JGIM EDITORIAL AND COMMENT Elizabeth R. Pfoh, PhD, MPH and Michael B. Rothberg, MD, MPH Center for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA. J Gen Intern Med 33(8):1207–8 difficult to treat. While interviewing the clinicians could an- DOI: 10.1007/s11606-018-4511-x swer these questions definitively, some insight can be gleaned © Society of General Internal Medicine 2018 from the clinicians’ actions and interviews with the patients. The first explanation seems unlikely because according to the patients, the vast majority of threshold symptoms were n 2004, the National Institutes of Health (NIH) launched its 3 discussed. Patients also reported that clinicians often priori- Roadmap as a way to transform healthcare research by tized other diseases. In fact, the most common reason for not making it more efficient. PROMIS (the Patient-Reported discussing the SPADE symptom was a more pressing medical Outcomes Measurement System) was developed as part of issue (49%). Finally, many patients reported not needing the Roadmap to fill the need for an evidenced-based, state- (47%) or wanting (29%) treatment. Yet, treatment was desired of-the-art assessment system for measuring self-reported the majority of the time when symptoms were threshold level health. PROMIS standardizes collection of patient-reported for pain, sleep, and
Journal of General Internal Medicine – Springer Journals
Published: Jun 5, 2018
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