Performance of Maternity Care from the Client's Perspective: Development and Application of the ReproQuestionnaire

This thesis focuses on the development and validation, the determination of discriminative power, and the implementation and application for quality improvement of ReproQ, a questionnaire of client experiences in maternity care. The ReproQ evaluates the responsiveness of the Dutch maternity care system, in which responsiveness is defined as the way a client is treated by the professional and the environment in which the client is treated from the client’s perspective. This thesis shows that the ReproQ is a valid and efficient measure of client experiences in maternity care, that has the ability to discriminate well across perinatal units, and is suitable for benchmarking under routine conditions