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October 2017

Patient Preference Research in Otolaryngology: What Do Patients Want?

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston
  • 2Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts
  • 3Center for Health Decision Science, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 4Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts
JAMA Otolaryngol Head Neck Surg. 2017;143(10):971-972. doi:10.1001/jamaoto.2017.1086

As the US health care economy continues the painstaking transformation from a volume-based to a value-based system, it becomes increasingly important to define what constitutes value to patients. Over the past 2 decades, the patient perspective of value has often been accounted for using quality of life (QOL) metrics.1 Quality-of-life measures incorporate a wide spectrum of dimensions, including symptomatic and functional improvement, cognitive and/or emotional perceptions of health, and overall satisfaction.2 Nevertheless, QOL measures often exclude the important component of value as perceived by the patient. Patient-centered health care requires more than just an evaluation of QOL—it requires this patient-centric measurement of value.

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