Laura Kelly1,2, Jennifer J Kurinczuk3, Oliver Rivero-Arias3, Ray Fitzpatrick4, Elizabeth Gibbons5, Fiona Alderdice6,3. 1. Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. laura.kelly@ndph.ox.ac.uk. 2. Harris Manchester College, Oxford, UK. laura.kelly@ndph.ox.ac.uk. 3. National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. 4. Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. 5. Clinical Outcomes Solutions, Oxford, UK. 6. Harris Manchester College, Oxford, UK.
Abstract
BACKGROUND: One way in which care for pregnant and postpartum women living with long-term health conditions (LTCs) may be improved is through the adoption of standardised measures to provide evidence of health outcomes and wellbeing from the woman's perspective. AIM: The study explores the views of pregnant and postpartum women living with LTCs, and healthcare professionals to better understand the potential value of using standardised health and wellbeing measures within this patient population. METHODS: Qualitative semi-structured telephone interviews were conducted to explore the perceived value of using measures with pregnant and postpartum women living with LTCs within maternity services. Participants were asked to provide feedback on three exemplar measures: the Long Term Conditions Questionnaire, the Wellbeing in Pregnancy Questionnaire and the EuroQol EQ-5D-5L instrument. Thematic analysis was used in the analysis of the transcripts. RESULTS: Eleven women and 11 healthcare professionals took part in semi-structured interviews. Analysis identified five themes as relevant to the use of measures within maternity services: 1) Improving care, 2) Assessing outcomes, 3) Interpretation and application of data, 4) Engagement challenges and implementation and, 5) Women and healthcare professionals alignment. CONCLUSIONS: Despite varying prior experience and expressing some questions about implementation, respondents were cautiously positive about the use of standardised health and wellbeing measures. Their use offers the opportunity for both affected women and healthcare professionals caring for them to collectively identify and assess important areas of unmet needs and improve outcomes. Incorporating the perspectives of women with LTC's will help bring awareness to elements of women centred care which health services may seek to address.
BACKGROUND: One way in which care for pregnant and postpartum women living with long-term health conditions (LTCs) may be improved is through the adoption of standardised measures to provide evidence of health outcomes and wellbeing from the woman's perspective. AIM: The study explores the views of pregnant and postpartum women living with LTCs, and healthcare professionals to better understand the potential value of using standardised health and wellbeing measures within this patient population. METHODS: Qualitative semi-structured telephone interviews were conducted to explore the perceived value of using measures with pregnant and postpartum women living with LTCs within maternity services. Participants were asked to provide feedback on three exemplar measures: the Long Term Conditions Questionnaire, the Wellbeing in Pregnancy Questionnaire and the EuroQol EQ-5D-5L instrument. Thematic analysis was used in the analysis of the transcripts. RESULTS: Eleven women and 11 healthcare professionals took part in semi-structured interviews. Analysis identified five themes as relevant to the use of measures within maternity services: 1) Improving care, 2) Assessing outcomes, 3) Interpretation and application of data, 4) Engagement challenges and implementation and, 5) Women and healthcare professionals alignment. CONCLUSIONS: Despite varying prior experience and expressing some questions about implementation, respondents were cautiously positive about the use of standardised health and wellbeing measures. Their use offers the opportunity for both affected women and healthcare professionals caring for them to collectively identify and assess important areas of unmet needs and improve outcomes. Incorporating the perspectives of women with LTC's will help bring awareness to elements of women centred care which health services may seek to address.
Authors: Lindsay K Admon; Tyler N A Winkelman; Michelle H Moniz; Matthew M Davis; Michele Heisler; Vanessa K Dalton Journal: Obstet Gynecol Date: 2017-12 Impact factor: 7.661
Authors: Malini Anand Nijagal; Stephanie Wissig; Caleb Stowell; Elizabeth Olson; Isis Amer-Wahlin; Gouke Bonsel; Allyson Brooks; Matthew Coleman; Shamala Devi Karalasingam; James M N Duffy; Tracy Flanagan; Stefan Gebhardt; Meridith E Greene; Floris Groenendaal; J Ravichandran R Jeganathan; Tessa Kowaliw; Marije Lamain-de-Ruiter; Elliott Main; Michelle Owens; Rod Petersen; Irwin Reiss; Carol Sakala; Anna Maria Speciale; Rachel Thompson; Oluwakemi Okunade; Arie Franx Journal: BMC Health Serv Res Date: 2018-12-11 Impact factor: 2.655