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Updated: Aug 23, 2025
02:28
Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
479
Initiating value-based healthcare in psoriasis: Proposing a value-based outcome set for daily clinical practice
Niels Timo Hilhorst1,2, Elfie Deprez1,2, Deepak Mukesh Wieshwaykumar Balak3
1Dermatology Research Unit, Ghent University, Ghent, Belgium.
Summary
This study developed a value-based outcome set (VOS) for psoriasis care, prioritizing symptom control and treatment efficacy. This framework aims to improve patient value by critically appraising and enhancing current care processes.
Area of Science:
- Value-based healthcare strategies
- Patient-reported outcome measures
- Psoriasis management
Background:
- Healthcare is shifting towards value-based approaches, necessitating a clear definition of value.
- Developing an actionable value-based outcome set (VOS) is crucial for daily clinical practice.
Approach:
- A mixed-method approach involved a systematic literature review to identify patient-relevant outcomes.
- A modified nominal group technique (NGT) and patient ranking were used to refine and prioritize outcomes.
- Literature review identified 12 suitable instruments for measuring outcomes in the VOS, followed by a feasibility test.
Key Points:
- Symptom control, treatment efficacy, confidence in care, and disease control were ranked as most important outcomes by 120 psoriasis patients.
- Comorbidity control, productivity, and cost of care were ranked as least important.
- A significant difference was observed in outcome rankings (p < 0.001).
Conclusions:
- This VOS offers a novel framework for evaluating psoriasis care through a value-based lens.
- Measuring these outcomes facilitates critical appraisal and improvement of care processes.
- The VOS aims to enhance patient value within resource constraints.
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