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Patient-reported outcome Measures and Orthodontics

Measuring outcomes has long been championed in healthcare research. In recent years, patient-reported outcome measures (PROMs) have been extensively used as a primary means of assessing the outcome of treatment from the perspective of the stakeholder – the patient. However, the focus is now shifting from measuring outcomes exclusively to alsomeasuringexperience (NHSPatient ExperienceFramework 2012). We have all heard the old adage, the journey is more important than the destination, and it seems that this may well be true for healthcare. There is evidence that where patients are partners in their healthcare journey, outcomes are better; from both objective and subjective perspectives (Stewart et al. 2000). Patient-centred care (PCC) is a fundamental concept at the heart of modern healthcare. PCC involves delivering care that takes into account an individual’s needs, preferences, and values (Institute of Medicine 2001). It replaces the traditional paternalistic ‘doctor-knows-best’ approach and has become a priority for the National Health Service in the UK and many other countries (NHS England 2014; World Health Organisation 2015). Communication and information provision are key elements of PCC. There is an emerging body of evidence to suggest that putting patients at the core of their healthcare improves satisfaction, outcomes and, interestingly, may reduce the burden on overstretched public services as patients tend tomakemore conservative choices thanhealthcare professionals (Stewart et al. 2000; Goodrich andCornwell 2008). In this era, where there is an increasing obligation to justify services, the practice of PCC is becoming even more important, as is research investigating this concept. This brings us to the article by Catt and colleagues in this issue of the Journal of Orthodontics investigating ‘Quality of life and communication in orthognathic treatment’ (Catt et al. 2018). It is encouraging to read this timely investigation that explores the relationship between communication (a key element of PCC) and oral health-related quality of life (OH-QoL: a PROM). This was amulti-site cross-sectional questionnaire study carried out in the UK with two aims: