TY - JOUR
T1 - Exploring the applicability of the pregnancy and childbirth outcome set
T2 - A mixed methods study
AU - Laureij, L.T.
AU - Been, J.V.
AU - Lugtenberg, M.
AU - Ernst-Smelt, H.E.
AU - Franx, A.
AU - Hazelzet, J.A.
AU - de Groot, P.K.
AU - Frauenfelder, O.
AU - Henriquez, D.
AU - Lamain-de Ruiter, M.
AU - Neppelenbroek, E.
AU - Nij Bijvank, S.W.A.
AU - Schaap, T.
AU - Schagen, M.
AU - Veenhof, M.
AU - Vermolen, J.H.
N1 - Publisher Copyright:
© 2019 The Authors
PY - 2020/3
Y1 - 2020/3
N2 - ObjectiveThe International Consortium for Health Outcomes Measurement developed the Pregnancy and Childbirth (PCB) outcome set to improve value-based perinatal care. This set contains clinician-reported outcomes and patient-reported outcomes. We validated the set for use in the Netherlands by exploring its applicability among all end-users prior to implementation. MethodsA mixed-methods design was applied. A survey was performed to assess patients (n = 142), professionals (n = 134) and administrators (n = 35) views on the PCB set. To further explore applicability, separate focus groups were held with representatives of each of these groups. ResultsThe majority of survey participants agreed that the PCB set contains the most important outcomes. Patient-reported experience measures were considered relevant by the majority of participants. Perceived relevance of patient-reported outcome measures varied. Main themes from the focus groups were content of the set, data collection timing, implementation (also IT and transparency), and quality-based governance. ConclusionThis study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care. Practice ImplicationsImplementation of the PCB set may change existing care pathways of perinatal care. Focus on transparency of outcomes is required in order to achieve quality-based governance with proper IT solutions.
AB - ObjectiveThe International Consortium for Health Outcomes Measurement developed the Pregnancy and Childbirth (PCB) outcome set to improve value-based perinatal care. This set contains clinician-reported outcomes and patient-reported outcomes. We validated the set for use in the Netherlands by exploring its applicability among all end-users prior to implementation. MethodsA mixed-methods design was applied. A survey was performed to assess patients (n = 142), professionals (n = 134) and administrators (n = 35) views on the PCB set. To further explore applicability, separate focus groups were held with representatives of each of these groups. ResultsThe majority of survey participants agreed that the PCB set contains the most important outcomes. Patient-reported experience measures were considered relevant by the majority of participants. Perceived relevance of patient-reported outcome measures varied. Main themes from the focus groups were content of the set, data collection timing, implementation (also IT and transparency), and quality-based governance. ConclusionThis study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care. Practice ImplicationsImplementation of the PCB set may change existing care pathways of perinatal care. Focus on transparency of outcomes is required in order to achieve quality-based governance with proper IT solutions.
KW - Mixed methods
KW - Obstetrics
KW - Patient-reported outcomes
KW - Perinatal care
KW - Qualitative research
KW - Quantitative research
KW - Shared decision making
KW - Value-based healthcare
UR - http://www.scopus.com/inward/record.url?scp=85073061223&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.09.022
DO - 10.1016/j.pec.2019.09.022
M3 - Article
C2 - 31607633
AN - SCOPUS:85073061223
SN - 0738-3991
VL - 103
SP - 642
EP - 651
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -