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Governmental perspectives on the quality improvement for provision of bone-anchored prostheses
Abstract

Governmental perspectives on the quality improvement for provision of bone-anchored prostheses

Laurent Frossard and Debra Berg
2018 Australian Orthotic Prosthetic Association Congress Proceedings, pp.29-30
Australian Orthotic Prosthetic Association (AOPA) Congress, 2018 (Gold Coast, Australia, 04-Oct-2018–06-Oct-2018)
2018
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https://www.aopa.org.au/documents/item/717View
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Abstract

Human Movement and Sports Science Public Health and Health Services Clinical Sciences
Introduction: Bone-anchored prostheses (BAP) using osseointegrated implant are gaining recognition as a suitable alternative prosthetic attachment particularly for individuals who are unsatisfactorily fitted with socket-suspended prostheses. To date, only the Queensland Artificial Limb Service has established and shared a specific procedure and subsequent health economic evaluations of provision of BAP including cost-effectiveness analysis from governmental perspective.(Frossard et al., 2017b, Frossard et al., 2017a, Frossard et al., 2017c) However, the need for better assessment of the customers' satisfaction has risen as this initial procedure is implemented. The purpose of this study is to determine how the current quality improvement procedure originally designed to assess provision of socket prostheses is also suitable to assess provision of BAP. Method The qualitative appraisal of the suitability of the current quality improvement procedure relied on content analysis of three key surveys completed by customers fitted with socket prosthesis with strong emphasis on identification of items related specifically to the delivery of the whole prosthesis, socket and BAP. Results: All surveys combined, a total of 42%, 27%, 23%, 6% and 2% out of 125 possible answers related to administration of survey, appraisal of service provider as well as the quality of the delivery of prosthesis, socket and BAP, respectively. Discussion: This study showed that only 2% of the current quality improvement procedure is solely relevant to customers fitted with BAP. Approximately, 69% and 6% of the procedure are possibly transferable and unsuitable to BAP-specific procedure, respectively. Conclusion: This study showed the limited adaptability of current typical quality improvement procedure to assess delivery of BAP. Altogether, this diagnostic study is an initial stepping stone in the design of BAP-specific quality improvement procedures.

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