Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology
Lucia Osoro1, Maura M Zylla2,3, Frieder Braunschweig3,4
1Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, Rte de Lennik 808, 1070 Bruxelles, Belgium.
Insights
Value-based healthcare (VBHC) models offer significant savings and improved patient outcomes in cardiology. However, implementing these value-based healthcare models requires substantial organizational changes and new reimbursement strategies.
Area of Science:
- Healthcare Management
- Cardiology
- Health Economics
Background:
- Value-based healthcare (VBHC) models promise substantial global healthcare savings and enhanced patient well-being.
- Challenges in adoption and development hinder the widespread implementation of VBHC.
Purpose of the Study:
- To review the current literature on the implementation of VBHC models in cardiology.
- To focus specifically on the application of VBHC within cardiac electrophysiology.
Main Methods:
- A scoping review methodology was employed, adhering to PRISMA guidelines for systematic reviews.
- Literature search conducted across PubMed, Mendeley, and ScienceDirect for publications from 2006-2023.
Main Results:
- VBHC implementation in cardiology and electrophysiology is nascent.
- Successful adoption requires restructuring for cross-functional, patient-centered teams and new reimbursement models.
- Technological integration for data analysis and patient management presents implementation hurdles.
Conclusions:
- VBHC models can optimize costs and enhance patient care and experience.
- Insufficient implementation stems from the need for significant infrastructural and organizational shifts.
- Tracking guideline adherence and evaluating patient-reported outcomes are critical for VBHC success.
Aims:
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients' wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
Methods And Results:
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
Conclusion:
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
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