Women’s experiences with using patient-reported outcome and experience measures in routine perinatal care in the Netherlands: a mixed-methods study

Objectives To gain insight into the experiences of women with completing and discussing patient-reported outcome measures (PROM) and patient-reported experience measures (PREM), and tailoring their care based on their outcomes.Design A mixed-methods prospective cohort study.Setting Seven obstetric care networks in the Netherlands that implemented a set of patient-centred outcome measures for pregnancy and childbirth (PCB set), published by the International Consortium for Health Outcomes Measurement.Participants All women, receiving the PROM and PREM questionnaires as part of their routine per... Mehr ...

Verfasser: Arie Franx
Mireille N Bekker
Jelle Baalman
Hilmar H Bijma
Lyzette T Laureij
Jan Antonius Hazelzet
Marije Lamain-de Ruiter
Anne L Depla
Shariva S Kariman
Hiske E Ernst -Smelt
Jolanda H Vermolen
Simone A Vankan-Buitelaar
Monique Klerkx
Pieter-Kees de Groot
Nikkie Koper
Bas van Rijn
Elise Neppelenbroek
Sebastiaan W.A. Nij Bijvank
Marieke Veenhof
Margo Lutke Holzik
Josien Vrielink-Braakman
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Reihe/Periodikum: BMJ Open, Vol 13, Iss 3 (2023)
Verlag/Hrsg.: BMJ Publishing Group
Schlagwörter: Medicine / R
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27581561
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.1136/bmjopen-2022-064452

Objectives To gain insight into the experiences of women with completing and discussing patient-reported outcome measures (PROM) and patient-reported experience measures (PREM), and tailoring their care based on their outcomes.Design A mixed-methods prospective cohort study.Setting Seven obstetric care networks in the Netherlands that implemented a set of patient-centred outcome measures for pregnancy and childbirth (PCB set), published by the International Consortium for Health Outcomes Measurement.Participants All women, receiving the PROM and PREM questionnaires as part of their routine perinatal care, received an invitation for a survey (n=460) and an interview (n=16). The results of the survey were analysed using descriptive statistics; thematic inductive content analysis was applied on the data from open text answers and the interviews.Results More than half of the survey participants (n=255) felt the need to discuss the outcomes of PROM and PREM with their care professionals. The time spent on completing questionnaires and the comprehensiveness of the questions was scored ‘good’ by most of the survey participants. From the interviews, four main themes were identified: content of the PROM and PREM questionnaires, application of these outcomes in perinatal care, discussing PREM and data capture tool. Important facilitators included awareness of health status, receiving personalised care based on their outcomes and the relevance of discussing PREM 6 months post partum. Barriers were found in insufficient information about the goal of PROM and PREM for individual care, technical problems in data capture tools and discrepancy between the questionnaire topics and the care pathway.Conclusions This study showed that women found the PCB set an acceptable and useful instrument for symptom detection and personalised care up until 6 months post partum. This patient evaluation of the PCB set has several implications for practice regarding the questionnaire content, role of care professionals and congruity with care ...