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[Value-based care is implemented quickly – worthy successor to NPM?]
1School of Health and Medical Sciences - Örebro university Örebro, Sweden School of Health and Medical Sciences - Örebro university Örebro, Sweden.
Lakartidningen
|May 25, 2016
Summary
Value-based care (VbC) shows promise for specific health issues but may not suit chronic conditions. Its rapid implementation lacks sufficient scientific evidence for broad healthcare steering.
Area of Science:
- Health Policy
- Healthcare Management
- Health Economics
Background:
- The concept of value-based care (VbC) emerged internationally around 2006-2009.
- VbC is proposed as a reform for healthcare systems.
- Its applicability is debated for diverse health conditions.
Purpose of the Study:
- To evaluate the suitability of value-based care (VbC) as a steering model in healthcare.
- To assess the evidence base for the rapid introduction of VbC.
Main Methods:
- Literature review of VbC origins and proposals.
- Conceptual analysis of VbC applicability to different health problem types.
Main Results:
- Value-based care (VbC) may be relevant for specific, procedure-related health problems with predictable outcomes.
- VbC is likely unsuitable for managing chronic conditions or multiple concurrent health issues.
- Healthcare is adopting VbC rapidly without robust scientific validation.
Conclusions:
- Value-based care (VbC) has limited applicability and requires more evidence before widespread implementation.
- The current rapid adoption of VbC may not be scientifically supported for all healthcare scenarios.
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