clinvestКачественная клиническая практикаKachestvennaya Klinicheskaya Praktika = Good Clinical Practice2588-05192618-8473ООО «Издательство ОКИ10.37489/2588-0519-2024-3-26-33AAJPJMclinvest-738Research ArticleКАЧЕСТВО ЖИЗНИQUALITY OF LIFE«Заявленное качество жизни»: новые перспективы метода оценки качества жизни пациента в клинической медицине«Declared quality of life»: new perspectives for assessing patients’ quality of life in clinical medicinehttps://orcid.org/0009-0008-5684-3935СухоносЮ. А.SukhonosYu. A.

Сухонос Юрий Анатольевич — д. м. н., президент

Санкт-Петербург

Yuriy A. Sukhonos — Dr. Sci (Med.), President

Saint-Petersburg

sukhonos1@yandex.ruhttps://orcid.org/0000-0002-8279-8129НикитинаТ. П.NikitinaT. P.

Никитина Татьяна Павловна — к. м. н., врач-методист отдела мониторинга качества жизни

Санкт-Петербург

Tatiana P. Nikitina — PhD, Cand. Sci. (Med), Public Health Specialist of the Department of Quality of Life Monitoring

Saint-Petersburg

СухоносН. Ю.SukhonosN. Yu.

Сухонос Никодим Юрьевич — курсант 3 курса

Санкт-Петербург

Nikodim Yu. Sukhonos — 3‑year cadet

Saint-Petersburg

https://orcid.org/0000-0002-9431-5286ИоноваТ. И.IonovaT. I.

Ионова Татьяна Ивановна — д. б. н, профессор, руководитель отдела мониторинга качества жизни

Санкт-Петербург

Tatyana I. Ionova — Dr. Sci (Biol.), Professor, Head of the Department of Quality of Life Monitoring

Saint-Petersburg

Ассоциация специалистов и организаций и медицинской сферы деятельности «Серебряный Крест»РоссияThe Association of Specialists and Organizations and the Medical Field of Activity «Silver Cross»Russian FederationКлиника высоких медицинских технологий им. Н. И. Пирогова ФГБОУ ВО «Санкт-петербургский государственный университет»РоссияSaint-Petersburg State University HospitalRussian FederationФГБВОУ ВО «Военно-медицинская академия имени С. М. Кирова»РоссияMilitary Medical Academy named after S. M. KirovRussian Federation202429112024032633Copyright © Сухонос Ю.А., Никитина Т.П., Сухонос Н.Ю., Ионова Т.И., 20242024Сухонос Ю.А., Никитина Т.П., Сухонос Н.Ю., Ионова Т.И.Sukhonos Y.A., Nikitina T.P., Sukhonos N.Y., Ionova T.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinvest.ru/jour/article/view/738

В современных условиях пациентоориентированной медицинской помощи качество жизни пациента является одним из важных критериев комплексной оценки состояния пациента и определения эффективности лечения. В данной статье обсуждаются актуальные методологические аспекты оценки качества жизни и других исходов, сообщаемых пациентом, и сложности интерпретации полученных данных в условиях реальной клинической практики. Представлена новая конценция оценки значимых изменений общего состояния пациента в клинических условиях и предложена новая модель исходов качества жизни до и после лечения. Задекларированы понятия «заявленное качество жизни», «индекс достигнутого качества жизни», «заявленный клинический эффект». Оценка заявленного качества жизни пациента и определение индекса достигнутого качества жизни могут быть использованы в практических целях для реализации принципа пациентоориентированности в клинической медицине.

In modern patient-oriented medical care, quality of life is an important criterion for a comprehensive assessment of the patient's health and evaluation of treatment effectiveness. This article is devoted to the current methodological issues of assessing quality of life and other patient-reported outcomes (PRO) and attempts to reveal the difficulties of interpreting PRO data obtained in real-world clinical practice. A new concept for identifying significant changes in the patient's general health condition in clinical practice is presented, and a new model of quality of life outcomes before and after treatment is considered. The concepts of “declared quality of life”, “index of achieved quality of life” and “declared clinical effect” have been declared. Assessment of the declared quality of life of the patient and determination of the index of the achieved quality of life can be used for practical purposes to implement the principle of patient-oriented care in clinical practice.

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The authors declare that there are no conflicts of interest present.