TY - JOUR
T1 - Are all outcomes in chronic heart failure rated equally? An argument for a patient-centred approach to outcome assessment
AU - Chang, Sungwon
AU - Newton, Phillip J.
AU - Inglis, Sally
AU - Luckett, Tim
AU - Krum, Henry
AU - Macdonald, Peter
AU - Davidson, Patricia M.
PY - 2014/3
Y1 - 2014/3
N2 - Chronic heart failure (CHF) is a multi-dimensional and complex syndrome. Outcome measures are important for determining both the efficacy and quality of care and capturing the patient's perspective in evaluating the outcomes of health care delivery. Capturing the patient's perspective via patient-reported outcomes is increasingly important; however, including objective measures such as mortality would provide more complete account of outcomes important to patients. Currently, no single measure for CHF outcomes captures all dimensions of the quality of care from the patient's perspective. To describe the role of outcome measures in CHF from the perspective of patients, a structured literature review was undertaken. This review discusses the concepts and methodological issues related to measurement of CHF outcomes. Outcome assessment at the level of the patient, provider and health care system were identified as being important. The perspectives of all stakeholders should be considered when developing an outcomes measurement suite to inform CHF health care. This paper recommends that choice of outcome measures should depend on their ability to provide a comprehensive, comparable, meaningful and accurate assessment that are important to patient.
AB - Chronic heart failure (CHF) is a multi-dimensional and complex syndrome. Outcome measures are important for determining both the efficacy and quality of care and capturing the patient's perspective in evaluating the outcomes of health care delivery. Capturing the patient's perspective via patient-reported outcomes is increasingly important; however, including objective measures such as mortality would provide more complete account of outcomes important to patients. Currently, no single measure for CHF outcomes captures all dimensions of the quality of care from the patient's perspective. To describe the role of outcome measures in CHF from the perspective of patients, a structured literature review was undertaken. This review discusses the concepts and methodological issues related to measurement of CHF outcomes. Outcome assessment at the level of the patient, provider and health care system were identified as being important. The perspectives of all stakeholders should be considered when developing an outcomes measurement suite to inform CHF health care. This paper recommends that choice of outcome measures should depend on their ability to provide a comprehensive, comparable, meaningful and accurate assessment that are important to patient.
KW - Chronic heart failure
KW - Composite endpoints
KW - Outcome assessment
KW - Outcome measurement
KW - Patient important outcome
KW - Patient-centred
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UR - http://www.scopus.com/inward/citedby.url?scp=84896728104&partnerID=8YFLogxK
U2 - 10.1007/s10741-012-9369-0
DO - 10.1007/s10741-012-9369-0
M3 - Article
C2 - 23238990
AN - SCOPUS:84896728104
SN - 1382-4147
VL - 19
SP - 153
EP - 162
JO - Heart Failure Reviews
JF - Heart Failure Reviews
IS - 2
ER -