Collection and use of EQ-5D for follow-up, decision-making, and quality improvement in health care - the case of the Swedish National Quality Registries

Journal of Patient-Reported Outcomes

Emelie Heintz¹  Olivia Ernstsson¹  Mathieu F. Janssen² 

[1] Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Tomtebodavägen 18A, SE-171 77, Stockholm, Sweden;Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Dr. Molewaterplein 40, 3015 GD, Rotterdam, the Netherlands;EuroQol Research Foundation, Rotterdam, the Netherlands;

关键词: EQ-5D;    Patient-reported outcome measures;    PROM;    Health-related quality of life;    Quality registries;    Quality improvement;    Routine measurement;   

DOI  :  10.1186/s41687-020-00231-8

来源: Springer

【 摘 要 】

BackgroundThe Swedish National Quality Registries (NQRs) contain individual-level health care data for specific patient populations, or patients receiving specific interventions. Approximately 90% of the 105 Swedish NQRs include any patient-reported outcome measure, with EQ-5D being the most common. As there has been no general overview of EQ-5D data within the NQRs, this study fills a knowledge gap by reporting how the data are collected, presented, and used at different levels of the Swedish health care system.MethodsAll 46 NQRs with a license for the use of EQ-5D were included. Information was retrieved from the registries’ annual reports or from websites, using a template that was subsequently sent to each registry for completion and confirmation. If considered necessary, the contact was followed-up with an interview, either in-person or over the telephone. The uses of EQ-5D were categorised as denoting usage for follow-up, decision-making, or quality improvement in Swedish health care.ResultsIn total, 41 of the 46 licensed registries reported collection of EQ-5D data. EQ-5D is most commonly collected within registries related to the musculoskeletal system, but it has a wide application also in other disease areas. Thirty-six registries provide EQ-5D results to patients, clinicians, or other decision-makers. Twenty-two of the registries reported that EQ-5D data are being used for follow-up, decision-making or quality improvement. The registries most commonly reported use of data for assessing interventions, and in quality indicators to follow-up the quality of care at a national level.ConclusionCollection and use of EQ-5D data vary across the Swedish NQRs, which may partly be accounted for by the different purposes of the registries. The provided examples of use illustrate how EQ-5D data can inform decisions at different levels of the health care system. However, there is potential for improving the use of EQ-5D data.

【 授权许可】

CC BY