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Area of Science:

  • Health Services Research
  • Clinical Economics
  • Healthcare Management

Background:

  • Growing demand for value-based healthcare necessitates practical implementation strategies.
  • Patient-level value analysis (PLVA) integrates patient outcomes with total care costs.
  • Existing literature requires synthesis to facilitate PLVA adoption.

Purpose of the Study:

  • To synthesize the current literature on patient-level value analysis (PLVA).
  • To provide orthopaedic surgeons with tactical implementation guidance for PLVA.
  • To leverage behavioral science frameworks for promoting high-value care.

Main Methods:

  • Literature synthesis of patient-level value analysis (PLVA).
  • Application of the Capability, Opportunity, Motivation-Behavior (COM-B) model.
  • Utilizing the Theoretical Domains Framework (TDF) for implementation strategies.

Main Results:

  • PLVA involves six key steps: defining pathways, identifying interventions, selecting PROMs, determining costs, evaluating relationships, and identifying drivers.
  • The COM-B model and TDF offer a structured approach to implementing PLVA.
  • Guidance is provided for minimizing variation and promoting best practices in care delivery.

Conclusions:

  • PLVA is a crucial methodology for advancing value-based healthcare.
  • Behavioral science frameworks can effectively guide the implementation of PLVA in clinical settings.
  • This approach empowers healthcare providers to deliver higher value care by optimizing outcomes and managing costs.