166 Chapter 8 the near future we expect results from an ongoing study that compares a patient reported global rating scale 3 months after surgery per complaint with OQUA delta scores of the pre-operative and 3 months post operative OQUA values. Depending on the number of responses and power of the statistics we will start off with general OQUA MIC scores, followed by MIC and if significant, also for different genders and age groups. We have observed that the landscape of PROM implementation presents substantial challenges. Overcoming logistical obstacles and building collaboration and motivation among stakeholders will be crucial to fully realize the potential of the OQUA, expand implementation in other hospitals and its use in shared decisionmaking. We are also preparing a report on the outcomes with several different patient groups (cholesteatoma, otosclerosis and others) to create more evidence and show the potential of an ear-domain specific PROM. This can be used to further motivate the stakeholders, and especially the ENT surgeons, to use the OQUA in daily care. Thankfully at the Amsterdam UMC, we have a dedicated PROM expertise service team to support and share knowledge on implementing PROMs in our EHR system. In the Netherlands, the government actively encourages the implementation of PROMs. There are several National initiatives to stimulate the need for ‘Uitkomstgerichte Zorg,’ translated as outcome-based care. By implementing the OQUA in the Dutch Otology Quality registry could be a first and good step towards this outcome-based care gathering next to clinical outcomes also patient reported outcomes. These initiatives should be led by healthcare professionals, supported by their scientific society and stimulated by the government. The ideal outcome of such a registry is to create an ‘patients-like-me tool’. This is an algorithm-based tool providing the public with reliable, data-driven information presented in a way that personalized information regarding the chances of outcomes of certain interventions can be used in shareddecision consultations. Looking ahead, we believe there is a real need for a shift in how we think about patient care, one where we see each patient as a person with their own values, preferences, and needs, rather than just a diagnosis. Hopefully moving away from a one-sizefits-all approach to something more personalized is essential. This means focusing on the whole person, not just the condition. This thesis and further implementation of the OQUA could be a good start in this transition. Patient-centred, outcome-based care is not just a nice idea; it is a practical step forward that can lead to treatments that are less invasive, more effective, and centred on improving quality of life. Making this shift will mean better care experiences and outcomes for all patients.
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