On the Issue of Developing PROM as Part of the Value-based Healthcare

Background. Value-based healthcare is becoming the main theme of restructuring and improving modern healthcare systems around the world. The value of medical care for the patient is at the forefront; therefore, in order to make effective decisions, it is important to measure the effect of the treatment by taking into account the data reported by patients. This article provides a brief description of the concepts of patient-reported outcomes (PROs), indicators for measuring them (PROMs) and their significance in value-based healthcare. Based on the analysis of foreign publications, the basic principles and stages of the formation of PROMs with detailed descriptions of separate elements are considered, and a scheme of the PROM development process is generated. Since the use of PROM in Russian healthcare has not yet widely used, but have proven effective in supporting value-based healthcare initiatives abroad, exploring methods for developing and selecting these measures is becoming a relevant trend. The goal is to analyze the approaches of foreign researchers to the development of PROM and choosing it for implementation in Russian healthcare. Materials and Methods. This review is based on the content analysis of scientific literature published in the Springer Nature databases (BMC journal portfolio) and eLibrary.ru. It includes publications on the problems of measuring the PROs and the process of their development selected using the following keywords: outcome indicators reported by patients, PROM, development, and value-based healthcare. Additionally, general scientific methods of cognition were used: comparison, generalization, system-structural and analytical methods. Results. This article considers the main types of patient-reported outcomes — PROs — and types of indicators for their measurement — PROMs. It also analyzes the results of research and opinions of foreign scientists on the development of PROM. The principles and stages of PROM development are systematized, and a scheme of the PROM development process for any areas of measurement and application is generated — a possible methodological basis for the development and implementation of PROM in the Russian healthcare market.