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The immaturity of patient engagement in value-based healthcare—A systematic review
INTRODUCTION: In recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–d...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213745/ https://www.ncbi.nlm.nih.gov/pubmed/37250089 http://dx.doi.org/10.3389/fpubh.2023.1144027 |
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author | van der Voorden, Michael Sipma, Wim S. de Jong, Margriet F. C. Franx, Arie Ahaus, Kees C. T. B. |
author_facet | van der Voorden, Michael Sipma, Wim S. de Jong, Margriet F. C. Franx, Arie Ahaus, Kees C. T. B. |
author_sort | van der Voorden, Michael |
collection | PubMed |
description | INTRODUCTION: In recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–doctor communication. Although patient engagement in direct care in the VBHC setting is well described, patient engagement at the organizational level of improving care has hardly been studied. This systematic review maps current knowledge regarding the intensity and impact of patient engagement in VBHC initiatives. We focus on the organizational level of a continuous patient engagement model. METHODS: We performed a systematic review following PRISMA guidelines using five electronic databases. The search strategy yielded 1,546 records, of which 21 studies were eligible for inclusion. Search terms were VBHC and patient engagement, or similar keywords, and we included only empirical studies in hospitals or transmural settings at the organizational level. RESULTS: We found that consultation, using either questionnaires or interviews by researchers, is the most common method to involve patients in VBHC. Higher levels of patient engagement, such as advisory roles, co-design, or collaborative teams are rare. We found no examples of the highest level of patient engagement such as patients co-leading care improvement committees. CONCLUSION: This study included 21 articles, the majority of which were observational, resulting in a limited quality of evidence. Our review shows that patient engagement at the organizational level in VBHC initiatives still relies on low engagement tools such as questionnaires and interviews. Higher-level engagement tools such as advisory roles and collaborative teams are rarely used. Higher-level engagement offers opportunities to improve healthcare and care pathways through co-design with the people being served. We urge VBHC initiatives to embrace all levels of patient engagement to ensure that patient values find their way to the heart of these initiatives. |
format | Online Article Text |
id | pubmed-10213745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102137452023-05-27 The immaturity of patient engagement in value-based healthcare—A systematic review van der Voorden, Michael Sipma, Wim S. de Jong, Margriet F. C. Franx, Arie Ahaus, Kees C. T. B. Front Public Health Public Health INTRODUCTION: In recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–doctor communication. Although patient engagement in direct care in the VBHC setting is well described, patient engagement at the organizational level of improving care has hardly been studied. This systematic review maps current knowledge regarding the intensity and impact of patient engagement in VBHC initiatives. We focus on the organizational level of a continuous patient engagement model. METHODS: We performed a systematic review following PRISMA guidelines using five electronic databases. The search strategy yielded 1,546 records, of which 21 studies were eligible for inclusion. Search terms were VBHC and patient engagement, or similar keywords, and we included only empirical studies in hospitals or transmural settings at the organizational level. RESULTS: We found that consultation, using either questionnaires or interviews by researchers, is the most common method to involve patients in VBHC. Higher levels of patient engagement, such as advisory roles, co-design, or collaborative teams are rare. We found no examples of the highest level of patient engagement such as patients co-leading care improvement committees. CONCLUSION: This study included 21 articles, the majority of which were observational, resulting in a limited quality of evidence. Our review shows that patient engagement at the organizational level in VBHC initiatives still relies on low engagement tools such as questionnaires and interviews. Higher-level engagement tools such as advisory roles and collaborative teams are rarely used. Higher-level engagement offers opportunities to improve healthcare and care pathways through co-design with the people being served. We urge VBHC initiatives to embrace all levels of patient engagement to ensure that patient values find their way to the heart of these initiatives. Frontiers Media S.A. 2023-05-11 /pmc/articles/PMC10213745/ /pubmed/37250089 http://dx.doi.org/10.3389/fpubh.2023.1144027 Text en Copyright © 2023 van der Voorden, Sipma, de Jong, Franx and Ahaus. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health van der Voorden, Michael Sipma, Wim S. de Jong, Margriet F. C. Franx, Arie Ahaus, Kees C. T. B. The immaturity of patient engagement in value-based healthcare—A systematic review |
title | The immaturity of patient engagement in value-based healthcare—A systematic review |
title_full | The immaturity of patient engagement in value-based healthcare—A systematic review |
title_fullStr | The immaturity of patient engagement in value-based healthcare—A systematic review |
title_full_unstemmed | The immaturity of patient engagement in value-based healthcare—A systematic review |
title_short | The immaturity of patient engagement in value-based healthcare—A systematic review |
title_sort | immaturity of patient engagement in value-based healthcare—a systematic review |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213745/ https://www.ncbi.nlm.nih.gov/pubmed/37250089 http://dx.doi.org/10.3389/fpubh.2023.1144027 |
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