ArticleBMC health services research2014
Validity of a questionnaire measuring the world health organization concept of health system responsiveness with respect to perinatal services in the Dutch obstetric care system.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Women's reported experience of respectful maternity care measures worldwide: a systematic review.BMC public health · 2026Pooled it
- Measuring women's childbirth experiences: a systematic review for identification and analysis of validated instruments.BMC pregnancy and childbirth · 2017Pooled it
- Evaluating women's experiences and satisfaction with labour induction in India: a comparison of the participant generated experience and satisfaction (PaGES) index with standard methods.BMC pregnancy and childbirth · 2025Trial
- Trial
- Article
- Assessing women's perspective of the quality of care of the childbirth experience at a tertiary care hospital in Egypt: An application of the WHO standards-based tool.Journal of public health research · 2025Article
- Migrant women's experience of antenatal care in an urban and rural setting in north and North-West Thailand: A cross sectional survey.Journal of migration and health · 2025Article
- Health System Responsiveness of Rural Health Units in the Cagayan Valley Region: A Cross-sectional Study.Acta medica Philippina · 2025Article
- Article
- Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam.Health policy and planning · 2024Article
- A critical review: developing a birth integrity framework for epidemiological studies through meta-ethnography.BMC women's health · 2023Review
- Article
- Cultural adaptation and psychometric evaluation of Childbirth Experience Questionnaire 2 in Karnataka state, India.PloS one · 2023Article
- Health System Responsiveness for Persons with HIV and Disability in South Western Uganda.HIV/AIDS (Auckland, N.Z.) · 2023Article
- Health system responsiveness and associated factors among outpatients in primary health care facilities in Ethiopia.BMC health services research · 2022Article
- Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.PloS one · 2021Article
- Validation of the Iranian version of the childbirth experience questionnaire 2.0.BMC pregnancy and childbirth · 2019Article
- Assessing the policy and practice impact of an international policy initiative: the State of the World's Midwifery 2014.BMC health services research · 2018Article
- Quality of perinatal care services from the user's perspective: a Dutch study applies the World Health Organization's responsiveness concept.BMC pregnancy and childbirth · 2017Article
- Developing quality indicators for assessing quality of birth centre care: a mixed- methods study.BMC pregnancy and childbirth · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe concept of responsiveness, introduced by the World Health Organization (WHO), addresses non-clinical aspects of health service quality that are relevant regardless of provider, country, health system or health condition. Responsiveness refers to "aspects related to the way individuals are treated and the environment in which they are treated" during health system interactions. This paper assesses the psychometric properties of a newly developed responsiveness questionnaire dedicated to evaluating maternal experiences of perinatal care services, called the Responsiveness in Perinatal and Obstetric Health Care Questionnaire (ReproQ), using the eight-domain WHO concept.
methodsThe ReproQ was developed between October 2009 and February 2010 by adapting the WHO Responsiveness Questionnaire items to the perinatal care context. The psychometric properties of feasibility, construct validity, and discriminative validity were empirically assessed in a sample of Dutch women two weeks post partum.
resultsA total of 171 women consented to participation. Feasibility: the interviews lasted between 20 and 40 minutes and the overall missing rate was 8%. Construct validity: mean Cronbach's alphas for the antenatal, birth and postpartum phase were: 0.73 (range 0.57-0.82), 0.84 (range 0.66-0.92), and 0.87 (range 0.62-0.95) respectively. The item-own scale correlations within all phases were considerably higher than most of the item-other scale correlations. Within the antenatal care, birth care and post partum phases, the eight factors explained 69%, 69%, and 76% of variance respectively. Discriminative validity: overall responsiveness mean sum scores were higher for women whose children were not admitted. This confirmed the hypothesis that dissatisfaction with health outcomes is transferred to their judgement on responsiveness of the perinatal services.
conclusionsThe ReproQ interview-based questionnaire demonstrated satisfactory psychometric properties to describe the quality of perinatal care in the Netherlands, with the potential to discriminate between different levels of quality of care. In view of the relatively small sample, further testing and research is recommended.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.