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    Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal

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    Author
    Nijagal, M.A.
    Wissig, S.
    Stowell, C.
    Date
    2018
    Journal
    BMC Health Services Research
    Publisher
    BioMed Central Ltd.
    Type
    Article
    
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    See at
    https://dx.doi.org/10.1186/s12913-018-3732-3
    Abstract
    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. Copyright 2018 The Author(s).
    Sponsors
    This work was supported by the generous donations of the HCF Research Foundation, SA Health, Karolinska University Hospital, and Hoag Hospital.
    Keyword
    Consensus
    Delivery outcomes
    DELPHI process
    Health outcomes
    Obstetrics
    Outcome measures
    Patient-centred outcomes
    Patient-reported
    Perinatal health
    Pregnancy
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058346191&doi=10.1186%2fs12913-018-3732-3&partnerID=40&md5=f9e48000d819da3a3376ed114b323f6b; http://hdl.handle.net/10713/9756
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12913-018-3732-3
    Scopus Count
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    UMB Open Access Articles 2018

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