The software

SKEZI® is a tool to collect PROMs/PREMs specifically designed for clinical research and healthcare systems evaluation

PROMs (Patient-Reported Outcome Measures )are outcomes in which patient report. For instance :

  • Quality of life by EQ-5D or  AQoL
  • Symptoms like pain (NPRS), or fatigue (FSS)
  • Distress and depression (K10, PHQ2) or anxiety (GAD7)
  • Functional capacity by WHODAS 2.0 or ODI
  • L’évaluation de sa propre efficacité par GSE

PREMs(Patient-Reported Experience measures) are refer to experiences reported by patients. They provide insight into the experience of patients in the healthcare system.

Exemple :

  • Time spent while waiting before seeing a doctor
  • Access to facilities (distance to reach a facility, time to find the right doctor…)
  • Involvement (patient and caregiver) in decision-making
  • Quality of communication

Physicians rely on many clinical measures to care for their patients: height, weight, blood pressure, laboratory or radiological values, etc. However, for some parameters, the most reliable information comes directly from the point of view of the patients: quality of life, pain felt by the patient, etc., for instance.

For these parameters, physicians will often have an inaccurate representation of the patient's experience. It is therefore necessary to use measurements directly reported by patients.

In research, PROMs/PREMs allow to take into account the experience of patients in the evaluation of treatments.

Au niveau des établissements de soins, les PROMs/PREMs permettent de tenir compte du vécu des patients dans l’évaluation et l’amélioration de la qualité des soins.

And for public health policy makers, PROMs/PREMs allow patients' point of view to be taken into account in public health actions.

An epidemiological cohort is a medical approach that allows to follow a certain number of people and the evolution of their health over time.

In theory, a cohort is the best way to study the role of environmental agents (diet, physical exercise, exposure to chemical agents, air pollution, etc.) when it comes to human health.

A distinction is made between patient cohorts and general population cohorts: :

  • A cohort of patients consists of monitoring people with the same disease.These cohorts allow the depiction of the natural history of the disease (treatment in the population of interest, prevalence of complications, etc.).
  • A cohort in the general population consists of the longitudinal follow-up of persons chosen independently of their state of health. The main focus is to study factors that increase the risk of developing diseases.

Today, the voice of the patient is still little taken into account in assessing the quality of care.

In France, the system e-Satis allows a collection of the quality perceived by patients (i.e. PREMs). It has been implemented since 2016 by the Haute Autorité de Santé, with patients who have been hospitalized. Indicators of e-Satis primarily measure patient satisfaction and experience. They do not measure clinical outcomes or the perceived health of patients.

Outside of France, there are international initiatives such as ICHOM (International Consortium for Health Outcomes Measurement) that work to capture the voice of patients in the assessment of quality of care.

Finally,OCDE has also carried out a major initiative PaRIS (Patient-reported Indicators Survey) aimed at collecting PROMs and PREMs in 19 countries in order to be able to carry out international comparisons.

What SKEZI does

You can create questionnaires to collect PROMs and PREMS on a very simple and 100% customizable way

You totally chose the way participants will be followed up, depending on your criteria (their diseases, treatment, seriousness, for instance)

You can randomize patients and run nested trials into the cohort

Manages tickets from participant

You can propose several studies within your cohort; each participant will chose which one to participate; you’ll be then able to manage all the consent forms on a dynamic way

Sends reminders by text message and/or e-mail (on specific date, with specific recurrence)

Monitors projects via the back-office (inclusions, descriptives stats, ...)

Generates databases you can directly use with its library of variables

SKEZI®, the services that make the difference

Development of specific modules

Our team of developers will provide you with the specific modules that meet your needs.

Accreditation for hosting health data

Our solution offers cloud , private, secure (HDS certified) hosting, compliant with regulatory obligations (RGPD, not subject to the CLOUD Act ) and efficient with an availability rate of 99 , 9%.

Methodology supervised by academics

Our team of scientists joins forces with the best academics to provide you with the evidences that are valuable to all stakeholders and all authorities.

Secure and efficient, SKEZI is a web platform
customizable and modular that adapts to all your projects.