Intended for healthcare professionals

Letters Measuring patient care

PROMs promote health gain and patient involvement

BMJ 2008; 336 doi: (Published 14 February 2008) Cite this as: BMJ 2008;336:344
  1. Andrew J Vallance-Owen, group medical director
  1. 1BUPA, London WC1A 2BA
  1. vallanca{at}

    Hawkes seems to have swallowed the paternalistic line that what doctors do to patients is more important than the outcome as perceived by them.1 How can we know if a process brings benefits and continues to improve it without measuring the outcome, and how can we rely on process alone when the evidence shows such widespread variation and inconsistency in …

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