Value-based health-care principles in health-care organizations

Abstract

Purpose This study aims to analyze the value-based health-care model in defining a strategy to guide the evolution of health-care organizations toward a value-oriented model. To improve the quality of care by ensuring economic sustainability, it is necessary to redefine the concept of competition in health care and align it with the concept of maximizing value for patients. Design/methodology/approach Performance measurement is a crucial aspect of the analysis of health-care organizations. Porter developed an effective analytical technique and presented the measurement of health-care outcomes based on health conditions, the efficiency of health-care organizations and the type of service provided. Findings Clinical outcomes and data on the costs of care of each patient are essential to evaluate improvement in treatment value over time. Engaging in the evaluation of what happens to patients in their course of care enables the expansion of the measurement of outcomes because it measures all the health services related to it. Originality/value Building a health-care system based on the value and continuous improvement of care and services provided is a goal shared by many countries and international organizations. Today, the analysis of outcomes is important for making informed decisions, directing and planning clinical and organizational changes by improving the quality of care and services.

Tools and Methods Used in Performance Measurement in Healthcare

“…Salvatore ve diğ. [23] Porter'ın modelinin ışığında, sağlık organizasyonlarının değer odaklı bir modele dönüşümüne rehberlik etmeyi hedeflerken, Austin ve diğ., [24] acil servislerin performansını iyileştirmeye odaklanmışlardır. Tüm bu çalışmaların dışında performans değerlendirme konusu ile sağlığa yapılan ödemelerin ilişkisini inceleyen; Gok ve Altındağ [25]; Chen ve Cheng [26]; Cross ve diğ.…”

Improved quality of physiotherapy care in patients with Whiplash-Associated Disorders: Results based on 16 years of routinely collected data

“…Quality improvement is no longer the preserve of a few enthusiastic professionals but has become a central tenet in healthcare, including physiotherapy. Quality improvement is now part of the daily routine of all those involved in delivering healthcare and is even a statutory obligation in many countries ( 1 ), including the Netherlands ( 2 ). Physiotherapists are directly or indirectly involved in optimal physiotherapy care not only in hospitals but also increasingly in primary care.…”

“…Clinical practice guidelines (CPGs) enable physiotherapists to assess (1) the extent to which physiotherapy management and assessment aligns with available research-based evidence, and (2) gaps in practice that need improvement. Routinely collected data (RCD) describing real practice populations, such as patients with WAD, can fill these evidentiary gaps and act an important driver of quality improvement and performancebased measurement (7,39).…”

Health outcomes measurement for value-based healthcare

“…This sort of evidence answers the "what" and "why" questions to implementing VBHC reform. However, the question of "how' to implement VBHC remains open due to the limited literature on effective implementation approaches at a global level (Salvatore et al, 2021). A large-scale transformation would include initiating outcome measurement for all medical conditions simultaneously, while a small-scale transformation would include certain medical conditions only (diseasespecific) based on the unique contextual circumstances in healthcare settings.…”