Exploring the relation between clinician ratings and patient-reported experience and outcomes

Shlomo Mendlovic, David Roe, Geffen Markusfeld, Jan Mainz, Solvejg Kristensen, Gil Goldzweig

Research output: Contribution to journalArticlepeer-review


Background: Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are increasingly recognized as important ways for patients to be more actively involved in their treatment and enhance shared decision-making. Objective: The current study investigated the associations between PROMs, PREMs and various symptoms measures reported by clinicians and psychiatric patients. Method: One hundred and twenty people admitted to a psychiatric hospital completed two PREMs, one PROM (the shortened version of the Manchester Short Assessment of Quality of Life scale) and Effects of Symptoms on Daily Functioning (the Sheehan Disability Scale), the Patient Clinical Global Impression and the Modified Colorado Symptom Index. Their psychiatrists rated them using the Global Assessment of Functioning scale, the Health of the Nation Outcome Scales and the Therapist Clinical Global Impression. Results: There was a strong correlation between patient's evaluation of their quality of life (PROM), experience of their care (PREM) and the overall severity of their condition and their progress. The pattern of correlation between patients' and clinicians' measures revealed a three-layer structure representing a continuum from inner experience to external presentation of experiences. Conclusion: Together these findings help identify and emphasize various domains of subjective experiences and their relation to external ratings.

Original languageEnglish
Pages (from-to)II98-II104
JournalInternational Journal for Quality in Health Care
StatePublished - 1 Apr 2022

Bibliographical note

Publisher Copyright:
© 2022 The Author(s) 2022. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.


  • mental health
  • patient-reported experiences
  • patient-reported outcomes
  • psychiatry

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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