TY - JOUR
T1 - Exploring the applicability of the Pregnancy and Childbirth outcome set: a mixed methods study
AU - Laureij, Lyzette T.
AU - Been, Jasper V.
AU - Lugtenberg, Marjolein
AU - Ernst-Smelt, Hiske E.
AU - Franx, Arie
AU - Hazelzet, Jan. A.
AU - de Groot, Pieter-Kees
AU - Frauenfelder, Odile
AU - Henriquez, Dacia
AU - Ruiter, Marije Lamain-de
AU - Neppelenbroek, Elise
AU - Bijvank, Sebastiaan W.A. Nij
AU - Schaap, Timme
AU - Schagen, Murielle
AU - Veenhof, Marieke
AU - Vermolen, Jolanda H.
PY - 2020/3/1
Y1 - 2020/3/1
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 - http://www.scopus.com/inward/record.url?scp=85073061223&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.pec.2019.09.022
DO - https://doi.org/10.1016/j.pec.2019.09.022
M3 - Article
C2 - 31607633
SN - 0738-3991
VL - 103
SP - 642
EP - 651
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -