis: validity, responsiveness and reliability of EuroQol (EQ-5D). Br J Rheumatol. 1997;36(5):551–9.

    Article  CAS  PubMed  Google Scholar 

  22. Drummond MF, Stoddard GL, Torrance G. Methods for the economic evaluation of health care programmes. Oxford, UK: Oxford University Press; 1987.

    Google Scholar 

  23. Kaplan RM, Anderson JP, Wu AW, Mathews WC, Kozin F, Orenstein D. The quality of well-being scale. Applications in AIDS, cystic fibrosis, and arthritis. Med Care. 1989;27(3 Suppl):S27–43.

    Article  CAS  PubMed  Google Scholar 

  24. Osborne RH, Elsworth GR, Whitfield K. The Health Education Impact Questionnaire (heiQ): an outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions. Patient Educ Couns. 2007;66(2):192–201. https://doi.org/10.1016/j.pec.2006.12.002.

    Article  PubMed  Google Scholar 

  25. Knobel H, Alonso J, Casado JL, Collazos J, Gonzalez J, Ruiz I, et al. Validation of a simplified medication adherence questionnaire in a large cohort of HIV-infected patients: the GEEMA study. AIDS. 2002;16(4):605–13.

    Article  PubMed  Google Scholar 

  26. Agency for Healthcare Research and Quality. CAHPS Surveys and Guidance. AHRQ; 2016. www.ahrq.gov/cahps/surveys-guidance/index.html. Accessed 20 Oct 2016.

  27. National Quality Forum. Patient reported outcomes (PROs) in performance measurement. NQF; 2013. http://www.qualityforum.org/WorkArea/linkit_aspx?LinkIdentifier=id&ItemID=72537. Accessed 14 Oct 2016.

  28. Klose K, Kreimeier S, Tangermann U, Aumann I, Damm K, Group R. Patient- and person-reports on healthcare: preferences, outcomes, experiences, and satisfaction – an essay. Health Econ Rev. 2016;6(1):18. https://doi.org/10.1186/s13561-016-0094-6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282(18):1737–44.

    Article  CAS  PubMed  Google Scholar 

  30. Greenhalgh J. The applications of PROs in clinical practice: what are they, do they work, and why? Qual Life Res. 2009;18(1):115–23. https://doi.org/10.1007/s11136-008-9430-6.

    Article  PubMed  Google Scholar 

  31. Higginson IJ, Carr AJ. Measuring quality of life: using quality of life measures in the clinical setting. BMJ. 2001;322(7297):1297–300.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Wu AW, Jensen RE, Salzberg C, Snyder C. Advances in the use of patient reported outcome measures in electronic health records. Patient-Centered Outcomes Research Institute; 2013. www.pcori.org/assets/2013/11/PCORI-PRO-Workshop-EHR-Landscape-Review-111913.pdf. Accessed 14 Oct 2016.

  33. Aaronson N, Elliot T, Greenhalgh J, Halyard M, Hess R, Miller D, et al. User’s guide to implementing patient-reported outcomes assessment in clinical practice, version 2. ISOQOL; 2015. www.isoqol.org/UserFiles/2015UsersGuide-Version2.pdf. Accessed 14 Oct 2016.

  34. Gilbody SM, Whitty PM, Grimshaw JM, Thomas RE. Improving the detection and management of depression in primary care. Qual Saf Health Care. 2003;12(2):149–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Dowrick C. Does testing for depression influence diagnosis or management by general practitioners? Fam Pract. 1995;12(4):461–5.

    Article  CAS  PubMed  Google Scholar 

  36. Mazonson PD, Mathias SD, Fifer SK, Buesching DP, Malek P, Patrick DL. The mental health patient profile: does it change primary care physicians’ practice patterns? J Am Board Fam Pract. 1996;9(5):336–45.

    CAS  PubMed  Google Scholar 

  37. Rubenstein LV, McCoy JM, Cope DW, Barrett PA, Hirsch SH, Messer KS, et al. Improving patient quality of life with feedback to physicians about functional status. J Gen Intern Med. 1995;10(11):607–14.

    Article  CAS  PubMed  Google Scholar 

  38. Rubenstein LV, Calkins DR, Young RT, Cleary PD, Fink A, Kosecoff J, et al. Improving patient function: a randomized trial of functional disability screening. Ann Intern Med. 1989;111(10):836–42.

