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Subcommittee to use national evidence and PRAMS; Connecticut qualitative data proposed
Summary
Members agreed to rely on national studies for outcome evidence while pursuing Connecticut-specific qualitative data (PRAMS and focus groups) and to focus on morbidity rather than low-count mortality measures.
The group discussed what outcomes to use to measure doula impact. Committee members recommended relying on national evidence to establish baseline effectiveness while seeking Connecticut-specific qualitative measures and PRAMS data for patient experience. "Are we looking to understand state specific data versus what are sort of the national indicators?" one participant asked, prompting a discussion about scope.
Paul Gacek cautioned that maternal mortality counts in Connecticut are small and may lack statistical power when stratified; he recommended focusing on maternal morbidity and patient‑experience measures instead. Selena noted that PRAMS contains questions about patient experience that the subcommittee could leverage and suggested adding doula-related items in future iterations rather than starting an entirely new statewide study.
