Person-centred care

Primary Health Tasmania supports the use of Person-Reported Outcome Measures (PROMs) and Person-Reported Experience Measures (PREMs) to better understand how people’s quality of life is affected by health and illness, and to help shape service delivery.

We are keen to see all healthcare providers use information and data received through PROMs and PREMs to embed person-centred care and improve the safety and quality of services.

As a commissioner of health services, we work with our contracted providers to record patient experiences and outcomes.

Person-Reported Outcome Measures (PROMs)

Person-Reported Outcome Measures (PROMs) are questionnaires completed by people who use health services.

They ask for an opinion of how health services and interventions have, over time, affected a person’s quality of life, daily functioning, symptom severity, and other aspects of health which only the receiver of services can know. PROMs can be used to fill gaps in knowledge about outcomes and whether healthcare interventions make a difference to people’s quality of life.

PROMs can be used to:

  • give a person’s perspective of their health
  • measure whether an intervention changes quality of life
  • measure symptoms, distress, anxiety and unmet needs
  • help facilitate shared decision making
  • improve person-centred care
  • assess the quality of health care
  • improve safety and quality in health care.

Primary Health Tasmania uses the Assessment of Quality of Life (AQoL – 4D) tool for measuring PROMs.

Person-Reported Experience Measures (PREMs)

Person-Reported Experience Measures (PREMs) are another kind of questionnaire completed by people who use health services.

They ask for an assessment of how a person experiences and perceives their health care or support. PREMs provide a realistic gauge of a person’s satisfaction with services as well as real time information for local service improvement.

PREMs can be used to:

  • measure time spent waiting
  • understand access to services and ability to navigate services
  • improve involvement (consumer and carer) in decision making
  • measure knowledge of care planning and pathways
  • improve quality of communication
  • support management of long-term conditions.

Primary Health Tasmania supports the use of questions from the validated and person-centred Visual Consultation and Relational Empathy (CARE) measure, developed and researched by the department of general practice at the Glasgow University and the Edinburgh University.

The questions are:

  1. How was the person you visited at making you feel happy and relaxed?
  2. How was the person you visited at asking questions and letting you talk?
  3. How was the person you visited at listening and understanding?
  4. How was the person you visited at explaining things?
  5. How was the person you visited at planning?