Healthcare Providers' Knowledge of Value-Based Care in Germany: An Adapted, Mixed-Methods Approach.

Autor:	Kuck A; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Kinscher K; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Fehring L; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Hildebrandt H; Optimedis AG, 20095 Hamburg, Germany., Doerner J; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany.; Department of Surgery II, Helios University Hospital Wuppertal, 42283 Wuppertal, Germany., Lange J; Cologne-Merheim Medical Center, Department of Abdominal, Vascular and Transplant Surgery, Witten/Herdecke University, 58455 Witten, Germany., Truebel H; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Boehme P; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Bade C; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany., Mondritzki T; Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany.; Bayer AG, Cardiovascular Precision Medicine, 42096 Wuppertal, Germany.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Jul 11; Vol. 19 (14). Date of Electronic Publication: 2022 Jul 11.
DOI:	10.3390/ijerph19148466
Abstrakt:	Background: Value-Based Care (VBC) is being discussed to provide better outcomes to patients, with an aim to reimburse healthcare providers (HCPs) based on the quality of care they deliver. Little is known about German HCPs' knowledge of VBC. This study aims to investigate the knowledge of HCPs of VBC and to identify potential needs for further education toward implementation of VBC in Germany. Methods: For evidence generation, we performed a literature search and conducted an online survey among HCPs at 89 hospitals across Germany. The questionnaire was based on published evidence and co-developed with an expert panel using a mixed methods approach. Results: We found HCPs to believe that VBC is more applicable in surgery than internal medicine and that well-defined cycles of care are essential for its application. HCPs believe that VBC can reduce health care costs significantly. However, they also assume that implementing VBC will be challenging. Conclusions: The concept in general is well perceived, however, HCPs do not want to participate in any financial risk sharing. Installing an authority/independent agency that measures achieved value, digital transformation, and that improves the transition between the inpatient and the outpatient sectors are top interests of HCPs.
Databáze:	MEDLINE
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