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Value-Based Integrated Care (VBIC) Concept Implementation in a Real-World Setting-Problem-Based Analysis of Barriers
Ewa Bandurska1, Weronika Ciećko1, Marzena Olszewska-Karaban2
1Center for Competence Development, Integrated Care and e-Health, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
Healthcare (Basel, Switzerland)
|April 28, 2023
Summary
Implementing value-based healthcare (VBHC) in Poland faces challenges like legal gaps, staff shortages, and low awareness. Addressing these is key for successful value-based integrated care (VBIC) adoption.
Area of Science:
- Public Health
- Healthcare Management
- Health Economics
Background:
- Value-based healthcare (VBHC) emerged in 2006, focusing on healthcare effectiveness and value.
- VBHC principles aim to improve patient outcomes while managing costs.
- Poland's healthcare system is exploring VBHC implementation.
Observation:
- The study examined barriers to VBHC implementation in Poland using national programs (KOS-Infarction, POZ-Plus) and an Integrated Care Model (ICM) for COPD patients.
- The ICM in Gdańsk, operational since 2012, adapted value-based integrated care (VBIC).
- Analysis focused on identifying specific implementation difficulties.
Findings:
- Key barriers include a lack of legal and reimbursement frameworks.
- Shortages in healthcare staff and inadequate educational standards for multidisciplinary teams were identified.
- Insufficient public and professional awareness of integrated care's role hinders progress.
Implications:
- The findings highlight critical areas for policy development and resource allocation in Poland.
- Addressing these challenges is crucial for successful VBHC and VBIC adoption.
- Lessons learned from Polish projects can inform international discussions on VBHC implementation.
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