PDF(Pubmed)
Abstract：
Healthcare systems are transforming from the traditional volume-based model of healthcare to a value-based model of healthcare. Value generation in healthcare is about emphasising the health outcomes achieved by patients and organisations while maintaining an optimal relationship with costs. This scoping review aimed to identify the key elements and outcomes of implementing value-based healthcare (VBHC). The review process included studies published from 2013 to 2023 in four different databases (SpringerLink, PubMed, ProQuest and Scopus). Of the 2801 articles retrieved from the searches, 12 met the study\'s inclusion criteria. A total of 11 studies referred to value as the relationship between the outcomes achieved by patients and the costs of achieving those outcomes. Most of the studies highlighted the presence of leadership, the organisation of care into integrated care units, the identification and standardisation of outcome measures that generate value for the patient, and the inclusion of the patient perspective as the most prominent key elements for optimal VBHC implementation. Furthermore, some benefits were identified from VBHC implementation, which could shed light for future implementation actions. Therefore, the VBHC model is a promising approach that may contribute to an improvement in the efficiency and sustainability of healthcare.
摘要：
医疗保健系统正在从传统的基于数量的医疗保健模型转变为基于价值的医疗保健模型。医疗保健中的价值创造是强调患者和组织实现的健康结果，同时保持与成本的最佳关系。这项范围审查旨在确定实施基于价值的医疗保健(VBHC)的关键要素和成果。审查过程包括2013年至2023年在四个不同数据库中发表的研究(SpringerLink，PubMed,ProQuest和Scopus）。在从搜索中检索到的2801篇文章中，12符合研究的纳入标准。共有11项研究将价值称为患者获得的结果与获得这些结果的成本之间的关系。大多数研究都强调了领导力的存在，将护理组织到综合护理单位，为患者产生价值的结果测量的识别和标准化，并将患者观点作为最佳VBHC实施的最突出关键要素。此外，从VBHC实施中发现了一些好处，这可以为未来的实施行动提供启示。因此,VBHC模型是一种有前景的方法,可能有助于提高医疗保健的效率和可持续性.
