Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study

L.T. Laureij; J.V. Been; M. Lugtenberg; H.E. Ernst-Smelt; A. Franx; J.A. Hazelzet; P.K. de Groot; O. Frauenfelder; D. Henriquez; M. Lamain-de Ruiter; E. Neppelenbroek; S.W.A. Nij Bijvank; T. Schaap; M. Schagen; M. Veenhof; J.H. Vermolen

doi:10.1016/j.pec.2019.09.022

Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study

L.T. Laureij^*
, J.V. Been
, M. Lugtenberg
, H.E. Ernst-Smelt
, A. Franx
, J.A. Hazelzet
, P.K. de Groot
, O. Frauenfelder
, D. Henriquez
, M. Lamain-de Ruiter
, E. Neppelenbroek
, S.W.A. Nij Bijvank
, T. Schaap
, M. Schagen
, M. Veenhof
, J.H. Vermolen

^*Corresponding author for this work

Tranzo

Research output: Contribution to journal › Article › Scientific › peer-review

22 Citations (Scopus)

Abstract

Objective
The 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.

Methods
A 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.

Results
The 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.

Conclusion
This study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care.

Practice Implications
Implementation 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.

Original language	English
Pages (from-to)	642-651
Number of pages	10
Journal	Patient Education and Counseling
Volume	103
Issue number	3
DOIs	https://doi.org/10.1016/j.pec.2019.09.022
Publication status	Published - Mar 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Mixed methods
Obstetrics
Patient-reported outcomes
Perinatal care
Qualitative research
Quantitative research
Shared decision making
Value-based healthcare

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10.1016/j.pec.2019.09.022Licence: CC BY-NC-ND

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Laureij, L. T., Been, J. V., Lugtenberg, M., Ernst-Smelt, H. E., Franx, A., Hazelzet, J. A., de Groot, P. K., Frauenfelder, O., Henriquez, D., Lamain-de Ruiter, M., Neppelenbroek, E., Nij Bijvank, S. W. A., Schaap, T., Schagen, M., Veenhof, M., & Vermolen, J. H. (2020). Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study. Patient Education and Counseling, 103(3), 642-651. https://doi.org/10.1016/j.pec.2019.09.022

@article{e031c0df661c4eaa85c3db9a151e19c2,

title = "Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study",

abstract = "Objective The 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. Methods A 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. Results The 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. Conclusion This study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care. Practice Implications Implementation 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.",

keywords = "Mixed methods, Obstetrics, Patient-reported outcomes, Perinatal care, Qualitative research, Quantitative research, Shared decision making, Value-based healthcare",

author = "L.T. Laureij and J.V. Been and M. Lugtenberg and H.E. Ernst-Smelt and A. Franx and J.A. Hazelzet and \{de Groot\}, P.K. and O. Frauenfelder and D. Henriquez and \{Lamain-de Ruiter\}, M. and E. Neppelenbroek and \{Nij Bijvank\}, S.W.A. and T. Schaap and M. Schagen and M. Veenhof and J.H. Vermolen",

note = "Publisher Copyright: {\textcopyright} 2019 The Authors",

year = "2020",

month = mar,

doi = "10.1016/j.pec.2019.09.022",

language = "English",

volume = "103",

pages = "642--651",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

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Laureij, LT, Been, JV, Lugtenberg, M, Ernst-Smelt, HE, Franx, A, Hazelzet, JA, de Groot, PK, Frauenfelder, O, Henriquez, D, Lamain-de Ruiter, M, Neppelenbroek, E, Nij Bijvank, SWA, Schaap, T, Schagen, M, Veenhof, M & Vermolen, JH 2020, 'Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study', Patient Education and Counseling, vol. 103, no. 3, pp. 642-651. https://doi.org/10.1016/j.pec.2019.09.022

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.

PY - 2020/3

Y1 - 2020/3

N2 - Objective The 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. Methods A 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. Results The 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. Conclusion This study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care. Practice Implications Implementation 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 - Objective The 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. Methods A 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. Results The 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. Conclusion This study supports suitability of the PCB outcome set for implementation, evaluation of quality of care and shared decision making in perinatal care. Practice Implications Implementation 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 - https://www.scopus.com/pages/publications/85073061223

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 -

Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study

Abstract

UN SDGs

Keywords

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