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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Value-Based Healthcare in Urology: A Collaborative Review
Chanan Reitblat1, Paul A Bain2, Michael E Porter3
1Division of Urologic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Harvard Business School, Boston, MA, USA.
European Urology
|January 8, 2021
Summary
Value-based healthcare in urology shows early promise for improving patient care and outcomes. Further research is needed to fully evaluate its impact and guide effective implementation strategies.
Area of Science:
- Urology
- Healthcare Management
- Health Services Research
Background:
- Rising healthcare costs and quality variations necessitate new strategies.
- Value-based healthcare (VBHC) is proposed to improve healthcare delivery, measurement, and payment.
- Urology is a key area for exploring VBHC implementation.
Purpose of the Study:
- To systematically review the literature on VBHC implementation in urology.
- To assess the impact of VBHC on healthcare value in urologic settings.
Main Methods:
- Systematic review of publications describing VBHC implementation in urology.
- Inclusion of studies measuring changes in healthcare value.
- Selection of 22 relevant publications.
Main Results:
- Reorganizing urologic care by condition improved guideline compliance for prostate cancer and outcomes for lower urinary tract symptoms.
- Measuring patient outcomes enhanced prostate cancer care.
- Time-driven activity-based costing reduced resource use in pediatric urology.
- Centralized urologic cancer care improved outcomes in some countries, with mixed results for systems integration in the USA.
Conclusions:
- Limited studies exist, but early results for VBHC in urology are promising.
- Further research is essential to evaluate proposed VBHC interventions and measure their real-world effects.
- Effective redesign of urologic care requires continued investigation into VBHC strategies.
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