The Patient Experience: An Essential Component of High-Value Care and Service
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.
KeywordsHigh-value care Patient perspective Patient-reported outcomes Healthcare reform Healthcare quality Shared decision-making Patient-centered care
Alliance for Academic Internal Medicine
American College of Physicians
Agency for Healthcare Research and Quality
American Recovery and Reinvestment Act
Consumer Assessment of Healthcare Providers and Systems
Comparative effectiveness research
Functional Assessment of Chronic Illness Therapy
Hospital Consumer Assessment of Healthcare Providers and Systems
Health-related quality of life
National Comprehensive Cancer Network
Patient-Centered Outcomes Research Institute
Patient Reported Outcomes Measurement Information System
Patient Reported Outcome Measures
Spine Patient Outcomes Research Trial
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