患者报告结局及其在恶性肿瘤中的应用

Patient-Reported Outcomes and Its Application in Cancer

摘要: 从19世纪起，传统的医学模式已经发生转变，由以往的生物医学模式逐步向生物–心理–社会医学模式转变，人们对健康的定义也逐渐丰富，不仅仅是没有疾病体征，良好的心理状态和完整的社会功能也成为评价个人健康状态的重要标准。在21世纪，进一步强调了患者的参与在疾病治疗过程中的重要作用，提出了“以患者为中心”的医疗模式。这种新的理念意可以调动患者在医疗过程中的参与，更深入了解患者的想法、对医疗过程的态度和诊疗中需求，医护专业人员通过积极有效的应答，进一步增强医患沟通、提高医疗服务质量和患者满意度。关注患者报告结局(Patient-Reported Outcomes, PRO)是新型医学模式下增加患者参与诊疗过程的重要途径。本文综述PRO的概念及其在恶性肿瘤领域的意义和应用，并探讨PRO在临床实践中面临的问题。

Abstract: Since the 19th century, the traditional medical model has changed, from the previous biomedical model to the bio-psychological-social medical model, and people’s definition of health has gradually enriched, not only the absence of signs of disease, a good psychological state and complete social function has also become an important criterion for evaluating the health status of individuals. In the 21st century, the important role of patient participation in the process of disease treatment has been further emphasized, and a “patient-centered” medical model has been proposed. This new concept is intended to mobilize patients to participate in the medical process, and to have a deeper understanding of patients’ thoughts, attitudes toward the medical process, and needs in diagnosis and treatment. Through positive and effective responses, medical professionals can further enhance doctor-patient communication and improve medical services, quality and patient satisfaction. Fo-cusing on Patient-Reported Outcome (PRO) is an important way to increase patient participation in the diagnosis and treatment process under the new medical model. This article reviews the concept of PRO and its significance and application in the field of malignant tumors, and discusses the prob-lems faced by PROs in clinical practice.