ON THE USES OF ROUTINE PATIENT-REPORTED HEALTH OUTCOME DATA
Version of Record online: 11 JAN 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 2, pages 119–131, February 2013
How to Cite
Smith, P. C. and Street, A. D. (2013), ON THE USES OF ROUTINE PATIENT-REPORTED HEALTH OUTCOME DATA. Health Econ., 22: 119–131. doi: 10.1002/hec.2793
- Issue online: 9 JAN 2013
- Version of Record online: 11 JAN 2012
- Manuscript Accepted: 13 DEC 2011
- Manuscript Revised: 29 NOV 2011
- Manuscript Received: 15 JAN 2011
- outcome measures
It has long been standard practice to ask patients in clinical trials about their health status, but the practice is now being extended to patients receiving treatment on a routine basis. In this paper, we examine four types of analyses that these health data might inform: comparisons of alternative treatments for the same condition, of health care providers, of changes in performance over time and of treatments of different types of condition. Analytical challenges arise because counterfactuals cannot be observed and because health status cannot be measured continuously. The implications of these challenges and the ability to meet them vary according to the comparative exercise. We argue that, provided with a sufficient number of health status measures for each patient and proper risk adjustment, health status measurement has great potential to inform the first three types of comparison. However, we believe that it is not yet possible to use such data to make secure comparative judgements about the outcomes from treatment for different types of condition. Copyright © 2012 John Wiley & Sons, Ltd.