The discriminative power of the ReproQ: a client experience questionnaire in maternity care

PeerJ

article

Marisja Scheerhagen¹  Henk F. van Stel³  Arie Franx²  Erwin Birnie⁴  Gouke J. Bonsel⁵ 

[1] Department of Obstetrics and Gynecology, Erasmus Medical Centre;Department of Obstetrics and Gynecology, University Medical Center Utrecht;Department of Healthcare Innovation and Evaluation, University Medical Center Utrecht;Erasmus School of Health Policy & Management, Department of Health Technology Assessment, Erasmus University Rotterdam;Department of Obstetrics and Gynecology, Academic Collaborative Maternity Care, University Medical Center Utrecht

关键词: Client experiences;    Responsiveness;    Performance;    Benchmarking;    Quality improvement;   

DOI  :  10.7717/peerj.7575

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

BackgroundThe aim of the ReproQuestionnaire (ReproQ) is to measure the client’s experience with maternity care, following WHO’s responsiveness model. To support quality improvement, ReproQ should be able to discriminate best from worst organisational units.MethodsWe sent questionnaires to 27,487 third-trimester pregnant women (response 31%) and to 37,230 women 6 weeks after childbirth (response 39%). For analysis we first summarized the ReproQ domain scores into three summary scores: total score (all eight domains), personal score (four personal domains), and setting score (four setting domains). Second, we estimated the proportion of variance across perinatal units attributable to the ‘actual’ difference across perinatal units using intraclass correlation coefficients (ICCs). Third, we assessed the ability of ReproQ to discriminate between perinatal units based on both a statistical approach using multilevel regression analyses, and a relevance approach based on the minimally important difference (MID). Finally, we compared the domain scores of the best and underperforming units.ResultsICCs ranged between 0.004 and 0.025 for the summary scores, and between 0.002 and 0.125 for the individual domains. ReproQ was able to identify the best and worst performing units with both the statistical and relevance approach. The statistical approach was able to identify four underperforming units during childbirth (total score), while the relevance approach identified 10 underperforming units.ConclusionsReproQ, a valid and efficient measure of client experiences in maternity care, has the ability to discriminate well across perinatal units, and is suitable for benchmarking under routine conditions.

【 授权许可】

CC BY