Matches in SemOpenAlex for { <https://semopenalex.org/work/W4283835824> ?p ?o ?g. }
- W4283835824 endingPage "e37725" @default.
- W4283835824 startingPage "e37725" @default.
- W4283835824 abstract "Background The International Consortium for Health Outcomes Measurement has published a set of patient-centered outcome measures for pregnancy and childbirth (PCB set), including patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs). To establish value-based pregnancy and childbirth care, the PCB set was implemented in the Netherlands, using the outcomes on the patient level for shared decision-making and on an aggregated level for quality improvement. Objective This study aims to report first outcomes, experiences, and practice insights of implementing the PCB set in clinical practice. Methods In total, 7 obstetric care networks across the Netherlands, each consisting of 1 or 2 hospitals and multiple community midwifery practices (ranging in number from 2 to 18), implemented the PROM and PREM domains of the PCB set as part of clinical routine. This observational study included all women participating in the clinical project. PROMs and PREMs were assessed with questionnaires at 5 time points: 2 during pregnancy and 3 post partum. Clinical threshold values (alerts) supported care professionals interpreting the answers, indicating possibly alarming outcomes per domain. Data collection took place from February 2020 to September 2021. Data analysis included missing (pattern) analysis, sum scores, alert rates, and sensitivity analysis. Results In total, 1923 questionnaires were collected across the 5 time points: 816 (42.43%) at T1 (first trimester), 793 (41.23%) at T2 (early third trimester), 125 (6.5%) at T3 (maternity week), 170 (8.84%) at T4 (6 weeks post partum), and 19 (1%) at T5 (6 months post partum). Of these, 84% (1615/1923) were filled out completely. Missing items per domain ranged from 0% to 13%, with the highest missing rates for depression, pain with intercourse, and experience with pain relief at birth. No notable missing patterns were found. For the PROM domains, relatively high alert rates were found both in pregnancy and post partum for incontinence (469/1798, 26.08%), pain with intercourse (229/1005, 22.79%), breastfeeding self-efficacy (175/765, 22.88%), and mother-child bonding (122/288, 42.36%). Regarding the PREM domains, the highest alert rates were found for birth experience (37/170, 21.76%), shared decision-making (101/982, 10.29%), and discussing pain relief ante partum (310/793, 39.09%). Some domains showed very little clinical variation; for example, role of the mother and satisfaction with care. Conclusions The PCB set is a useful tool to assess patient-reported outcomes and experiences that need to be addressed over the whole course of pregnancy and childbirth. Our results provide opportunities to improve and personalize perinatal care. Furthermore, we could propose several recommendations regarding methods and timeline of measurements based on our findings. This study supports the implementation of the PCB set in clinical practice, thereby advancing the transformation toward patient-centered, value-based health care for pregnancy and childbirth." @default.
- W4283835824 created "2022-07-07" @default.
- W4283835824 creator A5010107841 @default.
- W4283835824 creator A5032824722 @default.
- W4283835824 creator A5039654436 @default.
- W4283835824 creator A5042172716 @default.
- W4283835824 creator A5046720735 @default.
- W4283835824 creator A5059947147 @default.
- W4283835824 creator A5084426067 @default.
- W4283835824 creator A9999999999 @default.
- W4283835824 date "2022-07-05" @default.
- W4283835824 modified "2023-09-30" @default.
- W4283835824 title "Patient-Reported Outcome and Experience Measures in Perinatal Care to Guide Clinical Practice: Prospective Observational Study" @default.
- W4283835824 cites W1792411535 @default.
- W4283835824 cites W1976804387 @default.
- W4283835824 cites W1977471139 @default.
- W4283835824 cites W2031397176 @default.
- W4283835824 cites W2040040787 @default.
- W4283835824 cites W2084728935 @default.
- W4283835824 cites W2123440054 @default.
- W4283835824 cites W2134120055 @default.
- W4283835824 cites W2314744763 @default.
- W4283835824 cites W2462238286 @default.
- W4283835824 cites W2573136390 @default.
- W4283835824 cites W2599076725 @default.
- W4283835824 cites W2755547839 @default.
