Jose M Valderas, PhD, MPH, BMBS
Professor of Health Services & Policy Research, University of Exeter
President, International Society for Quality of Life Research (ISOQOL)
Dr. Jose Valderas is an Academic General Practitioner, with a commitment to research on patient centred care that is relevant for decision making in clinical practice and health policy. He leads the Health Services & Policy Research Group at the University of Exeter Medical School. He is also the lead on the patient-centred care theme of the Exeter Collaboration for Academic Primary Care (APEx).
Dr. Valderas’ current research interests focus on the use of patient reports on their own health for decision making in clinical practice and health policy, and the improvement of processes of care (quality and safety), with a particular interest in patients with multiple conditions. His main areas of expertise are in patient centred care, with a particular focus on the use of measures of Patient-Reported Outcomes and Experiences (development, adaptation, application, interpretation and clinical applications of PROMs, qualitative methods for content generation, psychometrics and quantitative analyses (classical test theory and Item Response Theory Models), and appraisal of instruments), multi- and co-morbidity, and quality and safety in Primary Care.
Dr. Valderas is an advisor to NHS England on the Quality and Outcomes Framework (QOF), member of the National Institute for Health and Care Excellence (NICE) Appraisal Working Group, and has provided expert advice to the World Health Organization and the Panamerican Health Organization on Primary Health Care, Non Communicable Diseases (NCDs), and Patient Safety; and the Organisation for Economic Co-operation & Development (OECD) on patient reported quality indicators. In 2017, Dr. Valderas waselected by his peers to serve as President of the International Society for Quality of Life Research (ISOQOL).
Ian Porter, PhD, MSc
Postdoctoral Research Associate, Health Services & Policy Research Group, University of Exeter
Dr. Ian Porter, a social scientist by background, joined the Health Services and Policy Research Group at the University of Exeter in October 2014, working on an NIHR funded programme of work developing and piloting methods for the routine use of Patient Recorded Outcome Measures (PROMs) in primary care for patients with multiple, long-term conditions (asthma, chronic obstructive pulmonary disease, diabetes, heart failure, depression, osteoarthritis of the hip and/or knee). Prior to this he contributed to a number of other primary care focused NIHR research projects involving socially marginalised groups with complex physical and mental health needs.
The evidence for routine feed-back of PROMs in clinical practice: Implications for multimorbid frail, older, adults
Patient Reported Outcome (PRO) measures are currently under-utilised in Primary Care in the UK. For frail older adults with multiple conditions (multimorbidity), combinations of individualised and standardised PRO measures may support health management and prioritisation. We aimed to test the feasibility of implementing routine PRO administration and feedback as part of Primary Care annual reviews for this patient group. Participants with two or more chronic conditions (asthma, COPD, diabetes, heart failure, depression, and osteoarthritis of the hip and/or knee) completed generic, condition specific and individualised PRO measures immediately ahead of annual reviews. Personalised PRO summaries were provided to patients and clinicians to inform reviews. Acceptability of the intervention was rated by patients/clinicians separately. Qualitative interviews were also conducted with patients (10) and clinicians (5) to provide a more detailed evaluation. Findings suggested a high degree of acceptability from both patients and clinicians.
This talk is open and will include a light lunch.
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