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

Lyzette T Laureij1, Jasper V Been2, Marjolein Lugtenberg3

  • 1Department of Obstetrics and Gynecology, Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, the Netherlands.

Patient Education and Counseling
|October 15, 2019
PubMed

Insights

The Pregnancy and Childbirth (PCB) outcome set is suitable for Dutch perinatal care, enhancing quality evaluation and shared decision-making. Implementation requires focus on transparency and IT solutions for effective quality-based governance.

Area of Science:

  • Perinatal Health Outcomes Research
  • Value-Based Healthcare Implementation
  • Patient-Reported Outcome Measures (PROMs)

Background:

  • The International Consortium for Health Outcomes Measurement developed the Pregnancy and Childbirth (PCB) outcome set.
  • The PCB set aims to improve value-based perinatal care by including clinician-reported and patient-reported outcomes.
  • Validation in the Netherlands was necessary to assess applicability before widespread implementation.

Purpose of the Study:

  • To validate the Pregnancy and Childbirth (PCB) outcome set for use in the Netherlands.
  • To explore the applicability of the PCB set among all end-users, including patients, professionals, and administrators.
  • To assess the relevance and potential impact of the PCB set on perinatal care.

Main Methods:

  • A mixed-methods design was employed, combining surveys and focus groups.
  • Surveys assessed the views of 142 patients, 134 professionals, and 35 administrators on the PCB set.
  • Focus groups were conducted with representatives from each user group to further explore applicability and implementation challenges.

Main Results:

  • A majority of participants found the PCB set relevant, particularly patient-reported experience measures.
  • Perceived relevance of patient-reported outcome measures varied among participants.
  • Key themes from focus groups included set content, data collection timing, IT and transparency in implementation, and quality-based governance.

Conclusions:

  • The study supports the suitability of the PCB outcome set for implementation in Dutch perinatal care.
  • The PCB set can be used for evaluating the quality of care and facilitating shared decision-making.
  • Successful implementation necessitates a focus on outcome transparency and appropriate IT solutions for quality-based governance.
Abstract

Keywords:
Mixed methodsObstetricsPatient-reported outcomesPerinatal careQualitative researchQuantitative researchShared decision makingValue-based healthcare

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