Development and Measurement of Guidelines-Based Quality Indicators of Caesarean Section Care in the Netherlands: A RAND-Modified Delphi Procedure and Retrospective Medical Chart Review
| Autor: | Jeroen van Dillen, Mariëlle G. van Pampus, Sonja Melman, Wilbert A. Spaans, Karin de Boer, Det van Dijk, Ellen Schoorel, Hubertina C.J. Scheepers, Rosella P.M.G. Hermens, Henriëtte Burggraaf, Luc J.M. Smits, Wim van Wijngaarden, Tom H.M. Hasaart, Christine Willekes, Jan Derks, Maurice G.A.J. Wouters, Alieke de Roon-Immerzeel, Anneke Kwee, Jos van Roosmalen, Sander M. J. van Kuijk, E. Smid-Koopman, Jan G. Nijhuis, Diny G.E. Kolkman, Harry Visser, Anjoke J.M. Huisjes, Carmen D. Dirksen, Johannes J. Duvekot, Ben W.J. Mol, Arie Franx, Frans J.M.E. Roumen |
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| Přispěvatelé: | APH - Amsterdam Public Health, Obstetrics and Gynaecology, Obstetrics & Gynecology, Cardiology, ICaR - Heartfailure and pulmonary arterial hypertension, Ethics, Law & Medical humanities, EMGO - Quality of care, Obstetrics and gynaecology, Promovendi ODB, Obstetrie & Gynaecologie, MUMC+: MA Arts Assistenten Obstetrie Gynaecologie (9), Health Services Research, MUMC+: KIO Kemta (9), Epidemiologie, RS: CAPHRI - R5 - Optimising Patient Care, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), RS: GROW - R4 - Reproductive and Perinatal Medicine, MUMC+: MA Obstetrie Gynaecologie (3), RS: CAPHRI - R2 - Creating Value-Based Health Care |
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Delphi Technique medicine.medical_treatment Delphi method Psychological intervention lcsh:Medicine Guidelines as Topic Research Support DELIVERY 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Health care Journal Article Fetal distress Humans Medicine VAGINAL BIRTH Caesarean section RATES 030212 general & internal medicine Non-U.S. Gov't lcsh:Science REDUCE Netherlands 030219 obstetrics & reproductive medicine Multidisciplinary Cesarean Section business.industry Vaginal delivery Research Support Non-U.S. Gov't Medical record Other Research Radboud Institute for Health Sciences [Radboudumc 0] lcsh:R medicine.disease TRENDS Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] 3. Good health Multicenter Study Family medicine HEALTH-CARE Female lcsh:Q Guideline Adherence business Research Article INTERVENTIONS |
| Zdroj: | PLoS ONE, 11(1). Public Library of Science PLoS ONE, Vol 11, Iss 1, p e0145771 (2016) PLoS One (print), 11(1). Public Library of Science PLoS ONE, 11(1):e0145771. Public Library of Science PLOS ONE, 11(1):e0145771. Public Library of Science PLoS One, 11 PLoS One, 11, 1 Melman, S, Schoorel, E C N, De Boer, K, Burggraaf, H, Derks, J B, Van Dijk, D, Van Dillen, J, Dirksen, C D, Duvekot, J J, Franx, A, Hasaart, T H M, Huisjes, A J M, Kolkman, D, Van Kuijk, S, Kwee, A, Mol, B W, Van Pampus, M G, De Roon-Immerzeel, A, Van Roosmalen, J J M, Roumen, F J M E, Smid-Koopman, E, Smits, L, Spaans, W A, Visser, H, Van Wijngaarden, W J, Willekes, C, Wouters, M G A J, Nijhuis, J G, Hermens, R P M G & Scheepers, H C J 2016, ' Development and measurement of guidelines-based quality indicators of caesarean section care in the Netherlands : A RAND-modified delphi procedure and retrospective medical chart review ', PLoS ONE, vol. 11, no. 1, e0145771 . https://doi.org/10.1371/journal.pone.0145771 PLoS ONE [E], 11(1). Public Library of Science PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0145771 |
| Popis: | Contains fulltext : 172293.PDF (Publisher’s version ) (Open Access) BACKGROUND: There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined. This study aimed to develop and measure quality indicators to determine guideline adherence and identify target groups for improvement of care with direct effect on caesarean section (CS) rates. METHOD: Eighteen obstetricians and midwives participated in an expert panel for systematic CS quality indicator development according to the RAND-modified Delphi method. A multi-center study was performed and medical charts of 1024 women with a CS and a stratified and weighted randomly selected group of 1036 women with a vaginal delivery were analysed. Quality indicator frequency and adherence were scored in 2060 women with a CS or vaginal delivery. RESULTS: The expert panel developed 16 indicators on planned CS and 11 indicators on unplanned CS. Indicator adherence was calculated, defined as the number of women in a specific obstetrical situation in which care was performed as recommended in both planned and unplanned CS settings. The most frequently occurring obstetrical situations with low indicator adherence were: 1) suspected fetal distress (frequency 17%, adherence 46%), 2) non-progressive labour (frequency 12%, CS performed too early in over 75%), 3) continuous support during labour (frequency 88%, adherence 37%) and 4) previous CS (frequency 12%), with adequate counselling in 15%. CONCLUSIONS: We identified four concrete target groups for improvement of obstetrical care, which can be used as a starting point to reduce CS rates worldwide. |
| Databáze: | OpenAIRE |
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