The Patient Experience: An Essential Component of High-Value Care and Service

Chapter

Abstract

The US currently spends approximately $750 billion on health care each year, a spending rate deemed highly unsustainable by economists. Efforts to fundamentally transform healthcare delivery into a value-based system are currently under way. High-value care aims to control unnecessary healthcare expenditures by focusing on the value of healthcare interventions and services determined by evaluating the costs in light of benefits and risks while considering quality care outcomes that are prioritized by patients. In short, value equals quality divided by cost. Patients play an active and important role in both the practice and evaluation of quality in the delivery of high-value care. One way to measure quality involves an evaluation of patient-reported outcomes (PROs). PROs are representations of how patients feel and/or their functional abilities within the context of their own health and daily life in a number of domains (physical and emotional health, functional status, symptoms, and symptom burden). This chapter provides an overview of high-value care largely focusing on the role of the patient and the patient’s perspective. Lastly, PROs are discussed and specific tools used for PRO measurement are highlighted.

Keywords

High-value care Patient perspective Patient-reported outcomes Healthcare reform Healthcare quality Shared decision-making Patient-centered care 

Abbreviations

AAIM

Alliance for Academic Internal Medicine

ACP

American College of Physicians

AHRQ

Agency for Healthcare Research and Quality

ARRA

American Recovery and Reinvestment Act

CAHPS

Consumer Assessment of Healthcare Providers and Systems

CER

Comparative effectiveness research

FACIT

Functional Assessment of Chronic Illness Therapy

HCAHPS

Hospital Consumer Assessment of Healthcare Providers and Systems

HRQL

Health-related quality of life

HVC

High-value care

NCCN

National Comprehensive Cancer Network

PCORI

Patient-Centered Outcomes Research Institute

PRO

Patient-reported outcomes

PROMIS®

Patient Reported Outcomes Measurement Information System

PROMS

Patient Reported Outcome Measures

SPORT

Spine Patient Outcomes Research Trial

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Medical Social SciencesNorthwestern UniversityChicagoUSA
  2. 2.Medical Social Sciences and Psychiatry & Behavioral SciencesRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityChicagoUSA
  3. 3.Medical Social SciencesNorthwestern University, Feinberg School of MedicineChicagoUSA

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