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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Healthcare Providers' Knowledge of Value-Based Care in Germany: An Adapted, Mixed-Methods Approach.

Axel Kuck1, Kristian Kinscher1, Leonard Fehring1

  • 1Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany.

International Journal of Environmental Research and Public Health
|July 27, 2022
PubMed
Summary

German healthcare providers (HCPs) understand Value-Based Care (VBC) but find implementation challenging. They favor quality-based reimbursement but avoid financial risk, prioritizing independent value assessment and improved care transitions.

Keywords:
cycle of carehealth reformvalue-based carevalue-based reimbursement

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Area of Science:

  • Healthcare Management
  • Health Economics
  • Quality Improvement

Background:

  • Value-Based Care (VBC) aims to improve patient outcomes and reimburse healthcare providers (HCPs) based on care quality.
  • Knowledge regarding German HCPs' understanding of VBC is limited.
  • This study addresses this gap by investigating HCPs' VBC knowledge and educational needs for implementation in Germany.

Purpose of the Study:

  • To assess the current knowledge of Value-Based Care (VBC) among German healthcare providers (HCPs).
  • To identify specific educational needs for successful VBC implementation in the German healthcare system.
  • To understand HCPs' perceptions regarding VBC's applicability, benefits, and challenges.

Main Methods:

  • A literature search was conducted to inform evidence generation.
  • An online survey was administered to HCPs across 89 hospitals in Germany.
  • A mixed-methods approach, including a questionnaire co-developed with experts, was utilized.

Main Results:

  • HCPs perceive VBC as more applicable to surgery than internal medicine.
  • Well-defined care cycles are considered essential for VBC implementation.
  • HCPs believe VBC can significantly reduce healthcare costs but anticipate implementation challenges.

Conclusions:

  • The general concept of VBC is well-received by HCPs.
  • HCPs are unwilling to share financial risk associated with VBC.
  • Key interests include establishing an independent agency for value measurement, advancing digital transformation, and enhancing inpatient-outpatient care transitions.