A qualitative study on professionals’ attitudes and views towards the introduction of patient reported measures into public maternity care pathway

BMC Health Services Research

Paul Lillrank¹  An Chen²  Paulus Torkki³  Kirsi Väyrynen⁴  Seppo Heinonen⁵  Aydin Tekay⁵  Riikka-Leena Leskelä⁶ 

[1] Department of Industrial Engineering and Management, Institute of Healthcare Engineering, Management and Architecture (HEMA), Aalto University, P.O. Box 15500, FI-00076 AALTO, Maarintie 8, 02150, Espoo, Finland;Department of Industrial Engineering and Management, Institute of Healthcare Engineering, Management and Architecture (HEMA), Aalto University, P.O. Box 15500, FI-00076 AALTO, Maarintie 8, 02150, Espoo, Finland;Nordic Healthcare Group Oy, Vattuniemenranta 2, 00210, Helsinki, Finland;Department of Industrial Engineering and Management, Institute of Healthcare Engineering, Management and Architecture (HEMA), Aalto University, P.O. Box 15500, FI-00076 AALTO, Maarintie 8, 02150, Espoo, Finland;Nordic Healthcare Group Oy, Vattuniemenranta 2, 00210, Helsinki, Finland;Department of Public Health, Faculty of Medicine, Helsinki University, Biomedicum 1, 00290, Helsinki, Finland;Department of Obstetrics and Gynaecology, Central Finland Central Hospital, Keskussairaalantie 19, 40620, Jyväskylä, Finland;Department of Obstetrics and Gynaecology, Helsinki University Hospital and University of Helsinki, Haartmaninkatu 2, 00290, Helsinki, Finland;Nordic Healthcare Group Oy, Vattuniemenranta 2, 00210, Helsinki, Finland;

关键词: Patient-reported measures (PRMs);    Patient-reported outcome measures (PROMs);    Patient-reported experience measures (PREMs);    Health outcomes;    Maternity care;    Pregnancy;    Childbirth;    Implementation;    Qualitative research;   

DOI  :  10.1186/s12913-021-06658-z

来源: Springer

【 摘 要 】

BackgroundThe importance and potential benefits of introducing patient reported measures (PRMs) into health care service have been widely acknowledged, yet the experience regarding their implementation into practice is limited. There is a considerable paucity of research in adopting PRMs in maternity care routine. This study, which utilizes the PRMs included in Pregnancy and Childbirth (PCB) outcome set developed by International Consortium for Health Outcomes Measurement (ICHOM) as sample measures, aims to elicit Finnish professionals’ views on PRMs and to explore the applicability of PRMs in Finnish public maternity care.MethodsThis qualitative study, applying semi-structured interviews, described the local professionals’ views towards the application of PRMs in Finnish public maternity care. Professionals were asked to assess the PRMs defined in ICHOM PCB set and provide their expectations and concerns on the implementation of PRMs in Finnish public maternity service.ResultsTwenty professionals participated in the interviews. Participants agreed on the importance and relevance of the PRMs questions included in ICHOM PCB set for delivering and developing maternity care in Finland. However, they criticized the number and length of questions as well as the recommended time points of data collection. In addition, for a successful implementation, various steps like developing suitable questions, redesigning service pathway and protocols, and motivating women to respond to PRMs questions were considered to be important. Also, some potential obstacles, difficulties and risks associated with the implementation were underlined.ConclusionThis study indicates that the implementation of PRMs into Finnish public maternity service is possible, highly relevant and important. However, the adoption of PRMs into routine practice may be challenging and will require a series of efforts. This study shows viewpoints from Finnish professionals who have not participated in developing the ICHOM PCB standard set and provides important insights on the development and implementation of PRMs.

【 授权许可】

CC BY