Value-based focused global population health management

Abstract

In 2018, approximately 18 million people worldwide were diagnosed with cancer and are predicted to double by 2040. The global quality chasm in improving health care worldwide requires "systems thinking" as the key to success. Aligning the goal around person-centered care captures the total needs of care of a population and not just disease categories. The integration of the Institute of Medicine's (IOM) six aims of quality termed "value-based focused" and population health management (PHM) provides all health care leaders grappling with improving the health care of the populations a framework for the communities they serve. In this context, the question becomes finding solutions to providing high quality, compassionate and patient-centered health care delivery. Over the last two decades, three paradigms have emerged; the six aims of quality, outcome-focused population health, and the "Quadruple Aim". We have termed the intersection of these concepts as Value-based focused Population Health Management (VBPHM). This review applies VBPHM across the geographic county and community levels in the United States. Specifically, we examine VBPHM at the county or county-equivalents and community levels within the United States. Lastly, the potential role of Community-based Participatory Research and it is applicability to our framework is discussed. VBPHM can comparably be applied globally to improve population health, especially in preventing and treating cancer better.

Can cancer go green? It’s up to us

“…A global approach, based on public and professional education (65), will be needed to bring about economics-based system changes that can adapt to the disruptive evolutionary era ahead (66). Crosstalk with all stakeholdersincluding, though not limited to, patients, physicians, advocacy groups, governments, insurers, and pharmaswill necessarily precede such changes.…”

Value‐based public health: Moving beyond value‐based health care to support a wellbeing economy

“…2,3 Sustainable improvements in Australia's health require the systemic societal, economic and cultural determinants of health to be addressed in addition to the delivery of equitable, high-value personalised health interventions offered by VBHC. 4 Porter and Teisberg's 5 conceptualisation of value in health care 5 is being widely applied to models of care within Australia and globally. 1 The Australian government has recognised the need to shift health system funding and policy towards value-based models of care, allocating a reform stream to paying for value and outcomes within the current National Health Reform Agreement Long Term Health Reforms Roadmap.…”

“…While VBHC offers patient‐focused mechanisms to address the quality and equity of health care, it cannot substantially modify primary causative factors that operate external to the health system to impact health outcomes 2,3 . Sustainable improvements in Australia's health require the systemic societal, economic and cultural determinants of health to be addressed in addition to the delivery of equitable, high‐value personalised health interventions offered by VBHC 4 …”

Explaining the Role of Physicians in Urban Comprehensive Health Service Centers After Implementing Health Transformation Plan in Southeast of Iran: A Qualitative Study

“…Establishing health services to provide and promote the health of individuals is one of the essential pillars of the development of any society (1). Health systems should consider two fundamental aspects in providing health services: the best level of access to health services and the fairness of this access (2).…”