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Value-based medicine and palliative care: how do they converge?
Simone Garruth Dos Santos Machado Sampaio1, Luciana Branco Da Motta2, Celia Pereira Caldas2
1Palliative Care Unit (HC4), National Cancer Institute (INCA) , Rio de Janeiro , Brasil.
Expert Review of Pharmacoeconomics & Outcomes Research
|August 3, 2019
Summary
Value-based medicine (VBM) integrates scientific data with patient values for optimal care. Applying VBM principles in palliative care enhances patient quality of life and comfort during serious illness.
Area of Science:
- Medical Ethics
- Palliative Care
- Health Services Research
Background:
- Value-based medicine (VBM) emphasizes integrating scientific evidence with patient preferences.
- Palliative care prioritizes patient values and quality of life.
Purpose of the Study:
- To review the literature on value-based medicine.
- To explore the application of VBM in palliative care.
Main Methods:
- Integrative literature review using keywords 'value-based medicine,' 'patient-centered care,' and 'medicina baseada em valor'.
- Searches conducted in PubMed and Virtual Health Library.
- 10 articles met eligibility criteria from 17,189 initial results.
Main Results:
- Value-based medicine is defined as the synthesis of evidence-based medicine, patient-centered care, and cost-effectiveness.
- Patient values encompass preferences, concerns, and expectations crucial for treatment alignment.
- VBM principles align with palliative care's focus on patient values and quality of life.
Conclusions:
- Value-based medicine offers a framework for enhancing palliative care.
- Early, patient-centered care planning is vital for improving end-of-life experiences.
- Integrating VBM can lead to greater peace and comfort for patients with life-limiting conditions.
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