Journal of evaluation in clinical practice最新文献

{"title":"Reframing Recovery: Revisiting Mental Health Recovery Narratives Framework Through Indian Memoirs","authors":"Ryno Settrisman,&nbsp;Ajit K. Mishra","doi":"10.1111/jep.70229","DOIUrl":"https://doi.org/10.1111/jep.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Mental Health Recovery Narratives (MHRN) play a crucial role in the recovery paradigm within mental health policy and practice. However, an existing conceptual framework characterising MHRN lacks representation from Indian narratives thereby raising further questions regarding its suitability in the Indian mental health care system and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The present article aims (1) to assess the overall applicability of the framework characterising MHRN, conceptualised by Llewellyn-Beardsley et al. and consisting of nine overarching dimensions vis-a-vis Indian narratives, and (2) to develop a typology characterising MHRN that can inform research, practice, and narrative-based interventions within the Indian context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nineteen Indian MHRN in the form of life memoirs were analysed deductively and inductively to assess the relevance of the dimensions and types of the existing MHRN framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most of the components of the existing MHRN framework were found to be corresponding with the dimensions of recovery in the select Indian narratives. However, a few other components were identified in the indian memoirs, and were incorporated into a more comprehensive typology expanding the scope of the MHRN framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The refined typology provides evidence for research, practice, and narrative-based interventions within the Indian context. The implications for the Indian mental health care system and practice are also discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the Patient Experience Colonoscopy Scale","authors":"Rosvall Annica,&nbsp;Axelsson Malin,&nbsp;Annersten Gershater Magdalena,&nbsp;Toth Ervin,&nbsp;Karl Bang Christensen,&nbsp;Kumlien Christine","doi":"10.1111/jep.70220","DOIUrl":"https://doi.org/10.1111/jep.70220","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Rationale, Aims and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Colonoscopy, though common, can be uncomfortable, necessitating routine assessment of patient experience per European guidelines. Positive patient experiences are crucial as they influence willingness for repeat procedures. Patient-reported experience measures (PREMs) effectively capture patient perspectives through surveys, empowering patients to influence healthcare quality. These surveys identify areas for improvement and inform research, enhancing healthcare and its quality. The Patient Experience Colonoscopy Scale (PECS) is a colonoscopy-specific PREM that measures adult patient experience after an elective colonoscopy. It consists of items derived from the patient's perspective and has been found to be content valid. The PECS is multidimensional and divided into five constructs: health motivation, discomfort, information, a caring relationship, and understanding. The current study aims to evaluate the measurement properties of the new PREM, called the PECS regarding reliability and construct validity.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The sample comprised 331 adult patients who had undergone an elective colonoscopy at a University Hospital in Sweden. The PECS was evaluated using intraclass correlation coefficients, confirmatory factor analysis, and multi- and unidimensional Rasch analyses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The test−retest reliability was acceptable, with an average intraclass correlation coefficient of 0.72. Construct validity was tested with three different techniques. The confirmatory factor analysis revealed that the theoretical bifactor model containing the five constructs was supported. The multi- and unidimensional Rasch analyses showed that approximately 60% of the items had acceptable values. Some violation of local independence and some evidence of differential item functioning with respect to age and gender were identified, but they all made subject matter sense. The PECS is well-targeted to patients with less positive experiences. The overall evaluation of the construct validity showed the PECS has acceptable measurement properties.