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dc.contributor.authorNijagal, M.A.
dc.contributor.authorWissig, S.
dc.contributor.authorStowell, C.
dc.date.accessioned2019-06-21T18:46:31Z
dc.date.available2019-06-21T18:46:31Z
dc.date.issued2018
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85058346191&doi=10.1186%2fs12913-018-3732-3&partnerID=40&md5=f9e48000d819da3a3376ed114b323f6b
dc.identifier.urihttp://hdl.handle.net/10713/9756
dc.description.abstractBackground: 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).en_US
dc.description.sponsorshipThis work was supported by the generous donations of the HCF Research Foundation, SA Health, Karolinska University Hospital, and Hoag Hospital.en_US
dc.description.urihttps://dx.doi.org/10.1186/s12913-018-3732-3en_US
dc.language.isoen-USen_US
dc.publisherBioMed Central Ltd.en_US
dc.relation.ispartofBMC Health Services Research
dc.subjectConsensusen_US
dc.subjectDelivery outcomesen_US
dc.subjectDELPHI processen_US
dc.subjectHealth outcomesen_US
dc.subjectObstetricsen_US
dc.subjectOutcome measuresen_US
dc.subjectPatient-centred outcomesen_US
dc.subjectPatient-reporteden_US
dc.subjectPerinatal healthen_US
dc.subjectPregnancyen_US
dc.titleStandardized outcome measures for pregnancy and childbirth, an ICHOM proposalen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s12913-018-3732-3
dc.identifier.pmid30537958


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