Exploring the applicability of the Pregnancy and Childbirth outcome set: a mixed methods study

Lyzette T. Laureij, Jasper V. 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

Research output: Contribution to journalArticleAcademicpeer-review


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.

Original languageEnglish
Pages (from-to)642-651
Number of pages10
JournalPatient Education and Counseling
Issue number3
Early online date26 Sep 2019
Publication statusPublished - 1 Mar 2020
Externally publishedYes

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