miércoles, 12 de julio de 2017

Increasing the Use of Comparative Quality Information in Maternity Care: Results From a Randomized Controlled TrialMedical Care Research and Review - Maureen Maurer, Kristin L. Carman, Manshu Yang, Kirsten Firminger, Judith Hibbard, 2017

Increasing the Use of Comparative Quality Information in Maternity Care: Results From a Randomized Controlled TrialMedical Care Research and Review - Maureen Maurer, Kristin L. Carman, Manshu Yang, Kirsten Firminger, Judith Hibbard, 2017

AHRQ News Now

Quality Reports Help Moms Prepare for Childbirth

Timely hospital quality information can help expectant mothers make decisions about labor and delivery and communicate more effectively with providers about their care preferences and concerns, according to the authors of a new AHRQ study. The authors used a randomized controlled trial to test the use of email and texts to deliver pertinent information timed to the specific week of the pregnancy. The biweekly messages directed the mothers to a website that provided videos and articles about quality information, tools to help them communicate with their providers, and ratings of local hospitals and pregnant women’s experiences at the hospitals. Participants became better informed about medical procedures, such as cesarean sections and episiotomies; discussed the information with family; and sought further information. They used the material to prepare for visits to doctors and midwives and to create a birth plan. The authors found that the timed dissemination of information was successful in getting the women to use it to inform and improve their care. The article, “Increasing the Use of Comparative Quality Information in Maternity Care: Results From a Randomized Controlled Trial,” was published in the journal Medical Care Research and Review. Access the abstract.

    This randomized controlled trial tested an intervention to increase uptake of hospital-level maternity care quality reports among 245 pregnant women in North Carolina (123 treatment; 122 control). The intervention included three enhancements to the quality report offered to the control: (a) biweekly text messages or e-mails directing women to the website, (b) videos and materials describing the relevance of quality measures to pregnant women’s interests, and (c) tools to support discussions with clinicians. Compared with controls, intervention participants were significantly more likely to visit the website and report adopting behaviors to inform care, such as thinking through preferences, talking with their doctor, or creating a birth plan. Reports designed to put quality information into the larger context of what consumers want and need to know, along with targeted and timely communications, can increase consumer use of quality information and prompt them to talk with providers about care preferences and evidence-based practices.
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