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The PECS is a reliable and valid 30-item colonoscopy-specific PREM that can play an important role in gathering data for research and quality improvement initiatives that seek to incorporate patient perspectives on colonoscopy experiences. Some potential areas for improvement were found, but the PECS is ready to be utilised in clinical practice for the purp","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative Approaches to Training in Evidence-Based Neurology","authors":"Arasu Raman,&nbsp;Abdulrahman T. Ahmed,&nbsp;Gaurav Sanghvi,&nbsp;Suhas Ballal,&nbsp;Zafar Aminov,&nbsp;Hussein Riyadh Abdul Kareem Al-Hetty,&nbsp;Rishiv Kalia,&nbsp;Renu Arya,&nbsp;Muthena Kariem,&nbsp;Yasser Faki Mustafa","doi":"10.1111/jep.70224","DOIUrl":"https://doi.org/10.1111/jep.70224","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The training of clinical neurology trainees is an extensive process that requires mastery of core medical sciences alongside the integration of evidence-based clinical practice (EBCP). However, education in neurology and neurosurgery has not kept pace with the growing emphasis on EBCP across various medical specialties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This review aims to evaluate the effectiveness of innovative training methods in enhancing the teaching and application of evidence-based neurology (EBN) among clinical neurology trainees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review explores the implementation of innovative training methods, including the flipped classroom model and AI-based tools, to develop trainees' critical appraisal skills and deepen their understanding of clinical evidence. The proposed EBN curriculum focuses on contemporary clinical questions and utilises state-of-the-art technologies to improve diagnostic accuracy and treatment outcomes in neurology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Structured topic selection, preparation, and tutorial sessions are designed to enhance practical knowledge and critical evaluation skills. The integration of AI tools supports trainees in conducting comprehensive literature searches and critically appraising studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This dynamic approach ensures that neurology training remains responsive to the evolving needs of the field, ultimately leading to superior patient care based on the best available evidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MIPS Under Scrutiny: Exploring the Association Between Providers With Fraudulent Practices and Quality Metrics Within MACRA's Framework","authors":"Mahmoud Manouchehri Amoli,&nbsp;Peter J. Cunningham,&nbsp;Brian Cassel,&nbsp;Nathan W. Carroll,&nbsp;Bassam Dahman","doi":"10.1111/jep.70217","DOIUrl":"https://doi.org/10.1111/jep.70217","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Importance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Identifying how fraudulent practices affect quality performance metrics is crucial for enhancing healthcare delivery and maintaining the integrity of the Medicare system.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To examine the association between fraud and abuse perpetrator providers (FAPs) and their performance on quality metrics within the Merit-Based Incentive Payment System (MIPS) under the Medicare Access and CHIP Reauthorization Act (MACRA).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A retrospective observational study using exact matching and propensity score matching to balance comparison groups.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Setting&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Analysis of Medicare Quality Payment Program (QPP) data from 2017 to 2021.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 12,364 physician-year observations, including 1300 provider-year level FAPs identified between 2020 and 2023 and 11,064 matched non-FAPs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Exposures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Provider status as fraud and abuse perpetrators based on inclusion in the List of Excluded Individuals and Entities from the Office of Inspector General.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Main Outcomes and Measures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;MIPS scores across key categories: Final score, Quality score, Promoting Interoperability (PI) score, Improvement Activities (IA) score, and Cost score.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;FAPs scored significantly lower than non-FAPs in Final score, Quality score, PI score, and IA score (all &lt;i&gt;p&lt;/i&gt; &lt; 0.05). The negative impact of FAP status was more pronounced among individual practitioners, while FAPs participating in Advanced Alternative Payment Models exhibited higher scores on certain metrics. No significant differences were observed in Cost scores between FAPs and non-FAPs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions and Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fraudulent practices are associated with lower performance on quality-related metrics under MACRA's MIPS framework, particularly among individual practitioners. While lo","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One Size Doesn't Fit All: Clinician Perspectives on Using Health-Related Quality of Life for Service Evaluation in Australian Community Health","authors":"Laura Ryan,&nbsp;Caitlin Brandenburg,&nbsp;Karen Spence,&nbsp;Jillian Williams,&nbsp;EJ Milne,&nbsp;Sharon Leslie,&nbsp;Matthew Percival,&nbsp;Letisha Living,&nbsp;Paula Rankmore,&nbsp;Laetitia Hattingh","doi":"10.1111/jep.70204","DOIUrl":"https://doi.org/10.1111/jep.