Patient-Reported Outcomes and the Patient-Reported Outcome Measurement Information System of Functional Medicine Care and Research - 18/08/22

Doi : 10.1016/j.pmr.2022.04.008

Michelle Beidelschies, PhD ^a,^⁎ , David Cella, PhD ^b, Irene Katzan, MD, MS ^c, Christopher R. D’Adamo, PhD ^d,^e,^f
^a Center for Functional Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, 9500 Carnegie Avenue, Q2-1 Glickman Tower, Cleveland, OH 44195, USA
^b Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 North Michigan Avenue, Chicago, IL 60611, USA
^c Patient-Entered Data, Center for Outcomes Research & Evaluation, Neurological Institute, Cleveland Clinic, 9500 Carnegie Avenue, S8-859, Cleveland, OH 44195, USA
^d Institute for Functional Medicine, 505 South 336th Street #600, Federal Way, WA 98003, USA
^e 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
^f Department of Epidemiology and Public Health, University of Maryland School of Medicine, 520 West Lombard Street, East Hall, Baltimore, MD 21201, USA

^∗Corresponding author.

Résumé

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.

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