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Generalist-led hospital models and their alignment with value-based care: a systematic review protocol
Ravi Shankar1, Fiona Devi2, Amartya Mukhopadhyay3
1Medical Affairs - Research Innovation & Enterprise, Alexandra Hospital, Singapore Ravi_SHANKAR@nuhs.edu.sg.
BMJ Open
|April 27, 2025
Summary
This systematic review evaluates generalist-led hospital models for value-based care. Evidence on their impact on patient outcomes and costs compared to traditional models is synthesized.
Area of Science:
- Healthcare Management
- Health Services Research
Background:
- Value-based care (VBC) aims to improve healthcare quality while controlling costs.
- Generalist-led hospital models are proposed to achieve VBC goals.
- Existing evidence on the effectiveness of these models is inconsistent.
Purpose of the Study:
- To systematically review and synthesize evidence on generalist-led hospital models.
- To compare their impact on patient outcomes, healthcare costs, and resource utilization against traditional models.
Main Methods:
- Comprehensive literature search across multiple databases (PubMed, Web of Science, etc.).
- Inclusion of observational studies and randomized trials.
- Data extraction and quality assessment using established tools (Newcastle-Ottawa Scale, Cochrane Risk of Bias).
Main Results:
- Primary outcomes include mortality, morbidity, patient satisfaction, costs, length of stay, readmissions, and consultations.
- A narrative synthesis will be performed, with meta-analysis if data permit.
- Certainty of evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation.
Conclusions:
- This review will provide a comprehensive synthesis of evidence on generalist-led hospital models.
- Findings will inform healthcare policy and practice regarding VBC strategies.
- Dissemination through peer-reviewed publications and conferences is planned.
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