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Health-related quality of life (HRQoL) offers a framework for assessing the impact of health conditions and treatments on a patient's overall well-being. It also holds the potential to evaluate the effectiveness of hospital and health services. However, this approach lacks evidence to fully support its widespread adoption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To explore current HRQoL practices and clinician attitudes toward standardising HRQoL instruments for service evaluation across a diverse range of in-scope community health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 20 senior clinicians from community health services. An interview guide was used, and interviews were recorded, transcribed, and analysed using content analysis to identify key themes and insights.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average interview time was 20.1 min (SD = 4.6). While some HRQoL instruments were used, others had been discontinued due to limitations in relevance or effectiveness. Informal HRQoL assessments were commonly used alongside other instruments to gather broader insight into patient well-being. There was support for a holistic approach to service evaluation, emphasising comprehensive, contextually relevant assessments that are user-friendly and evidence-based. However, participants also raised several limitations to using HRQoL for service evaluation, such as the potential for misleading information, implementation difficulties, and risks to patient care. Participants identified 33 potential domains to be measured to demonstrate service success, with the most frequently cited being mental health, social connections, ability to perform daily activities, leisure pursuits, mobility and feeling supported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings underscore the need for balanced and meaningful assessment instruments that accurately capture the full scope of patient well-being for evaluation purposes. No single HRQoL assessment instrument is likely to address the needs of services providing care for patients with complex and varied conditions. It is essential to use assessment instruments tailored to individual patient cohorts, resonating with clinicians and patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of ChatGPT-4o in Managing the Burden of Unsolicited Emails Received by Academics","authors":"Richard C. Armitage","doi":"10.1111/jep.70210","DOIUrl":"https://doi.org/10.1111/jep.70210","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narketpally Syndrome and the Embedding of Contextual Values in Real-Life Patient Pathways","authors":"Vivek Podder,&nbsp;Rahul Kulkarni,&nbsp;Aditya Samitinjay,&nbsp;Abdul Salam,&nbsp;Sailaja Gade,&nbsp;Mansi Agrawal,&nbsp;Adwaith Krishna Surendran,&nbsp;Rakesh Biswas","doi":"10.1111/jep.70186","DOIUrl":"https://doi.org/10.1111/jep.70186","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This commentary illustrates a global patient-centered learning ecosystem, anchored in Narketpally, that adopts a syndromic approach to medical education and research. Rooted in the etymological origins of ‘syndrome’ (“together we flow”), this approach reframes medical research as a collective, contextual response to individual patient needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The structure of the paper is intentionally modeled as a team-based learning exercise, grounded in our prior Web 2.0–based cognitive tools: CBBLE (Case-Based Blended Learning Ecosystem) and PaJR (Patient Journey Record). These are framed against the conceptual scaffolding provided by three key publications: a framework by Sturmberg et al. and two contrasting commentaries by Greenhalgh and Ioannidis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Through our ongoing CBBLE–PaJR workflow, thematic learning outcomes emerged in response to these frameworks. Sturmberg's stratified realism helped us recognize how individual patient connections, recorded in our daily practice and online learning portfolios, can drive both contextual learning and meaningful changes in patient outcomes. Greenhalgh's commentary inspired our conceptualization of a ‘wildebeest river crossing value model,’ contrasting population-based efficiency with individual-centered compassion. Ioannidis's critique of methodological rigor highlighted the potential for expanding low-resource, high-impact research through patient-centered designs, particularly in phases 1 and 4 of the clinical trial hierarchy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Narketpally Syndrome represents more than a metaphor; it signifies a real, evolving ecosystem of knowledge, reflection, and practice. It suggests that research must be reimagined as a river of collective cognition, flowing across diverse clinical contexts, with each patient seen as a site of inquiry. Such an approach enables the integration of contextual values into real-life patient pathways. In contrast to the dominant forest-canopy model of population medicine, this framework emphasizes the importance of focusing on the roots of each patient that form the ecosystem of patient-centered care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Pharmaceutical Company Payments to Healthcare Providers in Japan From 2016 to 2021","authors":"Keiichiro Hayashi,&nbsp;Akemi Hara,&nbsp;Michioki Endo,&nbsp;Hiroaki Saito,&nbsp;Tetsuya Tanimoto,&nbsp;Akihiko Ozaki","doi":"10.1111/jep.70169","DOIUrl":"https://doi.org/10.1111/jep.70169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Pharmaceutical