    Article  CAS  PubMed  Google Scholar 

  39. Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007;22(11):1596–602. https://doi.org/10.1007/s11606-007-0333-y.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Lowe B, Unutzer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the Patient Health Questionnaire-9. Med Care. 2004;42(12):1194–201.

    Article  PubMed  Google Scholar 

  41. Bodenheimer T. Primary care—will it survive? N Engl J Med. 2006;355(9):861–4. https://doi.org/10.1056/NEJMp068155.

    Article  CAS  PubMed  Google Scholar 

  42. Ling BS, Klein WM, Dang Q. Relationship of communication and information measures to colorectal cancer screening utilization: results from HINTS. J Health Commun. 2006;11(Suppl 1):181–90. https://doi.org/10.1080/10810730600639190.

    Article  PubMed  Google Scholar 

  43. Stimson GV. Obeying doctor’s orders: a view from the other side. Soc Sci Med. 1974;8(2):97–104.

    Article  CAS  PubMed  Google Scholar 

  44. Chiauzzi E, Rodarte C, DasMahapatra P. Patient-centered activity monitoring in the self-management of chronic health conditions. BMC Med. 2015;13:77. https://doi.org/10.1186/s12916-015-0319-2.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Nelson EC, Eftimovska E, Lind C, Hager A, Wasson JH, Lindblad S. Patient reported outcome measures in practice. BMJ. 2015;350:g7818. https://doi.org/10.1136/bmj.g7818.

    Article  PubMed  Google Scholar 

  46. Wressle E, Lindstrand J, Neher M, Marcusson J, Henriksson C. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment programme. Disabil Rehabil. 2003;25(10):497–506. https://doi.org/10.1080/0963828031000090560.

    Article  PubMed  Google Scholar 

  47. Duncan PW, Lai SM, Bode RK, Perera S, DeRosa J. Stroke Impact Scale-16: a brief assessment of physical function. Neurology. 2003;60(2):291–6.

    Article  CAS  PubMed  Google Scholar 

  48. Patient-Centered Outcomes Research Institute. Clinical effectiveness research (CER). PCORI; 2016. www.pcori.org/about-us/our-programs/clinical-effectiveness-research-cer. Accessed 14 Oct 2016.

  49. Ayers DC, Li W, Harrold L, Allison J, Franklin PD. Preoperative pain and function profiles reflect consistent TKA patient selection among US surgeons. Clin Orthop Relat Res. 2015;473(1):76–81. https://doi.org/10.1007/s11999-014-3716-5.

    Article  PubMed  Google Scholar 

  50. Ayers DC, Zheng H, Franklin PD. Integrating patient-reported outcomes into orthopaedic clinical practice: proof of concept from FORCE-TJR. Clin Orthop Relat Res. 2013;471(11):3419–25. https://doi.org/10.1007/s11999-013-3143-z.

    Article  PubMed  PubMed Central  Google Scholar 

  51. American College of Surgeons. Cancer program standards 2012: ensuring patient-centered care. ACS; 2012. https://www.facs.org/~/media/files/quality%20programs/cancer/coc/programstandards2012.ashx. Accessed 13 Oct 2016.

  52. Dartmouth-Hitchcock. What are the SPORT results? Dartmouth-Hitchcock; 2016. www.dartmouth-hitchcock.org/spine/sport_results.html. Accessed 14 Oct 2016.

  53. American Joint Replacement Registry. About CJRR. AJRR; 2016. www.ajrr.net/cjrr. Accessed 14 Oct 2016.

  54. National Committee on Quality Assurance. Summary table of measures, product lines and changes. NCQA; 2015. www.ncqa.org/Portals/0/HEDISQM/HEDIS2016/HEDIS%202016%20List$20of%20Measures.pdf. Accessed 13 Oct 2016.

  55. Ayanian JZ, Markel H. Donabedian’s lasting framework for health care quality. N Engl J Med. 2016;375(3):205–7. https://doi.org/10.1056/NEJMp1605101.

    Article  PubMed  Google Scholar 

  56. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966;44((3):Suppl):166–206.

