Value-Based Healthcare Delivery: A Scoping Review.

Area of Science:

• Health Services Research
• Healthcare Management
• Health Economics

Background:

• Healthcare systems are shifting from volume-based to value-based models.
• Value-based healthcare (VBHC) prioritizes patient health outcomes and organizational results in relation to costs.

Purpose of the Study:

• To identify key elements and outcomes associated with the implementation of value-based healthcare (VBHC).

Main Methods:

• A scoping review of literature published between 2013 and 2023.
• Searches conducted across four databases: SpringerLink, PubMed, ProQuest, and Scopus.
• Inclusion criteria applied to 2801 retrieved articles, with 12 studies meeting the criteria.

Main Results:

• Eleven studies defined value as the ratio of patient outcomes to costs.
• Prominent elements for VBHC implementation include leadership, integrated care units, standardized patient-centered outcome measures, and patient perspective inclusion.
• Identified benefits of VBHC implementation offer insights for future actions.

Conclusions:

• The value-based healthcare model shows promise for enhancing healthcare efficiency and sustainability.
• Successful VBHC implementation relies on strategic leadership, integrated care structures, and a focus on patient-reported outcomes and experiences.