The acceptability of implementing patient-reported measures in routine maternity care: A systematic review

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dc.contributorAalto-yliopistofi
dc.contributorAalto Universityen
dc.contributor.authorChen, Anen_US
dc.contributor.authorVäyrynen, Kirsien_US
dc.contributor.authorLeskelä, Riikka Leenaen_US
dc.contributor.authorTorkki, Paulusen_US
dc.contributor.authorHeinonen, Seppoen_US
dc.contributor.authorTekay, Aydinen_US
dc.contributor.authorAcharya, Ganeshen_US
dc.contributor.departmentDepartment of Industrial Engineering and Managementen
dc.contributor.organizationJyvaskyla Central Hospitalen_US
dc.contributor.organizationUniversity of Helsinkien_US
dc.contributor.organizationKarolinska Instituteten_US
dc.contributor.organizationNordic Healthcare Groupen_US
dc.date.accessioned2023-03-29T08:00:20Z
dc.date.available2023-03-29T08:00:20Z
dc.date.issued2023-04en_US
dc.descriptionPublisher Copyright: © 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).
dc.description.abstractIntroduction: Patient-reported measures (PRMs) are becoming popular as they might influence clinical decisions, help to deliver patient-centered care, and improve health care quality. However, the limited knowledge and consensus about the acceptability of implementing PRMs in maternity care hinder their widespread use in clinical practice, and evidence-based recommendations are lacking. This systematic review aims to synthesize available evidence on the acceptability of implementing PRMs in routine maternity care. Material and methods: Literature on the implementation of PRMs in maternity care was electronically searched in six databases (PsycARTICLES, PubMed, Scopus, Web of Science, Cochrane Database of Systematic Reviews, and CINAHL), screened and selected for the topic of “acceptability”. Theoretical Framework of Acceptability was used as the basic framework guiding data analysis and synthesis. Evidence was thematically analyzed and synthesized. Mixed Method Appraisal Tool and GRADE-CERQual approach were used to assess the quality of studies and evaluate the confidence in the review findings. Results: Overall, 4971 articles were screened. From 24 studies, we identified five themes regarding the acceptability of implementing PRMs in routine maternity care: (1) user's action and behavior, (2) stakeholders' attitudes, (3) perceived benefits, (4) perceived challenges and risks, and (5) stakeholders' preferences and suggestions on implementation. While pregnant and postpartum women, health professionals and other stakeholders involved in maternity care were generally positive about the implementation of PRMs in routine care and recognized the potential benefits (e.g., health improvement, women empowerment, care and services improvement and healthcare system advancement), they pointed out possible challenges and risks in answering PRMs questions, responding to answers, and setting up integrated information systems as well as suggested solutions in the aspects of PRMs data collection, follow-up care, and system-level management. The confidence in the review findings was moderate due to methodological limitations of included studies. Conclusions: Available empirical evidence suggested that the use of PRMs in routine maternity care is acceptable among stakeholders involved in maternity care and the potential benefits of its integration in routine clinical practice to healthcare improvement has been recognized. However, possible challenges in data collection, follow-up care arrangement and system-level integration should be appropriately addressed.en
dc.description.versionPeer revieweden
dc.format.extent14
dc.format.extent406-419
dc.format.mimetypeapplication/pdfen_US
dc.identifier.citationChen, A, Väyrynen, K, Leskelä, R L, Torkki, P, Heinonen, S, Tekay, A & Acharya, G 2023, ' The acceptability of implementing patient-reported measures in routine maternity care: A systematic review ', Acta Obstetricia et Gynecologica Scandinavica, vol. 102, no. 4, pp. 406-419 . https://doi.org/10.1111/aogs.14506en
dc.identifier.doi10.1111/aogs.14506en_US
dc.identifier.issn0001-6349
dc.identifier.issn1600-0412
dc.identifier.otherPURE UUID: 4d305f5e-a485-4ce6-acd3-2c0932af9108en_US
dc.identifier.otherPURE ITEMURL: https://research.aalto.fi/en/publications/4d305f5e-a485-4ce6-acd3-2c0932af9108en_US
dc.identifier.otherPURE LINK: http://www.scopus.com/inward/record.url?scp=85146348440&partnerID=8YFLogxKen_US
dc.identifier.otherPURE FILEURL: https://research.aalto.fi/files/103963830/SCI_Chen_etal_Acta_Obstet_Gynecol_Scand_2023.pdfen_US
dc.identifier.urihttps://aaltodoc.aalto.fi/handle/123456789/120301
dc.identifier.urnURN:NBN:fi:aalto-202303292623
dc.language.isoenen
dc.publisherMunksgaard, Copenhagen
dc.relation.ispartofseriesActa Obstetricia et Gynecologica Scandinavicaen
dc.relation.ispartofseriesVolume 102, issue 4en
dc.rightsopenAccessen
dc.subject.keywordacceptabilityen_US
dc.subject.keywordhealthcare qualityen_US
dc.subject.keywordimplementationen_US
dc.subject.keywordmaternity careen_US
dc.subject.keywordpatient reported measureen_US
dc.subject.keywordpregnancy and childbirthen_US
dc.titleThe acceptability of implementing patient-reported measures in routine maternity care: A systematic reviewen
dc.typeA2 Katsausartikkeli tieteellisessä aikakauslehdessäfi
dc.type.versionpublishedVersion
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