Roles of different organizations in implementing patient-reported measures in routine maternity care in Finland.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Patient-Reported Outcomes Pub Date : 2024-10-03 DOI:10.1186/s41687-024-00793-x
Kirsi Marja-Leena Väyrynen, An Chen, Seppo Heinonen, Aydin Tekay, Paulus Torkki
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Abstract

Background: The integration of patient-centered care (PCC) and value-based healthcare (VBHC) principles, emphasizing personalized, responsive care and cost efficiency, is crucial in modern healthcare. Despite advocation from the International Consortium for Health Outcomes Measurement (ICHOM) for the global adoption of these principles through patient-reported measures (PRMs), their implementation, especially the pregnancy and childbirth (PCB) set, remains limited in maternity care. This study focuses on understanding the optimal organizational entity for integrating standard ICHOM-PCB-PRMs into routine maternity care in Finland. It aims to clarify the distribution of tasks among stakeholders and gather Finnish maternity healthcare professionals' perspectives on organizational responsibility in PRM collection. The emphasis was on identifying the optimal organizational framework for managing PRMs in maternity care.

Results: A total of 66 maternity healthcare professionals participated in the study, reaching a consensus that public maternity care centers in Finland should be the primary entity responsible for managing PRMs in the maternity sector. Key aspects such as confidence with the role as a mother, maternal confidence with breastfeeding, and satisfaction with the result of care were identified as crucial and should be inquired about in both public maternity care centers and hospital maternity wards. The findings highlight the importance of comprehensive and consistent attention to these PRMs across public maternity care centers and hospital maternity settings to ensure holistic and effective maternal care.

Conclusions: The study highlights the central role of public maternity care centers in the collection and management of PRMs within Finnish maternity care, as agreed upon by the professional consensus. It underscores the importance of a consistent and holistic approach to PRM inquiry across different care settings to enhance the quality and effectiveness of maternity care. This finding is crucial for policymakers and healthcare practitioners, suggesting that reinforcing the collaborative efforts between public maternity care centers and hospital maternity wards is vital for a patient-centric, efficient healthcare system. Aligning with PCC and VBHC principles, this approach aims to improve healthcare outcomes for pregnant and postpartum women in Finland, emphasizing the need for a unified strategy in managing maternity care.

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不同机构在芬兰常规产科护理中实施患者报告措施方面的作用。
背景:以患者为中心的护理(PCC)和以价值为基础的医疗保健(VBHC)原则强调个性化、反应迅速的护理和成本效益,两者的结合对现代医疗保健至关重要。尽管国际健康结果测量联盟(ICHOM)提倡通过患者报告测量(PRMs)在全球范围内采用这些原则,但在孕产妇护理中,尤其是妊娠和分娩(PCB)组中,这些原则的实施仍然有限。本研究旨在了解芬兰将标准的 ICHOM-PCB-PRMs 纳入常规产科护理的最佳组织实体。它旨在明确利益相关者之间的任务分配,并收集芬兰产科医护专业人员对 PRM 收集工作中组织责任的看法。重点是确定在产科护理中管理 PRM 的最佳组织框架:共有 66 名产科医护专业人员参与了这项研究,并达成了一项共识,即芬兰的公立产科护理中心应该是负责管理产科领域 PRM 的主要实体。研究发现,对母亲角色的信心、产妇对母乳喂养的信心以及对护理结果的满意度等关键方面至关重要,应在公立产科护理中心和医院产科病房进行调查。研究结果强调了在公立产科护理中心和医院产科环境中全面、一致地关注这些 PRMs 的重要性,以确保提供全面、有效的孕产妇护理:这项研究强调了公立产科护理中心在芬兰产科护理中收集和管理产妇死亡率监测指标的核心作用,这一点已得到专业人士的共识。它强调了在不同的护理环境中采用一致、全面的方法进行产妇死亡率监测的重要性,以提高产科护理的质量和有效性。这一发现对政策制定者和医疗从业人员至关重要,表明加强公立产科护理中心与医院产房之间的合作对于建立以患者为中心的高效医疗系统至关重要。这种方法符合PCC和VBHC原则,旨在改善芬兰孕妇和产后妇女的医疗保健结果,强调了在管理产科护理方面采取统一战略的必要性。
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来源期刊
Journal of Patient-Reported Outcomes
Journal of Patient-Reported Outcomes Health Professions-Health Information Management
CiteScore
3.80
自引率
7.40%
发文量
120
审稿时长
20 weeks
期刊最新文献
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