Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
Copyright 2000 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2000
To the Editor: In their article on capturing
the patient's perspective as an outcome measure, it might have been helpful
if Dr Fischer and colleagues1 had discussed
some additional issues attendant to the conclusion that "retrospective assessments
appear to provide information that is different from serial change data, are
more sensitive to change, and are more highly correlated with patient satisfaction."
The enhanced correlation between retrospective change and patient satisfaction
may be tautological. Patients who perceive that they have experienced better
outcomes, for example (which could be due to faulty memory or could be causally
influenced by the rapport established with their clinicians), would be expected
to be more satisfied with their care irrespective of the validity of these
Bausell RB, Berman BM. Assessing Patients' Views of Clinical Changes. JAMA. 2000;283(14):1824-1825. doi:10.1001/jama.283.14.1821