Proposing a Model of “Hospital Value-Based Purchasing” in Selected Teaching Hospitals in Isfahan, Iran: 2015 - 2016

Abstract

Background: Recently, HVBP has been a tool for improving the quality of healthcare services and managing costs. This study was conducted to identify and propose an appropriate model of HVBP in the general selected teaching hospitals in Isfahan, Iran. Objectives: The purpose of this study was to propose an Iranian model of HVBP in the selected teaching hospitals in Isfahan, Iran, 2015 -16. Methods: This study was a theoretical and qualitative study. It was cross-sectional and prospective in terms of time, direction, and trend. The sample was determined purposefully in Delphi methods. Three types of Delphi methods were conducted including: theory, policy, and implementation Delphi. The sample size in Delphi methods respectively included 9, 13, and 21 that were selected in type of experts sampling and cascading in 2015 -16. Inclusion and exclusion criteria were designated to select sample in all three types of Delphi methods. Results: According to the results of the study, the proposed Iranian model of HVBP had seven dimensions including structure, process, outcome, patient experience, quality of clinical care, sensitivity of care team, and efficiency with the weight percentages of 5,5,25,20,15,15, and 15, respectively. Each of the dimensions had 5, 6, 5, 7, 5, 4, and 1 components/component, respectively. Conclusions: This study identified and proposed a model of HVBP in the Isfahan selected general teaching hospitals. The practical application of the findings was to determine the dimensions and components of HVBP in Isfahan general teaching hospitals. According to the findings of this study, it is suggested that a series of related research be conducted to complete the identification process of HVBP in Iran in other types of hospital settings.

Comparative analysis of long-term care quality for older adults in China and Western countries

“…14 Japan, the United Kingdom, Australia, Iran, and other countries subsequently applied the SPO model to evaluate and discuss the quality of nursing care services in national investigations. 15 , 16 This theory can be used to comprehensively assess care service quality using multidimensional factors, to help guide clinical practice. However, the weight of each layer of indicators in the evaluation criteria has been debated.…”

“…Cui et al. 16 attempted to apply the SPO pattern in evaluating the quality of pension services; however, the SPO pattern has not been used to assess the quality of long-term care for older populations in China. In recent years, extensive efforts have been made to guide long-term care for older adults according to “healthy aging” concept proposed by the WHO.…”