Finding the right indicators for assessing quality midwifery care

被引：23
作者：
de Bruin-Kooistra, Mieneke [1 ]
Amelink-Verburg, Marianne P. [2 ]
Buitendijk, Simone E. [3 ]
Westert, Gert P. [4 ]
机构：
[1] Natl Inst Publ Hlth & Environm RIVM, Ctr Prevent & Hlth Serv Res, NL-3720 BA Bilthoven, Netherlands
[2] Hlth Care Inspectorate IGZ, The Hague, Netherlands
[3] Leiden Univ, Med Ctr, NL-2300 RA Leiden, Netherlands
[4] Univ Nijmegen, Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands
来源：
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | 2012年 / 24卷 / 03期
关键词：
quality indicators (measurement of quality); outcome and process assessment (health care); maternity care; Delphi method; MATERNITY CARE; HEALTH-CARE; CLINICAL INDICATORS; OF-CARE; PREGNANCY; LABOR;
D O I：
10.1093/intqhc/mzs006
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
To identify a set of indicators for monitoring the quality of maternity care for low-risk women provided by primary care midwives and general practitioners (GPs) in the Netherlands. A Project Group (midwives, GPs, policymakers and researchers) defined a long list of potential indicators based on the literature, national guidelines and expert opinion. This list was assessed against the AIRE (Appraisal of Indicators through Research and Evaluation) instrument criteria, resulting in a short list of draft indicators. In a two-round Delphi survey, a multidisciplinary group of stakeholders reviewed the elaborated draft indicators, rating both the relationship between indicator and quality of care and the feasibility. A multidisciplinary expert panel consisting of 28 midwives, 2 GPs, 3 obstetricians and 3 maternity assistants, randomly selected from different regions in the Netherlands. None. Set of quality indicators for midwifery care. The Project Group generated a list of 115 potential indicators which was reduced to 35 using the AIRE criteria. The 35 draft indicators were discussed by a Delphi panel. In total, 26 indicators were recommended by the participants as relevant indicators of midwifery care, representing several levels of measurement. Eight structure indicators, 12 process indicators and 6 outcome indicators were addressing the various phases of midwifery care. We identified a set of quality indicators concerning midwifery care provision in a low-risk population. Practicing maternity care providers adopted the large majority (83) of the draft indicators proposed as a feasible set of indicators, describing the structure, process and outcome. The input from multidisciplinary experts in the process of identifying the right indicators showed to be essential in all phases of development.
引用
收藏
页码：301 / 310
页数：10
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