Related Experiment Video
Updated: Jun 28, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
23.7K
Untangling the perception of value in value-based healthcare - an interview study
Axel Wolf1, Annette Erichsen Andersson2, Ewa Wikström3
1Institute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden and Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Leadership in Health Services (Bradford, England)
|April 18, 2024
Summary
Value-based healthcare (VBHC) implementation reveals differing perceptions of value between clinicians and non-clinicians. Integrating patient and non-clinician perspectives is crucial for VBHC success.
Area of Science:
- Healthcare Management
- Health Economics
- Patient-Centered Care
Background:
- Value-based healthcare (VBHC) redefines healthcare value as patient outcomes relative to cost.
- Successful VBHC implementation requires understanding diverse stakeholder perceptions of value.
Purpose of the Study:
- To explore stakeholder perceptions of value during VBHC implementation at a Swedish hospital.
- To inform leaders on effective strategies for developing value-based healthcare.
Main Methods:
- Semi-structured interviews conducted with 19 clinicians and non-clinicians involved in VBHC implementation.
- Content analysis of interview data to identify key themes and perceptions.
Main Results:
- Clinicians view value as dynamic, prioritizing patient outcomes over cost containment.
- Non-clinicians perceive value through the lens of outcome-cost interplay, linking VBHC to strategic governance.
- Clinicians see VBHC as an opportunity to focus on patient outcomes, not just cost reduction.
Conclusions:
- Significant variation exists in how clinicians and non-clinicians define value in VBHC.
- Over-reliance on clinician-centric value definitions risks undermining VBHC's core principles.
- Integrating patient and non-clinician value perceptions with clinical perspectives is essential for effective VBHC.
Related Concept Videos
01:22Ethics and Bioethics
1.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.4K
01:27Ethical Issues
938
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
938
01:29Professional Values
6.6K
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
6.6K
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
107
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
107
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:27Nursing Ethical Principles II
958
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
958