Abstract：
OBJECTIVE: Value-based healthcare (VBHC) puts patient outcomes at the center of the healthcare process while optimizing the use of hospital resources across multiple stakeholders. This scoping review was conducted to summarize how VBHC had been represented in theory and in practice, how it had been applied to assess hospital performance, and how well it had been ultimately implemented.
METHODS: For this review, we followed the PRISMA-ScR protocol and searched five major online databases for articles published between January 2006 and July 2022. We included original articles that used the concept of VBHC to conduct performance assessments of healthcare organizations. We extracted and analyzed key concepts and information on the dimensions of VBHC, specific strategies and methods for using VBHC in performance assessment, and the effectiveness of the assessment.
RESULTS: We identified 48 eligible studies from 7866 articles. Nineteen nonempirical studies focused on the development of a VBHC performance assessment indicator system, and 29 empirical studies reported on the ways and points of introducing VBHC into performance assessment and its effectiveness. Ultimately, we summarized the key dimensions, processes, and effects of performance assessment after introducing VBHC.
CONCLUSIONS: Current healthcare performance assessment has begun to focus on implementing VBHC as an integrated strategy, and future work should further clarify the reliability of metrics and their association with evaluation outcomes and consider the effective integration of clinical outcomes and patient-reported outcomes.
METHODS: For this review, we followed the PRISMA-ScR protocol and searched five major online databases for articles published between January 2006 and July 2022. We included original articles that used the concept of VBHC to conduct performance assessments of healthcare organizations. We extracted and analyzed key concepts and information on the dimensions of VBHC, specific strategies and methods for using VBHC in performance assessment, and the effectiveness of the assessment.
RESULTS: We identified 48 eligible studies from 7866 articles. Nineteen nonempirical studies focused on the development of a VBHC performance assessment indicator system, and 29 empirical studies reported on the ways and points of introducing VBHC into performance assessment and its effectiveness. Ultimately, we summarized the key dimensions, processes, and effects of performance assessment after introducing VBHC.
CONCLUSIONS: Current healthcare performance assessment has begun to focus on implementing VBHC as an integrated strategy, and future work should further clarify the reliability of metrics and their association with evaluation outcomes and consider the effective integration of clinical outcomes and patient-reported outcomes.
摘要：
目标：基于价值的医疗保健（VBHC）将患者结果置于医疗保健流程的中心，同时优化跨多个利益相关者的医院资源使用。这次范围审查是为了总结VBHC在理论和实践中的表现，它是如何应用于评估医院绩效的，以及它最终得到了多好的实施。
方法：对于这篇综述，我们遵循了PRISMA-ScR协议,并在5个主要的在线数据库中搜索了2006年1月至2022年7月期间发表的文章.我们纳入了使用VBHC概念对医疗机构进行绩效评估的原创文章。我们提取并分析了VBHC维度的关键概念和信息，在绩效评估中使用VBHC的具体策略和方法，以及评估的有效性。
结果：我们从7866篇文章中确定了48项符合条件的研究。19项非经验研究集中在VBHC绩效评估指标体系的开发上，29项实证研究报告了将VBHC引入绩效评估及其有效性的方法和要点。最终,我们总结了关键维度，进程,以及引入VBHC后的绩效评估效果。
结论：当前的医疗保健绩效评估已开始将重点放在实施VBHC作为一项综合战略上，未来的工作应进一步阐明指标的可靠性及其与评估结果的关联,并考虑临床结果和患者报告结果的有效整合.
方法：对于这篇综述，我们遵循了PRISMA-ScR协议,并在5个主要的在线数据库中搜索了2006年1月至2022年7月期间发表的文章.我们纳入了使用VBHC概念对医疗机构进行绩效评估的原创文章。我们提取并分析了VBHC维度的关键概念和信息，在绩效评估中使用VBHC的具体策略和方法，以及评估的有效性。
结果：我们从7866篇文章中确定了48项符合条件的研究。19项非经验研究集中在VBHC绩效评估指标体系的开发上，29项实证研究报告了将VBHC引入绩效评估及其有效性的方法和要点。最终,我们总结了关键维度，进程,以及引入VBHC后的绩效评估效果。
结论：当前的医疗保健绩效评估已开始将重点放在实施VBHC作为一项综合战略上，未来的工作应进一步阐明指标的可靠性及其与评估结果的关联,并考虑临床结果和患者报告结果的有效整合.
