Moving from Principles to Practice: A Scoping Review of Value-Based Healthcare (VBHC) Implementation Strategies

Area of Science:

• Healthcare Management
• Health Policy
• Health Services Research

Background:

• Value-based healthcare (VBHC) principles are widely adopted globally.
• Actual implementation of VBHC strategies varies significantly across healthcare organizations.
• Understanding implementation strategies at different organizational levels is crucial.

Purpose of the Study:

• To identify and analyze studies on VBHC implementation strategies.
• To examine implementation approaches at the policy, hospital administration, and healthcare provider levels.
• To synthesize findings on the relative roles and strategies of different stakeholders in VBHC adoption.

Main Methods:

• A scoping review methodology was employed.
• Conducted in accordance with PRISMA extension for scoping reviews.
• Searched major databases (Web of Science, PubMed, MEDLINE, Scopus) from 2006 to 2023.

Main Results:

• 30 eligible studies were identified and analyzed.
• Findings organized into four macro strategic levels with specific dimensions.
• Government commitment (14 studies), regional integrated care systems (6 studies), and hospital roles (16 studies) were key areas of focus.

Conclusions:

• Successful VBHC implementation necessitates a comprehensive, multi-level approach.
• Hospitals play a pivotal role, requiring organizational and attitudinal shifts.
• Government legislation, reimbursement reform, and hospital networking are critical for seamless patient management in VBHC.