[Value-Based Healthcare, PROMs and Shared Decision-Making - How Are They Connected?]

Area of Science:

• Health Services Research
• Healthcare Management
• Patient-Centered Care

Background:

• Value-Based Healthcare (VBHC) redefines healthcare delivery by prioritizing patient-perceived value and cost-effectiveness.
• Originating from Harvard economists Porter and Teisberg, VBHC principles are being considered for healthcare system transformation globally.
• Patient perspective is central to VBHC, serving as a key indicator of treatment quality.

Purpose of the Study:

• To explore the interconnectedness of Value-Based Healthcare (VBHC), Patient-Reported Outcome Measurements (PROMs), and Shared Decision-Making (SDM).
• To highlight how PROMs and SDM are integral to achieving the goals of VBHC.

Main Methods:

• Conceptual analysis of VBHC principles.
• Literature review on the roles of PROMs and SDM in healthcare quality.
• Examination of the integration of patient-reported outcomes and shared decision-making within the VBHC framework.

Main Results:

• Patient-Reported Outcome Measurements (PROMs) are identified as a core metric for assessing the value of healthcare.
• Shared Decision-Making (SDM) is crucial for optimizing PROMs by incorporating patient preferences and values.
• The synergy between VBHC, PROMs, and SDM enhances the focus on individually perceived treatment value and quality.

Conclusions:

• VBHC, PROMs, and SDM are intrinsically linked components for improving healthcare value.
• Effective implementation of VBHC requires the integration of standardized PROMs and robust SDM processes.
• Optimizing healthcare value necessitates a patient-centered approach that embraces shared decision-making and outcome measurement.