中医临床患者报告结局及其评估  

Patient Reported Outcome and Its Evaluation

作　　者：刘为民[1] 崔学军[1] 何丽云[1] 刘保延[2] 罗文舒[1] 白文静[1] 毛文超[1] 方积乾[3] 

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]中国中医科学院,北京100700 [3]中山大学公共卫生学院,广州510080

出　　处：《世界科学技术-中医药现代化》2012年第3期1688-1693,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局课题重大传染病专项(2008ZX10005-012):中医药防治艾滋病疗效评价标准研究;负责人:何丽云;中国中医科学院创新团队课题(Z0074):构建中医临床观察性研究质量评估方法及其创新团队;负责人:刘为民

摘　　要：患者报告结局是一类直接以患者对其自身健康状况的感受来测量与评价疾病及其后果的结局指标,广泛用于临床各科,本文介绍了PRO目前研究情况,PRO在中医药领域的应用,应该如何评估,并重点说明用于PRO评估的EMPRO及其应用情况,EMPRO包含了8个方面的内容:概念和测量模型、信度、效度、反应性、可解释性、负担、其他的操作方式和文化和语言调适。研究表明,EM-PRO具有较高的信度、效度和可靠性,已经用于评估SF-36、诺丁汉健康量表、COOP/WONCA量表、欧洲五维健康量表和EORTC-QLQ-C30生存质量问卷等量表。Patient Reported Outcome（PRO） is an outcome used in the measurement and evaluation of a disease.PRO is directly from patients＇ perception of their own health condition.It includes symptoms,physiology,psychology and treatment satisfaction.This article introduced the current condition of PRO study and its application in traditional Chinese medicine（TCM）.It emphasized on Evaluating the Measurement of Patient-Reported Outcomes（EMPRO）.The EMPRO contains 39 items in eight key attributes,which are the conceptual and measurement model,reliability,validity,responsiveness,interpretability,burden,alternative modes of administration,and cross-cultural and linguistic adaptations.This study showed that the EMPRO has high reliability and validity.It has already been used in the assessment of the SF-36 Health Survey,the Nottingham Health Profile,the COOP/WONCA Charts,the EuroQol-5D,and the EORTC-QLQ-C30.

关 键 词：患者报告结局 评估 

分 类 号：R24[医药卫生—中医临床基础]