Table 1.
PRO Category | Main Characteristics |
Main Strengths | Main Limitations |
---|---|---|---|
Health-related quality of life (HRQL) | - Is multidimensional - Can be generic or condition-specific |
- Yields a global summary of well-being | - May not be considered a sufficiently specific construct |
Functional status |
- Reflects ability to perform specific activities |
- Can be used in addition to performance-based measures of function | - May reflect variations in self-reported capability and actual performance of activities |
Symptoms and symptom burden |
- Are specific to type of symptom of interest - May identify symptoms not otherwise captured by medical workup |
- Are best assessed through self-report | - May fail to capture general, global aspects of well-being considered important to patients |
Health behaviors |
- Are specific to type of behavior - Typically measure frequency of behavior |
- Target specific behavior categories | - Validity may be affected by social desirability - May produce potential patient discomfort in reporting socially undesirable behaviors |
Patient Experience |
- Concerns satisfaction with health care delivery, treatment recommendations, and medications (or other therapies) - Reflects actual experiences with health care services- Fosters patient activation |
- Is an essential component of patient-centered care - Is valued by patients, families, and policymakers - Relates to treatment adherence - Relates to health behaviors and health outcomes |
- May be a complex, multidimensional construct - Requires confidentiality to ensure patient comfort in disclosing negative experiences - Does not provide sufficient evidence that activation enhances health care decision making |