An Overview of Measurement Systems and Practices in Healthcare Systems Applied to Person-Centred Care Interventions

Abstract

Person-centred care (PCC) is an increasing international priority and a shift in health systems orientation and development. Innovative models are required across Europe to prototype healthcare based on health promotion and PCC to improve healthcare quality and costs containment. Regardless of the type of intervention, investments will be required, and it will be essential to demonstrate the value created, comparing consequences and the associated costs. Independent of PCC intervention, we must consider different decision levels and stakeholders in the process. This work aims to focus on a broader perspective of health governance on PCC implementations, considering the need and importance of measurement systems (outcomes and costs) to support and evaluate innovative health service delivery models. It is necessary to have a global view of the entire system considering, from a health governance perspective, the different decision-making levels, the multiple stakeholders and the alignment of their interests. Value-Based Healthcare (VBHC), Value for Money (VfM) and economic evaluation provide concepts, methodologies, and tools that can be used to compare costs and consequences evaluating their impact on society. We need accurate outcomes and costs measurement systems and evaluation tools that can be incorporated in an organizational environment supporting organizational learning and interaction in exchanging knowledge and experience about implementation.