ArticleHealth science reports2020
A feasibility study of implementing a patient-centered outcome set for pregnancy and childbirth.
Article in Health science reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The acceptability of implementing patient-reported measures in routine maternity care: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2023Pooled it
- The immaturity of patient engagement in value-based healthcare-A systematic review.Frontiers in public health · 2023Pooled it
- The impact of implementing patient-reported measures in routine maternity care: a systematic review.Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Effectiveness of registered nurses on patient outcomes in primary care: a systematic review.BMC health services research · 2022Pooled it
- Development of patient-reported experience and patient-reported outcome measurement tool for abortion care in Ethiopia: a mixed-method study.Reproductive health · 2026Article
- Patient education on PROM completion in clinical care settings: a scoping review.Journal of patient-reported outcomes · 2026Article
- Article
- Patient-Reported Outcome Measures in Fetal Medicine: A Pilot Feasibility Study.Prenatal diagnosis · 2025Article
- Article
- First Experiences of Patients and Healthcare Professionals with Routine Use of Patient-Reported Outcome Measures for Venous Thromboembolism.TH open : companion journal to thrombosis and haemostasis · 2025Article
- Roles of different organizations in implementing patient-reported measures in routine maternity care in Finland.Journal of patient-reported outcomes · 2024Article
- Introducing standard patient-reported measures (PRMs) into routine maternity care: A pre-implementation qualitative study on women's perspectives in Finland.BMC health services research · 2023Article
- Does value-based healthcare support patient-centred care? A scoping review of the evidence.BMJ open · 2023Article
- Article
- PROMs and PREMs in routine perinatal care: mixed methods evaluation of their implementation into integrated obstetric care networks.Journal of patient-reported outcomes · 2023Article
- Patient-reported outcome and experience measures for quality improvement in pregnancy and childbirth care: a retrospective cohort study.BMJ open quality · 2023Article
- Patient-Reported Outcome and Experience Measures in Perinatal Care to Guide Clinical Practice: Prospective Observational Study.Journal of medical Internet research · 2022Observational
- Patient journey during and after a pre-eclampsia-complicated pregnancy: a cross-sectional patient registry study.BMJ open · 2022Observational
- A qualitative study on professionals' attitudes and views towards the introduction of patient reported measures into public maternity care pathway.BMC health services research · 2021Article
- A feasibility study of implementing a patient-centered outcome set for pregnancy and childbirth.Health science reports · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsPatient-reported outcome and experience measures (PROM and PREM) can facilitate shared decision making and hold potential to improve healthcare quality. However, their adoption in perinatal care is still limited. The International Consortium for Health Outcomes Measurement (ICHOM) developed a Pregnancy and Childbirth (PCB) outcome set, including PROM and PREM questionnaires. We studied the feasibility to use these PROMs/PREMs in Dutch perinatal care, addressing both women's and professionals' perspective.
methodsPatients and professionals in primary and hospital care participated. Women under care at one of five timepoints for PROM/PREM collection of the PCB set (2 during pregnancy, 3 postpartum) were e-mailed a questionnaire and discussed their answers with their obstetric professional the next regular visit. Compliance was recorded. After discussing the PROMs/PREMs, usability and experience were assessed with separate surveys amongst women and professionals.
resultsOf 26 women approached, 21 completed and discussed their PROM/PREM questionnaire. Mean questionnaire completion rate was 97%. Average reported time completing the questionnaires was 10 minutes; most women (90%) stated this was acceptable. Women preferred completing questionnaires digitally and discuss their answers with an obstetric professional rather than other care professionals, also 6 months postpartum. Over half of women agreed PROMs/PREMs supported shared decision making (58%), ability to raise issues (60%), and patient-clinician relationship (52%). Six professionals participated: two obstetricians, two clinical midwives, and two community midwives. Most professionals experienced sufficient time to discuss the responses, except at 6 months postpartum. They knew what items to discuss but did not always feel responsible to act upon them. Professionals agreed PROMs/PREMs supported symptom detection and personalized care.
conclusionsPatients and obstetric professionals consider the PCB set a feasible instrument for PROM/PREM assessment, with good compliance, acceptability and usability. Important determinants of successful implementation are a well-equipped ICT-tool, agreements regarding professionals' responsibilities and how outcomes are discussed or acted upon.
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