Use of patient-reported outcome and experience measures in patient care and policy


KCE Reports 303 (2018)

Satisfaction questionnaires are increasingly used everywhere and hospitals are not immune to this trend. These can be questionnaires of the Patient Reported Outcomes Measures (PROM) type which measure the way in which you evaluate your state of health (for example, certain adverse effects of treatments) or of the Patient Reported Experience Measures (PREM) type which measure the way in which you experienced your care (for example, the waiting time before the first appointment, the relationship with the doctor and other caregivers).

It was shown that the use of these questionnaires improves the communication between the caregiver and the patient because they enable certain issues to be addressed which would otherwise not be mentioned (for example, the impact of a disease or treatment on sexuality). They thus enable the healthcare professional to identify what is important for the patient and both can choose the appropriate treatment together, taking this viewpoint into account.

By contrast, on a hospital – or healthcare policy – scale, the impact of these questionnaires is more difficult to evaluate, all the more so because hospitals do not all use the same questionnaires. It is thus impossible to compare the results. Since July 2018, the PROM and PREM questionnaires have been important for the “pay for performance” financing of the hospitals; this is a pilot project in which most hospitals take part on a voluntary basis.

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