Katrien Beeckman1,2, Lucy Frith3, Helga Gottfreðsdóttir4, Annette Bernloehr5. 1. Department of Public Health, Faculty of Medicine and Pharmacy, Nursing and Midwifery Research unit, Vrije Universtiteit Brussel, Brussel, Belgium. katrien.beeckman@uzbrussel.be. 2. Department of Nursing and Midwifery, Nursing and Midwifery research group, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium. katrien.beeckman@uzbrussel.be. 3. Department of Health Services Research, The University of Liverpool, Liverpool, UK. 4. Faculty of Nursing-Department of Midwifery, University of Iceland Reykjavik, Reykjavik, Iceland. 5. Hannover Medical School, Midwifery Research and Education Unit, Hannover, Germany.
Abstract
OBJECTIVES: Measuring of antenatal care utilisation is important from a public health perspective. The Content and Timing of care in Pregnancy tool (CTP) focuses on the care process and includes aspects on quality of care. The aim of the study is to gain insight in the applicability of the CTP tool across Europe. METHODS: National guidelines for routine antenatal care were examined, analysing the degree to which the four items in the CTP tool were included in these guidelines. RESULTS: From the 30 countries, 22 had a national guideline for routine antenatal care. The CTP tool is applicable in over 60% of the European countries with a national guideline. CONCLUSIONS: The CTP tool can be used to measure antenatal care delivery in Europe. The tool is useful to evaluate the care process, focusing on rates of interventions as the closest approximation to the delivery of health care, with a focus on content of visits rather than simply the number of visits. Together with indicators measuring structure and outcome of health care, conclusions about the quality of care can be made.
OBJECTIVES: Measuring of antenatal care utilisation is important from a public health perspective. The Content and Timing of care in Pregnancy tool (CTP) focuses on the care process and includes aspects on quality of care. The aim of the study is to gain insight in the applicability of the CTP tool across Europe. METHODS: National guidelines for routine antenatal care were examined, analysing the degree to which the four items in the CTP tool were included in these guidelines. RESULTS: From the 30 countries, 22 had a national guideline for routine antenatal care. The CTP tool is applicable in over 60% of the European countries with a national guideline. CONCLUSIONS: The CTP tool can be used to measure antenatal care delivery in Europe. The tool is useful to evaluate the care process, focusing on rates of interventions as the closest approximation to the delivery of health care, with a focus on content of visits rather than simply the number of visits. Together with indicators measuring structure and outcome of health care, conclusions about the quality of care can be made.
Entities:
Keywords:
Antenatal care; Care process indicators; Clinical guidelines; Content of care; Health services research; Quality of care
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