Value-based health care in translation: From global popularity to primary care for Dutch elderly patients.

Autor: Steinmann G; Health Care Governance, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Health Services Research, Faculty of Health, Medicine & Life Sciences, Maastricht University, Maastricht, The Netherlands., van de Bovenkamp H; Health Care Governance, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands., de Bont A; Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands., Delnoij D; Health Care Governance, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.; Zorginstituut Nederland, Diemen, The Netherlands.
Jazyk: angličtina
Zdroj: Sociology of health & illness [Sociol Health Illn] 2024 May; Vol. 46 (4), pp. 683-701. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1111/1467-9566.13728
Abstrakt: In this article we examine the fragmented interpretation and implementation of a remarkably popular concept, value-based health care (VBHC). By building on a case study of a project team working on the development of value-based primary care services for elderly patients, we shed new light on the way in which VBHC transitions from theory to practice. The concept of 'translation' is used to theoretically frame our analysis. Between June 2021 and May 2022, we gathered data through participant observation (50 h), semi-structured interviews (n = 20) and document analysis (n = 16). Our findings show how VBHC inspired new ways of working, and that, in line with previous studies, parts of the original concept have been neglected, while others have been modified. We identified three reasons for VBHC's locally varied applications: VBHC transforms to enable a growing support base, the originally radical idea is applied conservatively and the concept tends to get mixed up with other policy objectives. In all, VBHC appears to be successful in catalysing cross-disciplinary interaction aimed at improving value for patients.
(© 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)
Databáze: MEDLINE
Externí odkaz: