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Value-Based Healthcare Initiatives in Practice: A Systematic Review
Value-based initiatives are growing in importance as strategic models of healthcare management, prompting the need for an in-depth exploration of their outcome measures. This systematic review aimed to identify measures that are being used in the application of the value agenda. Multiple electronic...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423138/ https://www.ncbi.nlm.nih.gov/pubmed/34192716 http://dx.doi.org/10.1097/JHM-D-20-00283 |
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author | Zanotto, Bruna Stella Etges, Ana Paula Beck da Silva Marcolino, Miriam Allein Zago Polanczyk, Carisi Anne |
author_facet | Zanotto, Bruna Stella Etges, Ana Paula Beck da Silva Marcolino, Miriam Allein Zago Polanczyk, Carisi Anne |
author_sort | Zanotto, Bruna Stella |
collection | PubMed |
description | Value-based initiatives are growing in importance as strategic models of healthcare management, prompting the need for an in-depth exploration of their outcome measures. This systematic review aimed to identify measures that are being used in the application of the value agenda. Multiple electronic databases (PubMed/MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials) were searched. Eligible studies reported various implementations of value-based healthcare initiatives. A qualitative approach was used to analyze their outcome measurements. Outcomes were classified according to a tier-level hierarchy. In a radar chart, we compared literature to cases from Harvard Business Publishing. The value agenda effect reported was described in terms of its impact on each domain of the value equation. A total of 7,195 records were retrieved; 47 studies were included. Forty studies used electronic health record systems for data origin. Only 16 used patient-reported outcome surveys to cover outcome tiers that are important to patients, and 3 reported outcomes to all 6 levels of our outcome measures hierarchy. A considerable proportion of the studies (36%) reported results that contributed to value-based financial outcomes focused on cost savings. However, a gap remains in measuring outcomes that matter to patients. A more complete application of the value agenda by health organizations requires advances in technology and culture change management. |
format | Online Article Text |
id | pubmed-8423138 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-84231382021-09-13 Value-Based Healthcare Initiatives in Practice: A Systematic Review Zanotto, Bruna Stella Etges, Ana Paula Beck da Silva Marcolino, Miriam Allein Zago Polanczyk, Carisi Anne J Healthc Manag Research Articles Value-based initiatives are growing in importance as strategic models of healthcare management, prompting the need for an in-depth exploration of their outcome measures. This systematic review aimed to identify measures that are being used in the application of the value agenda. Multiple electronic databases (PubMed/MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials) were searched. Eligible studies reported various implementations of value-based healthcare initiatives. A qualitative approach was used to analyze their outcome measurements. Outcomes were classified according to a tier-level hierarchy. In a radar chart, we compared literature to cases from Harvard Business Publishing. The value agenda effect reported was described in terms of its impact on each domain of the value equation. A total of 7,195 records were retrieved; 47 studies were included. Forty studies used electronic health record systems for data origin. Only 16 used patient-reported outcome surveys to cover outcome tiers that are important to patients, and 3 reported outcomes to all 6 levels of our outcome measures hierarchy. A considerable proportion of the studies (36%) reported results that contributed to value-based financial outcomes focused on cost savings. However, a gap remains in measuring outcomes that matter to patients. A more complete application of the value agenda by health organizations requires advances in technology and culture change management. Lippincott Williams & Wilkins 2021 2021-06-29 /pmc/articles/PMC8423138/ /pubmed/34192716 http://dx.doi.org/10.1097/JHM-D-20-00283 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Foundation of the American College of Healthcare Executives https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 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 without permission from the journal. |
spellingShingle | Research Articles Zanotto, Bruna Stella Etges, Ana Paula Beck da Silva Marcolino, Miriam Allein Zago Polanczyk, Carisi Anne Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title | Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title_full | Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title_fullStr | Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title_full_unstemmed | Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title_short | Value-Based Healthcare Initiatives in Practice: A Systematic Review |
title_sort | value-based healthcare initiatives in practice: a systematic review |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423138/ https://www.ncbi.nlm.nih.gov/pubmed/34192716 http://dx.doi.org/10.1097/JHM-D-20-00283 |
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