RWD122 Strengthening the Patient Voice in Health Outcome Measurement in Real-World Data in Europe – The Health Outcomes Observatory

Stamm, Tanja; Andrews, Margaret R; Bénard, AHM; Cossio, Yolima; Delnoij, Diana; Kalra, D; Koppert, LB; Long, Preston; Mosor, Erika; Otto, Lisa Rebecca; Rose, Marisa; Kristensen, J Schøler; Thwaites, Rob; Styliadou, M

doi:10.1016/j.jval.2022.09.2347

Cited by 1 publication

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“…Hence, acceptance of and attitude towards the concept among those stakeholders that are affected by system changes and involved in legislation is critical for the implementation of VBC. Even though the implementation of VBC is already being advanced in other countries [ 5 , 8 , 9 ] or at the supranational level [ 10 ], little knowledge exists on implementation specifically in the German context. The previous literature examined the German healthcare providers’ knowledge of VBC, but only focused on the hospital sector [ 11 ].…”

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confidence: 99%

Transforming Health Care Delivery towards Value-Based Health Care in Germany: A Delphi Survey among Stakeholders

et al. 2023

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Value-based healthcare (VBC) represents one strategy to meet growing challenges in healthcare systems. To date, VBC is not implemented broadly in the German healthcare system. A Delphi survey was conducted to explore stakeholders’ perspectives on the relevance and feasibility of actions and practices related to the implementation of VBC in the German healthcare system. Panellists were selected using purposive sampling. Two iterative online survey rounds were conducted which were preceded by a literature search and semi-structured interviews. After two survey rounds, a consensus was reached on 95% of the items in terms of relevance and on 89% of the items regarding feasibility. The expert panels’ responses were in favor of the presented actions and practices of VBC in 98% of items for which consensus was found (n = 101). Opposition was present regarding the relevance of health care being provided preferably in one location for each indication. Additionally, the panel considered inter-sectoral joint budgets contingent on treatment outcomes achieved as not feasible. When planning the next steps in moving towards a value-based healthcare system, policymakers should take into account this study’s results on stakeholders’ perceptions of the relative importance and feasibility of VBC components. This ensures that regulatory changes are aligned with stakeholder values, facilitating greater acceptance and more successful implementation.

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