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Towards Efficient Value-Based Healthcare Measurement Across Hospital Care Pathways - A Scoping Review
Denise Rodenburg1, Monique Ardon2, Marieke Sijm-Eeken1
1Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Studies in Health Technology and Informatics
|August 23, 2024
Summary
This study identifies generic value-based healthcare (VBHC) indicators to streamline quality measurement across care pathways. Standardizing these indicators can reduce data collection efforts and improve VBHC management.
Area of Science:
- Health Services Research
- Healthcare Management
- Quality Improvement
Background:
- Value-based healthcare (VBHC) is crucial for managing healthcare quality by linking payment to patient outcomes and cost-efficiency.
- Hospitals face challenges in the time-intensive processes of collecting, evaluating, and presenting VBHC quality measurements.
- Standardizing VBHC indicators across diverse care pathways offers a potential solution to reduce administrative burden.
Purpose of the Study:
- To identify generic indicators for evaluating and monitoring VBHC across multiple care pathways.
- To address the challenges faced by institutions like Erasmus Medical Centre in managing VBHC data.
- To provide a foundation for developing integrated healthcare information systems that support standardized quality indicators.
Main Methods:
- A comprehensive scoping review of 33 articles was conducted.
- Indicators for VBHC measurement were systematically extracted from the literature.
- Data were aggregated and categorized using Donabedian's Structure-Process-Outcome model.
Main Results:
- A set of generic indicators for VBHC measurement across care pathways was identified.
- The study highlights the feasibility of using common indicators to monitor value-based care.
- The Donabedian model provided a robust framework for categorizing the identified indicators.
Conclusions:
- Generic VBHC quality measurement indicators can simplify and enhance VBHC management.
- Standardization of indicators is key to reducing data collection efforts and improving efficiency.
- Findings can guide researchers, practitioners, and system developers in implementing more effective VBHC strategies.
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