    Article  Google Scholar 

  57. Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q. 2005;83(4):691–729. https://doi.org/10.1111/j.1468-0009.2005.00397.x.

    Article  PubMed  PubMed Central  Google Scholar 

  58. McHorney CA. Health status assessment methods for adults: past accomplishments and future challenges. Annu Rev Public Health. 1999;20:309–35. https://doi.org/10.1146/annurev.publhealth.20.1.309.

    Article  CAS  PubMed  Google Scholar 

  59. Greenhalgh J, Meadows K. The effectiveness of the use of patient-based measures of health in routine practice in improving the process and outcomes of patient care: a literature review. J Eval Clin Pract. 1999;5(4):401–16.

    Article  CAS  PubMed  Google Scholar 

  60. Jacobson AM, de Groot M, Samson JA. The evaluation of two measures of quality of life in patients with type I and type II diabetes. Diabetes Care. 1994;17(4):267–74.

    Article  CAS  PubMed  Google Scholar 

  61. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax. 1992;47(2):76–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Lohr KN, Zebrack BJ. Using patient-reported outcomes in clinical practice: challenges and opportunities. Qual Life Res. 2009;18(1):99–107. https://doi.org/10.1007/s11136-008-9413-7.

    Article  PubMed  Google Scholar 

  63. HealthMeasures. PROMIS®. Northwestern University; 2016. www.healthmeasures.net/explore-measurement-systems/promis. Accessed 14 Oct 2016.

  64. Scoggins JF, Patrick DL. The use of patient-reported outcomes instruments in registered clinical trials: evidence from ClinicalTrials.gov. Contemp Clin Trials. 2009;30(4):289–92. https://doi.org/10.1016/j.cct.2009.02.005.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Ahmed S, Berzon RA, Revicki DA, Lenderking WR, Moinpour CM, Basch E, et al. The use of patient-reported outcomes (PRO) within comparative effectiveness research: implications for clinical practice and health care policy. Med Care. 2012;50(12):1060–70. https://doi.org/10.1097/MLR.0b013e318268aaff.

    Article  PubMed  Google Scholar 

  66. Selby JV, Beal AC, Frank L. The Patient-Centered Outcomes Research Institute (PCORI) national priorities for research and initial research agenda. JAMA. 2012;307(15):1583–4. https://doi.org/10.1001/jama.2012.500.

    Article  CAS  PubMed  Google Scholar 

  67. Forsythe LP, Ellis LE, Edmundson L, Sabharwal R, Rein A, Konopka K, et al. Patient and stakeholder engagement in the PCORI pilot projects: description and lessons learned. J Gen Intern Med. 2016;31(1):13–21. https://doi.org/10.1007/s11606-015-3450-z.

    Article  PubMed  Google Scholar 

  68. Santana MJ, Feeny D. Framework to assess the effects of using patient-reported outcome measures in chronic care management. Qual Life Res. 2014;23(5):1505–13. https://doi.org/10.1007/s11136-013-0596-1.

    Article  PubMed  Google Scholar 

  69. Rosenbloom SK, Victorson DE, Hahn EA, Peterman AH, Cella D. Assessment is not enough: a randomized controlled trial of the effects of HRQL assessment on quality of life and satisfaction in oncology clinical practice. Psychooncology. 2007;16(12):1069–79. https://doi.org/10.1002/pon.1184.

    Article  PubMed  Google Scholar 

  70. Boyce MB, Browne JP. Does providing feedback on patient-reported outcomes to healthcare professionals result in better outcomes for patients? A systematic review. Qual Life Res. 2013;22(9):2265–78. https://doi.org/10.1007/s11136-013-0390-0.

    Article  PubMed  Google Scholar 

  71. Simpkins C. ImproveCareNow: centring healthcare on patient-defined outcomes. BMJ Outcomes Inaugural Collect. 2015:52–4.

    Google Scholar 

  72. Margolis PA, Peterson LE, Seid M. Collaborative Chronic Care Networks (C3Ns) to transform chronic illness care. Pediatrics. 2013;131(Suppl 4):S219–23. https://doi.org/10.1542/peds.2012-3786J.

