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 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|
|Persistent URL||dx.doi.org/10.1016/j.pec.2019.09.022, hdl.handle.net/1765/120236|
|Journal||Patient Education and Counseling|
Laureij, L.T. (Lyzette T.), Been, J.V. (Jasper V.), Lugtenberg, M, Ernst-Smelt, H.E. (Hiske E.), Franx, A, Hazelzet, J.A, … Vermolen, J.H. (Jolanda H.). (2019). Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study. Patient Education and Counseling. doi:10.1016/j.pec.2019.09.022