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Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective

BACKGROUND: Value-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the pat...

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Detalles Bibliográficos
Autores principales: Ebbevi, David, Forsberg, Helena Hvitfeldt, Essén, Anna, Ernestam, Sofia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054973/
https://www.ncbi.nlm.nih.gov/pubmed/27749717
http://dx.doi.org/10.1097/QMH.0000000000000115
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author Ebbevi, David
Forsberg, Helena Hvitfeldt
Essén, Anna
Ernestam, Sofia
author_facet Ebbevi, David
Forsberg, Helena Hvitfeldt
Essén, Anna
Ernestam, Sofia
author_sort Ebbevi, David
collection PubMed
description BACKGROUND: Value-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the patient's view of value in a chronic care setting. METHODS: Semistructured interviews with 22 persons with rheumatoid arthritis were conducted, transcribed, and analyzed using qualitative content analysis. Themes were extracted, and the model was critically applied and revised. RESULTS: The study validates existing dimensions in the model but suggests adding information, social health, predictability, and continuity to make it more useful and representative of patients' preferences. CONCLUSION: Although the model aims to focus on outcomes relevant to patients, it lacks dimensions important to individuals with rheumatoid arthritis. The data illustrate difficulties in finding patients' preferred outcomes and imply tactics for arriving at meaningful measurements.
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spelling pubmed-50549732016-11-01 Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective Ebbevi, David Forsberg, Helena Hvitfeldt Essén, Anna Ernestam, Sofia Qual Manag Health Care Original Articles BACKGROUND: Value-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the patient's view of value in a chronic care setting. METHODS: Semistructured interviews with 22 persons with rheumatoid arthritis were conducted, transcribed, and analyzed using qualitative content analysis. Themes were extracted, and the model was critically applied and revised. RESULTS: The study validates existing dimensions in the model but suggests adding information, social health, predictability, and continuity to make it more useful and representative of patients' preferences. CONCLUSION: Although the model aims to focus on outcomes relevant to patients, it lacks dimensions important to individuals with rheumatoid arthritis. The data illustrate difficulties in finding patients' preferred outcomes and imply tactics for arriving at meaningful measurements. Wolters Kluwer Health, Inc. 2016-10 2016-10-14 /pmc/articles/PMC5054973/ /pubmed/27749717 http://dx.doi.org/10.1097/QMH.0000000000000115 Text en © 2016 Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Original Articles
Ebbevi, David
Forsberg, Helena Hvitfeldt
Essén, Anna
Ernestam, Sofia
Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title_full Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title_fullStr Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title_full_unstemmed Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title_short Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective
title_sort value-based health care for chronic care: aligning outcomes measurement with the patient perspective
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054973/
https://www.ncbi.nlm.nih.gov/pubmed/27749717
http://dx.doi.org/10.1097/QMH.0000000000000115
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