Value-based health care

Value-based health care (VBHC) is a framework for restructuring health care systems with the overarching goal of value for patients, with value defined as health outcomes per unit of costs.[1] The concept was introduced in 2006 by Michael Porter and Elizabeth Olmsted Teisberg.[2] With patient value as the overarching goal, VBHC emphasis systematic measurement of outcomes and costs, restructuring provider organizations, and transitioning toward bundled payments.[2] Within this framework, cost reduction alone is not seen as proper strategy for healthcare systems: health outcomes have to improve to enhance value.[3][4] Although value-based health care is seen as a priority in many health systems worldwide, a global assessment in 2016 found many countries are only beginning to align their health systems with VBHC-principles.[5][6] Additionally, several studies report incoherent implementation efforts, and there seem to be various interpretations of VBHC, both within and across countries.[7][8]

Description

In a value-based care model, providers would work with patients to determine a treatment plan, then measure the relevant clinical results over the course of the patient's treatment.[3][9][4]

While patient satisfaction is often conflated with value-based care, satisfaction is predicated on the patient's experience of treatment, rather than its medical effectiveness.[4] Likewise, cost reduction is a component of this model--for example, by making healthcare cost information more readily available to patients--but it is not the primary goal.[3]

References

  1. ↑ Porter ME (December 2010). "What is value in health care?". The New England Journal of Medicine. 363 (26): 2477–81. doi:10.1056/NEJMp1011024. PMID 21142528.
  2. 1 2 Porter M (2006). Redefining Health Care. Harvard Business Review Press. ISBN 9781591397786.
  3. 1 2 3 Bozic KJ (April 2012). "Value-based healthcare and orthopaedic surgery". Clinical Orthopaedics and Related Research. 470 (4): 1004–5. doi:10.1007/s11999-012-2267-x. PMC 3293948. PMID 22302657.
  4. 1 2 3 Teisberg E, Wallace S, O'Hara S (May 2020). "Defining and Implementing Value-Based Health Care: A Strategic Framework". Academic Medicine. 95 (5): 682–685. doi:10.1097/ACM.0000000000003122. PMC 7185050. PMID 31833857.
  5. ↑ Kimpen J (12 February 2019). "Here's how to make 'value-based healthcare' a reality". World Economic Forum. Retrieved 2019-08-03.
  6. ↑ Shah A (12 May 2016). "Value-based healthcare: A global assessment". Medtronic: Value Based Healthcare. Retrieved 2019-08-03.
  7. ↑ Steinmann G, van de Bovenkamp H, de Bont A, Delnoij D (September 2020). "Redefining value: a discourse analysis on value-based health care". BMC Health Services Research. 20 (1): 862. doi:10.1186/s12913-020-05614-7. PMC 7488985. PMID 32928203.
  8. ↑ Steinmann G, Delnoij D, van de Bovenkamp H, Groote R, Ahaus K (April 2021). "Expert consensus on moving towards a value-based healthcare system in the Netherlands: a Delphi study". BMJ Open. 11 (4): e043367. doi:10.1136/bmjopen-2020-043367. PMC 8047988. PMID 33846147.
  9. ↑ Nilsson K, Bååthe F, Andersson AE, Wikström E, Sandoff M (February 2017). "Experiences from implementing value-based healthcare at a Swedish University Hospital - an longitudinal interview study". BMC Health Services Research. 17 (1): 169. doi:10.1186/s12913-017-2104-8. PMC 5330026. PMID 28241823.
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