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Value-based health services

Established year

2023

Active members

13

Meetings per year

2-3

About the group

Norway Health Tech operates a resource group for Value-Based Healthcare (VBH). The aim of the group is to inspire new ways of measuring health outcomes that place the patient at the center. The group contributes to public consultations, conferences, and debates.

Description

The goal of value-based healthcare (VBHC) is to maximize value for the patient.

The concept of value-based healthcare was popularized by Michael E. Porter and Elizabeth Teisberg in their 2006 book “Redefining Health Care: Creating Value-based Competition on Results.” Metrics in value-based healthcare focus on evaluating the outcomes of medical treatment in relation to the costs incurred to achieve those outcomes. Commonly used metrics include:

Patient outcomes: This includes both clinical outcome measures (such as survival rates and functional status) and patient-reported outcome measures (PROMs), which assess the patient’s perceived health status, quality of life, and satisfaction with the care received.

Cost-effectiveness: Analysis of the costs related to specific treatments or interventions in relation to health benefits, often expressed as cost per quality-adjusted life year (QALY).

Patient safety: Measurement of the frequency of medical errors, hospital-acquired infections, and other complications that can be prevented through higher quality and safer treatment.

Patient satisfaction and experience: Measures that capture patients' perceptions of their care and treatment, including communication with healthcare professionals, respect for patient preferences, and overall satisfaction with the care received.

Access and timeliness of care: The time it takes for a patient to receive necessary treatment after a health issue has been identified, which can significantly affect health outcomes.

Healthcare utilization: Includes indicators of how efficiently healthcare services are delivered and used, such as readmission rates, emergency department visits, and use of preventive services.

Long-term health outcomes: May include measures of long-term survival, chronic disease management, and prevention of long-term complications.

By measuring these and other relevant factors, healthcare systems can better understand how to deliver care that maximizes value for patients by improving health outcomes while controlling or reducing costs.

Selected references:

Value-Based Health Care at an Inflection Point: A Global Agenda for the Next Decade (feb 2023)

Menon (og Roche) sin rapport: kap 4: Inn i fremtiden – med fokus på verdi for pasienten

Verdens nest beste sykehus om VBHC

Accelerating the pace of value-based transformation for more resilient and sustainable healthcare (nov 2022)

Value-based healthcare: is it the way forward? This article examines the strengths and limitations of value-based healthcare and its application in the UK context.

På tide med value-based healthcare i norsk helsetjeneste

En introduksjon til forløpsbasert finansiering (Mjåseth et al i Legeforeningens tidsskrift)