    Article  PubMed  PubMed Central  Google Scholar 

  73. The Patient Health Questionnaire (PHQ-9)-overview. Center for quality assessment and improvement in mental health. Accessed 10 Oct 2016. http://www.cqaimh.org/pdf/tool_phq9.pdf

  74. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92. https://doi.org/10.1097/01.MLR.0000093487.78664.3C.

    Article  PubMed  Google Scholar 

  76. Paxton EW, Inacio MC, Khatod M, Yue EJ, Namba RS. Kaiser Permanente National Total Joint Replacement Registry: aligning operations with information technology. Clin Orthop Relat Res. 2010;468(10):2646–63. https://doi.org/10.1007/s11999-010-1463-9.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Jenkinson C, Fitzpatrick R, Peto V, Greenhall R, Hyman N. The Parkinson’s Disease Questionnaire (PDQ-39): development and validation of a Parkinson’s disease summary index score. Age Ageing. 1997;26(5):353–7.

    Article  CAS  PubMed  Google Scholar 

  78. Chang CH. Patient-reported outcomes measurement and management with innovative methodologies and technologies. Qual Life Res. 2007;16(Suppl 1):157–66. https://doi.org/10.1007/s11136-007-9196-2.

    Article  PubMed  Google Scholar 

  79. Rose M, Bezjak A. Logistics of collecting patient-reported outcomes (PROs) in clinical practice: an overview and practical examples. Qual Life Res. 2009;18(1):125–36. https://doi.org/10.1007/s11136-008-9436-0.

    Article  PubMed  Google Scholar 

  80. Snyder CF, Aaronson NK, Choucair AK, Elliott TE, Greenhalgh J, Halyard MY, et al. Implementing patient-reported outcomes assessment in clinical practice: a review of the options and considerations. Qual Life Res. 2012;21(8):1305–14. https://doi.org/10.1007/s11136-011-0054-x.

    Article  PubMed  Google Scholar 

  81. Center for Medicare & Medicaid Innovation. Oncology care model overview and application process. CMMI; 2016. https://innovation.cms.gov/Files/slides/OCMintro.pdf. Accessed 13 Oct 2016.

  82. Center for Medicare & Medicaid Innovation (CMMI). Comprehensive care for joint replacement model: quality measures, voluntary data, public reporting processes for preview reports. CMMI; 2016. https://innovation.cms.gov/files/x/cjr-qualstrat.pdf. Accessed 13 Oct 2016.

  83. International Consortium for Health Outcomes Measurement. ICHOM older person reference guide. ICHOM; 2016. www.ichom.org/medical-conditions/older-person/#. Accessed 13 Oct 2016.

  84. Slover JD, Karia RJ, Hauer C, Gelber Z, Band PA, Graham J. Feasibility of integrating standardized patient-reported outcomes in orthopedic care. Am J Manag Care. 2015;21(8):e494–500.

    PubMed  Google Scholar 

  85. Cox CE, Wysham NG, Kamal AH, Jones DM, Cass B, Tobin M, et al. Usability testing of an electronic patient-reported outcome system for survivors of critical illness. Am J Crit Care. 2016;25(4):340–9. https://doi.org/10.4037/ajcc2016952.

    Article  PubMed  Google Scholar 

  86. Kottke TE, Stiefel M, Pronk NP. “Well-being in all policies”: promoting cross-sectoral collaboration to improve people’s lives. Prev Chronic Dis. 2016;13:E52. https://doi.org/10.5888/pcd13.160155.

    PubMed  PubMed Central  Google Scholar 

  87. Institute for Healthcare Improvement. 100 million healthier lives. IHI; 2016. www.100mlives.org. Accessed 13 Oct 2016.

  88. International Consortium for Health Outcomes Measurement. ICHOM’s mission. ICHOM; 2016. www.ichom.org/why-we-do-it/. Accessed 14 Oct 2016.

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  1. Kaiser Permanente, Care Management Institute, Oakland, CA, USA

    Margaret C. Wang & Jim Bellows

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  1. Margaret C. Wang
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  1. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Timothy P. Daaleman

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Margaret R. Helton

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Wang, M.C., Bellows, J. (2018). Quality of Life and Patient-Centered Outcomes. In: Daaleman, T., Helton, M. (eds) Chronic Illness Care. Springer, Cham. https://doi.org/10.1007/978-3-319-71812-5_8

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