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

Lyzette T. Laureij; Jasper Been; Marjolein Lugtenberg; Hiske E. Ernst-Smelt; Arie Franx; Jan A. Hazelzet; Pieter-Kees de Groot; Odile Frauenfelder; Dacia Henriquez; Marije Lamain-de Ruiter; Elise Neppelenbroek; Sebastiaan W. A. Nij Bijvank; Timme Schaap; Murielle Schagen; Marieke Veenhof; Jolanda H. Vermolen

doi:10.1016/j.pec.2019.09.022

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

Lyzette T. Laureij^*, Jasper Been, Marjolein Lugtenberg, Hiske E. Ernst-Smelt, Arie Franx, Jan A. Hazelzet, Pieter-Kees de Groot, Odile Frauenfelder, Dacia Henriquez, Marije Lamain-de Ruiter, Elise Neppelenbroek, Sebastiaan W. A. Nij Bijvank, Timme Schaap, Murielle Schagen, Marieke Veenhof, Jolanda H. Vermolen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

22 Citations (Scopus)

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Abstract

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.

Original language	English
Pages (from-to)	642-651
Number of pages	10
Journal	Patient Education and Counseling
Volume	103
Issue number	3
DOIs	https://doi.org/10.1016/j.pec.2019.09.022
Publication status	Published - Mar 2020

Bibliographical note

Funding:
This work was supported by the Netherlands Federation of
University Medical Centers (NFU) [grant number 8392010042].
The NFU had no involvement in study design, data collection,
analysis and interpretation of data, writing the report and decision
to submit the article for publication. JVB is supported by
personal fellowships from Erasmus MC and the Netherlands Lung
Foundation.

Research programs

EMC MGC-02-52-01-A
EMC MM-03-54-04-A
EMC NIHES-02-65-02

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Cite this

Laureij, L. T., Been, J., Lugtenberg, M., Ernst-Smelt, H. E., Franx, A., Hazelzet, J. A., de Groot, P.-K., Frauenfelder, O., Henriquez, D., Lamain-de Ruiter, M., Neppelenbroek, E., Bijvank, S. W. A. N., Schaap, T., Schagen, M., Veenhof, M., & Vermolen, J. H. (2020). Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study. Patient Education and Counseling, 103(3), 642-651. https://doi.org/10.1016/j.pec.2019.09.022

@article{95fdac8e84354c0c870c77c8a814d207,

title = "Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study",

abstract = "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.",

author = "Laureij, {Lyzette T.} and Jasper Been and Marjolein Lugtenberg and Ernst-Smelt, {Hiske E.} and Arie Franx and Hazelzet, {Jan A.} and {de Groot}, Pieter-Kees and Odile Frauenfelder and Dacia Henriquez and {Lamain-de Ruiter}, Marije and Elise Neppelenbroek and Bijvank, {Sebastiaan W. A. Nij} and Timme Schaap and Murielle Schagen and Marieke Veenhof and Vermolen, {Jolanda H.}",

note = "Funding: This work was supported by the Netherlands Federation of University Medical Centers (NFU) [grant number 8392010042]. The NFU had no involvement in study design, data collection, analysis and interpretation of data, writing the report and decision to submit the article for publication. JVB is supported by personal fellowships from Erasmus MC and the Netherlands Lung Foundation.",

year = "2020",

month = mar,

doi = "10.1016/j.pec.2019.09.022",

language = "English",

volume = "103",

pages = "642--651",

journal = "Patient Education and Counseling",

issn = "0738-3991",

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Laureij, LT , Been, J , Lugtenberg, M , Ernst-Smelt, HE , Franx, A , Hazelzet, JA, de Groot, P-K, Frauenfelder, O, Henriquez, D, Lamain-de Ruiter, M, Neppelenbroek, E, Bijvank, SWAN, Schaap, T, Schagen, M, Veenhof, M & Vermolen, JH 2020, 'Exploring the applicability of the pregnancy and childbirth outcome set: A mixed methods study', Patient Education and Counseling, vol. 103, no. 3, pp. 642-651. https://doi.org/10.1016/j.pec.2019.09.022

TY - JOUR

T1 - Exploring the applicability of the pregnancy and childbirth outcome set

T2 - A mixed methods study

AU - Laureij, Lyzette T.

AU - Been, Jasper

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 - Lamain-de Ruiter, Marije

AU - Neppelenbroek, Elise

AU - Bijvank, Sebastiaan W. A. Nij

AU - Schaap, Timme

AU - Schagen, Murielle

AU - Veenhof, Marieke

AU - Vermolen, Jolanda H.

N1 - Funding: This work was supported by the Netherlands Federation of University Medical Centers (NFU) [grant number 8392010042]. The NFU had no involvement in study design, data collection, analysis and interpretation of data, writing the report and decision to submit the article for publication. JVB is supported by personal fellowships from Erasmus MC and the Netherlands Lung Foundation.

PY - 2020/3

Y1 - 2020/3

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. (C) 2019 The Authors. Published by Elsevier B.V.

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

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