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

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 expl...

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Veröffentlicht in:Patient Education and Counseling 2020-03, Vol.103 (3), p.642-651
Hauptverfasser: Laureij, L.T., Been, J.V., Lugtenberg, M., Ernst-Smelt, H.E., Franx, A., Hazelzet, J.A., Groot, P.K. de, Frauenfelder, O., Henriquez, D., Lamain-de Ruiter, M., Neppelenbroek, E., Bijvank, S.W.A.N., Schaap, T., Schagen, M., Veenhof, M., Vermolen, J.H.
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Sprache:eng
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Zusammenfassung: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. (C) 2019 The Authors. Published by Elsevier B.V.
DOI:10.1016/j.pec.2019.09.022