payments to healthcare providers can pose conflicts of interest. Long-term trends in such payments in Japan remain under explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study examined pharmaceutical company payments to healthcare providers in Japan from 2016 to 2021, including the impact of the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a repeated cross-sectional analysis using publicly disclosed data on payments (lectures, consulting, and writing) from pharmaceutical companies. Payments were analyzed by year, amount, and specialty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total payments remained stable from 2017 to 2019 ($249 million), dropped in 2020 ($172 million), and rose in 2021 ($272 million). The number of recipients declined overall, but mean and median payments per healthcare provider steadily increased. The share receiving over $100,000 rose from 0.09% to 0.17%. Cardiovascular and diabetes/metabolism/endocrinology specialists consistently received the highest payments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Payments became more concentrated among high-earning physicians following the COVID-19 pandemic. Continued monitoring is needed to manage potential conflicts of interest.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LGBTIQA+ Patient Liaison Service—Seeking to Improve the Experience of Hospitalised LGBTIQA+ People","authors":"Suzi Hayes,&nbsp;Connor Gryffydd,&nbsp;Jane Jolley,&nbsp;Michelle Lin,&nbsp;Aruska N. D'Souza","doi":"10.1111/jep.70160","DOIUrl":"https://doi.org/10.1111/jep.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>People in LGBTIQA+ communities often have high unmet health care needs partially due to experiences of poor treatment and LGBTIQA+ identity-based discrimination in health care settings. LGBTIQA+ informed health care providers are essential to enhancing care. In 2021, The Royal Melbourne Hospital established an LGBTIQA+ Liaison Service. This service consisted of lived experience practitioners with allied health backgrounds; they supported patients and delivered education to staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to evaluate the feasibility (demand, practicality and limited efficacy) of an LGBTIQA+ Liaison Service at a large tertiary hospital in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective feasibility study was conducted at a large tertiary hospital in Victoria, Australia. Patient demographics (demand) and services provided (practicality) were documented. Self-rated staff understanding of LGBTIQA+ care in hospital was collected pre and post-education sessions (limited efficacy).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 2022, 63 referrals were made to the LGBTIQA+ Liaison Service from 44 patients (median age 27 [26–40 years]). Most were transgender and gender diverse people (<i>n</i> = 34, 54%) and one quarter were First Nations people (<i>n</i> = 16, 25%). The most common interventions were liaising with internal and external parties—including multidisciplinary teams—and providing peer support. Staff (<i>n</i> = 1226) who attended LGBTIQA+ education sessions reported statistical improvements in understanding the experience of LGBTIQA+ people, inclusive practice, available supports and referring to the Service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within a large tertiary hospital, there was demand for the LGBTIQA+ Liaison Service from both staff and patients, particularly transgender, gender diverse and First Nations peoples. The education and support delivered and provided in this setting improved clinician capability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Concise Overview of Outcome Measures in Clinical Practice","authors":"Ariyibi Liad Abimbola","doi":"10.1111/jep.70173","DOIUrl":"https://doi.org/10.1111/jep.70173","url":null,"abstract":"<div>\u0000 \u0000 <p>The patient-reported outcome measure (PROM) is an umbrella term covering different ranges of outcome instruments such as the multidimensional health-related quality of life measures (WHOQOL, HRQOL) and others like Short Form 36, EuroQol-5D, and PROMIS. These instruments were developed by experts to address issues that borders directly on the patient's needs and preferences, consequently in contemporary clinical practise it has largely replaced or supplemented traditional outcome measures which are flawed by a host of limitations. The PROM, though designed to address most of the shortcomings observed in the traditional instruments is still subject to constant improvement and validation for it to be at pace with rapid technological advancement as well as variation in human activity and behavior. This is to ensure that ultimately, the care provided is centered around what benefits the patient most. The International Consortium for Health Outcomes Measurement, COSMIN, etc. have developed a set of instruments, standardized for use in clinical practice to ensure that the patient remains at the center of their care. This is continually being improved upon so that it will not lag behind as cutting-edge technological inventions and medical innovations advance healthcare delivery.</p>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}