Untangling the perception of value in value-based healthcare –an interview study

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Wolf, AxelGothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences (författare)

Untangling the perception of value in value-based healthcare –an interview study

Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

2024

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LIBRIS-ID:oai:gup.ub.gu.se/335807
https://gup.ub.gu.se/publication/335807URI
https://doi.org/10.1108/LHS-07-2023-0051DOI

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Språk:engelska

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Abstract Purpose – Value-based health care (VBHC) argues that health-care needs to re-focus to maximise value creation, defining value as the quota when dividing the outcomes important for the patient, by the cost for health care to deliver such outcomes. This study aims to explore the perception of value among different stakeholders involved in the process of implementing VBHC at a Swedish hospital to support leaders to be more efficient and effective when developing health care. Design/methodology/approach – Participants comprised 19 clinicians and non-clinicians involved in the implementation of VBHC. Semi-structured interviews were conducted and content analysis was performed. Findings – The clinicians described value as a dynamic concept, dependent on the patient and the clinical setting, stating that improving outcomes was more important than containing costs. The value for non- clinicians appeared more driven by the interplay between the outcome and the cost. Non-clinicians related VBHC to a strategic framework for governance or for monitoring different continuous improvement processes, while clinicians appreciated VBHC, as they perceived its introduction as an opportunity to focus more on outcomes for patients and less on cost containment. Originality/value – There is variation in how clinicians and non-clinicians perceive the key concept of value when implementing VBHC. Clinicians focus on increasing treatment efficacy and improving medicaloutcomes but have a limited focus on cost and what patients consider most valuable. If the concept of value is defined primarily by clinicians’ own assumptions, there is a clear risk that the foundational premise of VBHC, to understand what outcomes patients value in their specific situation in relation to the cost to produce such outcome, will fail. Health-care leaders need to ensure that patients and the non-clinicians’ perception of value, is integrated with the clinical perception, if VBHC is to deliver on its promise.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Ekonomi och näringsliv Företagsekonomi hsv//swe
SOCIAL SCIENCES Economics and Business Business Administration hsv//eng
Professional logics
Leaders
Institutional logics
Value-based health care
Patient-reported experience
Patient-centred care
Person-centred care

Biuppslag (personer, institutioner, konferenser, titlar ...)

Erichsen Andersson, Annette,1966Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xericn (författare)
Wikström, Ewa,1967Gothenburg University,Göteborgs universitet,Företagsekonomiska institutionen, Management & Organisation,Department of Business Administration, Management & Organisation(Swepub:gu)xwikew (författare)
Bååthe, Fredrik,1968 (författare)
Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

Sammanhörande titlar

Ingår i:Leadership in Health Services37:5, s. 130-1411751-18790952-6862

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Av författaren/redakt...: Wolf, Axel; Erichsen Anderss ...; Wikström, Ewa, 1 ...; Bååthe, Fredrik, ...

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