FEATURED: Q & A
Bruce Feinberg, DO
Vice President and Chief Medical Officer,
Cardinal Health Specialty Solutions
A series of new clinical studies demonstrate the essential role that patient-reported outcomes (PRO) analysis can play in advancing patient-centered care. The studies also illustrate the feasibility of leveraging user-friendly technology solutions to collect PRO data in real-time, at the point of care. The research will be featured at the International Society of Pharmacoeconomic and Outcomes Research (ISPOR) 20th Annual International Meeting in Philadelphia, May 16-20, 2015. Here, Dr. Bruce Feinberg gives us a first look at this research, and its implications for the treatment of patients living with complex diseases.
Q: Tell us why patient-reported outcomes (PRO) have become an important focus of clinical research.
A: The research we’re sharing this year at ISPOR reinforces a simple truth – if we want to find ways to improve the quality and reduce the costs of caring for patients with complex diseases, we need to start by talking to patients themselves.
I was a practicing oncologist for more than 20 years, so I know firsthand that determining treatment plans has historically been considered the realm of the physician. In a patient-centered model, that dynamic changes. We reframe the way we think about care to include not only the clinical effectiveness and toxicity of the treatment, but also the burden of the disease and the treatment on the patient. We try to understand whether the treatments we prescribe are actually improving each patient’s health, life and their perceived sense of well-being.
For example, in our research with rheumatology patients, we used a hand-held technology tool to collect PRO at the point of care – asking rheumatology patients to provide specific information regarding the location and severity of joint swelling and joint tenderness, as well as their sense of well-being – as part of an objective scoring system of the disease and treatment burden, called a CDAI SCORE.
Physicians gathered valuable information that helped them determine the most appropriate course of treatment to address not only the disease, but also each patient’s needs.
Read more about howto improve care quality and reduce costs.