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04. June 2021
The doctors at the Orthopaedics Clinic at Bethesda Hospital, which is run by the University Hospital of Basel, work with the help of a quality system. The so-called PROMS (patient reported outcome measures) is a new form of patient feedback. The University Hospital Basel is a national leader in this field. In this interview, Prof Dr Andreas Müller and PD Dr Dr Yves Acklin explain how this form of quality measurement works and its advantages.
What does the PROMS method involve?
PD Dr Dr Yves Acklin: For PROMS, the patient is asked how the medical intervention has affected various aspects of their quality of life. This serves to check the effect of the treatment.
Are all interventions analysed using this procedure?
Prof Andreas Müller: Practically all treatments at the Orthopaedics Clinic at Bethesda Hospital are examined using this procedure. It doesn't matter whether an operation is performed or not. The focus is on the patient - how successful was the treatment for him or her?
What is measured with these surveys?
Acklin: The survey is based on scientifically validated scores, i.e. internationally recognised criteria that we can use to make reliable statements about quality.
Müller: These are joint-specific questions, such as how severe the pain is or how the patient's mobility is before and after treatment.
«We only operate if the procedure is medically indicated and improves the quality of life.»
What is done with the patient feedback afterwards?
Acklin: We systematically analyse the patient feedback. This allows us to provide objective information at any time as to whether an intervention was justified and whether it was successful as hoped. As the patients complete the questionnaire on a tablet, we can then review the process in a joint discussion and derive further measures if necessary.
What has improved since the introduction of this quality management system?
Müller: With PROMS, we can make better predictions and determine for each patient which treatment will bring the greatest benefit for the patient and whether an operation is really necessary.
How do patients benefit from this?
Müller: By systematically recording and analysing the quality parameters, patients can always be sure that they are receiving the best possible treatment and that an operation will only be performed if it offers effective added value. Another advantage is that we can demonstrate to health insurers that our treatment contributes to improving quality of life.
What consequences does this programme have for doctors?
Acklin: We hold a daily case review with the doctors from all teams, during which we assess all patients. We also use this data, as well as during consultations for objective assessment. They are also used for further training, as we want to pass this culture on to the next generation.
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