Improving quality, service, and patient outcomes is an important focus for health care providers. The NHS outcomes framework to improve quality of care can be broadly divided into clinical effectiveness, safety, and patient experience.

There is an increasing trend in the countries of North Europe and UK for the use of patient-reported outcome measures (PROMs) and patient- reported experience measures (PREMs) in measuring the quality of care across all three areas and to guide service improvement focus for health care providers. The British NHS outcomes framework to improve quality of care can be broadly divided into clinical effectiveness, safety, and patient experience.

Patient-reported outcome measures Patient-reported experience measures (PREMs) are tools and instruments that report patient satisfaction scores with a health service and are generic tools that are often used to capture the overall patient experience of health care. PREMs are often used in the wider population and in non-specific settings such an outpatient department. Patient experience tools, for example, may be used to monitor patient feedback and focus on the general experience such as customer service rather than an experience related to a specific disease.

Patient-reported experience measures A PRO is directly reported by the patient without interpretation of the patient’s response by a clinician or anyone else and pertains to the patient’s health, quality of life, or functional status associated with health care or treatment.  These outcomes may be measured in absolute terms, and significantly differ to patients satisfaction surveys since they are structured to serve evaluation by objective terms and statements contrary to subjective expressions and ratings.

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