ArticleBMC health services research2021
Implementation of a standard outcome set in perinatal care: a qualitative analysis of barriers and facilitators from all stakeholder perspectives.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The acceptability of implementing patient-reported measures in routine maternity care: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2023Pooled it
- Development of patient-reported experience and patient-reported outcome measurement tool for abortion care in Ethiopia: a mixed-method study.Reproductive health · 2026Article
- Care Providers' and Parents' Experiences with Implementing the Conversational Health Literacy Assessment Tool (CHAT)-Maternity-Care in the Netherlands: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2025Article
- The Building Blocks for Successful Hub Implementation for Migrant and Refugee Families and Their Children in the First 2000 Days of Life.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- 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
- Article
- Perinatal Care Measures Are Incomplete If They Do Not Assess The Birth Parent-Infant Dyad As A Whole.Health affairs (Project Hope) · 2023Article
- Woman-Centered Care: Standardized Outcomes Measure.Medicina (Kaunas, Lithuania) · 2023Article
- 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
- 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
- Guiding principles for the implementation of a standardized psychological autopsy to understand and prevent suicide: a stakeholder analysis.Frontiers in psychiatry · 2023Article
- Perinatal Women's Views of Pharmacist-Delivered Perinatal Depression Screening: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Balancing adaptability and standardisation: insights from 27 routinely implemented ICHOM standard sets.BMC health services research · 2022Article
- Implementation barriers and enablers of midwifery group practice for vulnerable women: a qualitative study in a tertiary urban Australian health service.BMC health services research · 2022Article
- Patient-Reported Outcome and Experience Measures in Perinatal Care to Guide Clinical Practice: Prospective Observational Study.Journal of medical Internet research · 2022Observational
- Making the most of audit and feedback to improve diabetes care: a qualitative study of the perspectives of Australian Diabetes Centres.BMC health services research · 2022Article
- Quality Improvement with Outcome Data in Integrated Obstetric Care Networks: Evaluating Collaboration and Learning Across Organizational Boundaries with an Action Research Approach.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundTo improve their quality, healthcare systems are increasingly focused on value delivered to patients. For perinatal care, the International Consortium for Health Outcomes Measurement (ICHOM) proposed a patient-centred outcome set with both clinical and patient-reported measures for pregnancy and childbirth (PCB set). This study aimed to identify factors that affect the implementation of the PCB set at the pre-implementation stage, using the consolidated framework for implementation research (CFIR).
methodsIn this qualitative study, we conducted semi-structured interviews amongst a purposive sample of key stakeholders within an obstetric care network (OCN): 1) patients, 2) perinatal care professionals involved in the full cycle of perinatal care, and 3) policy makers, including hospital managers, administrative staff and health care insurers. While the CFIR guided data capture and structuring, thematic analysis revealed overarching themes that best reflected the barriers and facilitators from different stakeholder perspectives. Within these overarching themes, the CFIR constructs were maintained.
resultsInterviews were conducted with 6 patients, 16 professionals and 5 policy makers. Thematic analysis supported by the CFIR framework identified four main themes: the instrument and its implementation process, use in individual patient care, use in quality improvement, and the context of the OCN. Important barriers included professional workload, data reliability, and interprofessional and interorganizational collaboration. Potential facilitators were the PCB set's direct value in individual care, interprofessional feedback and education, and aligning with existing systems. Prominent variations between stakeholder groups included the expected patient burden, the level of use, transparency of outcomes and the degree of integrated care.
conclusionsThis study clarified critical factors that affect successful implementation of the PCB set in perinatal care. Practice recommendations, suggested at multiple levels, can enable structural patient-centred care improvement and may unite stakeholders towards integrated birth care.
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