The above methodologies are used to document and describe the content of health care, patient experiences, the process of care, and the outcomes of care for individuals, families and communities. The use of patient-reported outcome measures (PROMs) is seen as a new approach within health services research. PROMs are tools for assessing the patient's experiences of health and health care. PROMs are used to collect information about the outcomes of care, which can be used to compare and evaluate the quality of care and services. The development of PROMs is an evolving field which has developed methods and terminology over the last two decades. In recent years, there have been changes in the development of PROMs which may be explained by the following reasons:
In the field of health services research, PROMs are often used in two ways. One is to measure patient experiences and outcomes of care and the other is to assess the impact of interventions or programmes on patients. PROMs can assist in identifying problems which may not be discovered by other means. However, the validity of PROMs should be assessed, and it may be useful to use a combination of PROMs to evaluate outcomes of care. For example, results from PROMs can highlight specific problems which an assessment of clinical records may not be able to identify. They can also be used to assess the effectiveness of interventions or programmes which may not be possible to evaluate using other methods. Use of PROMs for the evaluation of outcomes of care in the following context must be supported by evidence of their validity and reliability. However, the lack of a formal process to evaluate the validity and reliability of PROMs is a major problem facing the research community. Therefore, the following sections describe the development of the following PROMs.
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