Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal

Autor: Rachel Thompson, Irwin Reiss, Elliott K. Main, J Ravichandran R Jeganathan, Stephanie C. Wissig, Elizabeth Olson, Isis Amer-Wåhlin, Meridith E. Greene, Marije Lamain-de-Ruiter, Floris Groenendaal, Gouke J. Bonsel, Tracy Flanagan, Allyson Brooks, Shamala Devi Karalasingam, Oluwakemi Okunade, Matthew Coleman, Malini A. Nijagal, James Duffy, Arie Franx, Caleb Stowell, Carol Sakala, Stefan Gebhardt, Anna Maria Speciale, Tessa Kowaliw, Rod Petersen, Michelle Y. Owens
Přispěvatelé: Obstetrics & Gynecology, Pediatrics
Jazyk: angličtina
Rok vydání: 2018
Předmět:
medicine.medical_specialty
DELPHI process
Consensus
Patient-reported
Perinatalhealth
Health informatics
Outcome measures
Health administration
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Risk Factors
Pregnancy
Health care
Outcome Assessment
Health Care
Journal Article
Medicine
Childbirth
Humans
030212 general & internal medicine
Patient Reported Outcome Measures
030219 obstetrics & reproductive medicine
business.industry
Health Policy
Public health
Nursing research
lcsh:Public aspects of medicine
Infant
Newborn
Pregnancy Outcome
Infant
lcsh:RA1-1270
Health outcomes
Delivery outcomes
Delivery
Obstetric
Perinatal health
Mother-Child Relations
Obstetrics
Perinatal Care
Family medicine
Quality of Life
Premature Birth
Female
business
Patient-centred outcomes
Delivery of Health Care
Postpartum period
Research Article
Zdroj: BMC Health Services Research, Vol 18, Iss 1, Pp 1-12 (2018)
Bmc Health Services Research, 18:953. BioMed Central Ltd.
BMC Health Services Research, 18(1). BioMed Central
BMC Health Services Research
ISSN: 1472-6963
Popis: Background Value-based health care aims to optimize the balance of patient outcomes and health care costs. To improve value in perinatal care using this strategy, standard outcomes must first be defined. The objective of this work was to define a minimum, internationally appropriate set of outcome measures for evaluating and improving perinatal care with a focus on outcomes that matter to women and their families. Methods An interdisciplinary and international Working Group was assembled. Existing literature and current measurement initiatives were reviewed. Serial guided discussions and validation surveys provided consumer input. A series of nine teleconferences, incorporating a modified Delphi process, were held to reach consensus on the proposed Standard Set. Results The Working Group selected 24 outcome measures to evaluate care during pregnancy and up to 6 months postpartum. These include clinical outcomes such as maternal and neonatal mortality and morbidity, stillbirth, preterm birth, birth injury and patient-reported outcome measures (PROMs) that assess health-related quality of life (HRQoL), mental health, mother-infant bonding, confidence and success with breastfeeding, incontinence, and satisfaction with care and birth experience. To support analysis of these outcome measures, pertinent baseline characteristics and risk factor metrics were also defined. Conclusions We propose a set of outcome measures for evaluating the care that women and infants receive during pregnancy and the postpartum period. While validation and refinement via pilot implementation projects are needed, we view this as an important initial step towards value-based improvements in care. Electronic supplementary material The online version of this article (10.1186/s12913-018-3732-3) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje