Patient-Reported Outcomes and the Patient-Reported Outcome Measurement Information System of Functional Medicine Care and Research

Michelle Beidelschies; David Cella; Irene Katzan; Christopher R D'Adamo

doi:10.1016/j.pmr.2022.04.008

Patient-Reported Outcomes and the Patient-Reported Outcome Measurement Information System of Functional Medicine Care and Research

Phys Med Rehabil Clin N Am. 2022 Aug;33(3):679-697. doi: 10.1016/j.pmr.2022.04.008. Epub 2022 Jun 24.

Authors

Michelle Beidelschies¹, David Cella², Irene Katzan³, Christopher R D'Adamo⁴

Affiliations

¹ Center for Functional Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, 9500 Carnegie Avenue, Q2-1 Glickman Tower, Cleveland, OH 44195, USA. Electronic address: beidelm2@ccf.org.
² Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 North Michigan Avenue, Chicago, IL 60611, USA.
³ Patient-Entered Data, Center for Outcomes Research & Evaluation, Neurological Institute, Cleveland Clinic, 9500 Carnegie Avenue, S8-859, Cleveland, OH 44195, USA.
⁴ Institute for Functional Medicine, 505 South 336th Street #600, Federal Way, WA 98003, USA; Department of Family and Community Medicine, Center for Integrative Medicine, University of Maryland School of Medicine, 520 West Lombard Street, East Hall, Baltimore, MD 21201, USA; Department of Epidemiology and Public Health, University of Maryland School of Medicine, 520 West Lombard Street, East Hall, Baltimore, MD 21201, USA.

PMID: 35989058
DOI: 10.1016/j.pmr.2022.04.008

Abstract

The functional medicine model of care is focused on patient-centered rather than disease-centered care. Patient-centered care incorporates the patient's voice or experience of their condition alongside conventional biological factors to provide a "more complete" account of health. PROMIS Global, an NIH-validated patient-reported outcome (PRO) measure that evaluates the health-related quality of life, can be incorporated within the functional medicine model of care to evaluate self-reported physical, mental and social well-being across various conditions and guide personalized management strategies. Proper incorporation of PROMIS Global into clinical care and research is warranted to expand the available evidence base.

Keywords: Functional medicine; Global health; Patient-centered care; Patient-reported outcomes.

Publication types

Review

MeSH terms

Humans
Information Systems
Patient Care
Patient Reported Outcome Measures*
Patient-Centered Care
Quality of Life*