- W4283835824 cites W2788856945 @default.
- W4283835824 cites W2803984570 @default.
- W4283835824 cites W2883096813 @default.
- W4283835824 cites W2889300239 @default.
- W4283835824 cites W2894826729 @default.
- W4283835824 cites W2901055277 @default.
- W4283835824 cites W2914679537 @default.
- W4283835824 cites W2956143219 @default.
- W4283835824 cites W2971149550 @default.
- W4283835824 cites W2976678303 @default.
- W4283835824 cites W2980220738 @default.
- W4283835824 cites W2980837889 @default.
- W4283835824 cites W2981794290 @default.
- W4283835824 cites W2995985271 @default.
- W4283835824 cites W3015251686 @default.
- W4283835824 cites W3022127197 @default.
- W4283835824 cites W3037947661 @default.
- W4283835824 cites W3084849168 @default.
- W4283835824 cites W3111639358 @default.
- W4283835824 cites W3120851222 @default.
- W4283835824 cites W3126742349 @default.
- W4283835824 cites W3181277716 @default.
- W4283835824 cites W3188912472 @default.
- W4283835824 cites W4294116629 @default.
- W4283835824 doi "https://doi.org/10.2196/37725" @default.
- W4283835824 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35787519" @default.
- W4283835824 hasPublicationYear "2022" @default.
- W4283835824 type Work @default.
- W4283835824 citedByCount "7" @default.
- W4283835824 countsByYear W42838358242022 @default.
- W4283835824 countsByYear W42838358242023 @default.
- W4283835824 crossrefType "journal-article" @default.
- W4283835824 hasAuthorship W4283835824A5010107841 @default.
- W4283835824 hasAuthorship W4283835824A5032824722 @default.
- W4283835824 hasAuthorship W4283835824A5039654436 @default.
- W4283835824 hasAuthorship W4283835824A5042172716 @default.
- W4283835824 hasAuthorship W4283835824A5046720735 @default.
- W4283835824 hasAuthorship W4283835824A5059947147 @default.
- W4283835824 hasAuthorship W4283835824A5084426067 @default.
- W4283835824 hasAuthorship W4283835824A9999999999 @default.
- W4283835824 hasBestOaLocation W42838358241 @default.
- W4283835824 hasConcept C131872663 @default.
- W4283835824 hasConcept C142724271 @default.
- W4283835824 hasConcept C160735492 @default.
- W4283835824 hasConcept C162324750 @default.
- W4283835824 hasConcept C23131810 @default.
- W4283835824 hasConcept C2777364248 @default.
- W4283835824 hasConcept C2779234561 @default.
- W4283835824 hasConcept C2779703513 @default.
- W4283835824 hasConcept C50522688 @default.
- W4283835824 hasConcept C512399662 @default.
- W4283835824 hasConcept C54355233 @default.
- W4283835824 hasConcept C71924100 @default.
- W4283835824 hasConcept C86803240 @default.
- W4283835824 hasConceptScore W4283835824C131872663 @default.
- W4283835824 hasConceptScore W4283835824C142724271 @default.
- W4283835824 hasConceptScore W4283835824C160735492 @default.
- W4283835824 hasConceptScore W4283835824C162324750 @default.
- W4283835824 hasConceptScore W4283835824C23131810 @default.
- W4283835824 hasConceptScore W4283835824C2777364248 @default.
- W4283835824 hasConceptScore W4283835824C2779234561 @default.
- W4283835824 hasConceptScore W4283835824C2779703513 @default.
- W4283835824 hasConceptScore W4283835824C50522688 @default.
- W4283835824 hasConceptScore W4283835824C512399662 @default.
- W4283835824 hasConceptScore W4283835824C54355233 @default.
- W4283835824 hasConceptScore W4283835824C71924100 @default.
- W4283835824 hasConceptScore W4283835824C86803240 @default.
- W4283835824 hasIssue "7" @default.
- W4283835824 hasLocation W42838358241 @default.
- W4283835824 hasLocation W42838358242 @default.
- W4283835824 hasLocation W42838358243 @default.
- W4283835824 hasLocation W42838358244 @default.