The Roadmap for Implementing Value-Based Healthcare in European University Hospitals-Consensus Report and Recommendations.

Autor: Cossio-Gil Y; Department of Information Systems, Vall d'Hebron, Barcelona Hospital Campus, Barcelona, Spain., Omara M; Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria and Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria., Watson C; Department of Information Systems, Vall d'Hebron, Barcelona Hospital Campus, Barcelona, Spain., Casey J; King's Health Partners, London, England, UK., Chakhunashvili A; Karolinska University Hospital, Stockholm, Sweden., Gutiérrez-San Miguel M; Department of Information Systems, Vall d'Hebron, Barcelona Hospital Campus, Barcelona, Spain., Kahlem P; Scientific Network Management S.L., Barcelona, Spain., Keuchkerian S; CFE-Consulting Group, Saint-Amant-Tallende, France., Kirchberger V; Charité, Berlin, Germany., Luce-Garnier V; Assistance Publique des Hôpitaux de Paris, Paris, France., Michiels D; Universitair Ziekenhuis Leuven, Leuven, Belgium., Moro M; Chief Medical Office, Ospedale San Raffaele, Milan, Italy., Philipp-Jaschek B; Chief Medical Office, General Hospital and Medical University of Vienna, Vienna, Austria., Sancini S; Chief Medical Office, Ospedale San Raffaele, Milan, Italy., Hazelzet J; Erasmus University Medical Center, Rotterdam, The Netherlands., Stamm T; Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria and Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria. Electronic address: tanja.stamm@meduniwien.ac.at.
Jazyk: angličtina
Zdroj: Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research [Value Health] 2022 Jul; Vol. 25 (7), pp. 1148-1156. Date of Electronic Publication: 2021 Dec 15.
DOI: 10.1016/j.jval.2021.11.1355
Abstrakt: Objectives: Value-based healthcare (VBHC) aims at improving patient outcomes while optimizing the use of hospitals' resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach. In this article, we present a blueprint for the implementation of VBHC in hospitals, based on our experience as members of the European University Hospital Alliance.
Methods: The European University Hospital Alliance is a consortium of 9 large hospitals in Europe and aims at increasing the quality and efficiency of care to ultimately drive better outcomes for patients.
Results: The blueprint describes how to prepare hospitals for VBHC implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways into a process that results in high-value care. Using a patient-centric approach, we identified 4 core minimum components that must be established as cornerstones and 7 organizational enablers to waive the barriers to implementation and ensure sustainability.
Conclusion: The blueprint guides through pathway implementation and establishment of key performance indicators in 6 phases, which hospitals can tailor to their current status on their way to implement VBHC.
(Copyright © 2021 International Society for Pharmacoeconomics and Outcomes Research, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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