This thesis focuses on the development and validation, the determination of discriminative power, and the implementation and application for quality improvement of ReproQ, a questionnaire of client experiences in maternity care. The ReproQ evaluates the responsiveness of the Dutch maternity care system, in which responsiveness is defined as the way a client is treated by the professional and the environment in which the client is treated from the client’s perspective. This thesis shows that the ReproQ is a valid and efficient measure of client experiences in maternity care, that has the ability to discriminate well across perinatal units, and is suitable for benchmarking under routine conditions.

Additional Metadata
Keywords Maternity Care, Responsiveness, Quality improvement, Questionnaire development
Promotor G.J. Bonsel (Gouke) , A. Franx (Arie) , H.F. van Stel (Henk) , E. Birnie (Erwin)
Publisher Erasmus University Rotterdam
ISBN 978-94-028-1523-8
Persistent URL
Scheerhagen, M. (2019, June 5). Performance of Maternity Care from the Client's Perspective: Development and Application of the ReproQuestionnaire. Erasmus University Rotterdam. Retrieved from