Chronic Kidney Disease
| Autor: | Bernard Canaud, Peter Schröder-Bäck, Andrea Stopper, Silvia M. A. A. Evers, Aggie T. G. Paulus, Ellen Busink, Christian Apel, Sudhir K. Bowry |
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| Přispěvatelé: | Fresenius Medical Care [Bad Homburg], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Maastricht University Medical Centre (MUMC), Maastricht University [Maastricht], Trimbos Institute, Netherlands Institute of Mental Health and Addiction |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Value (ethics)
Value-based renal care medicine.medical_specialty IMPACT media_common.quotation_subject 030232 urology & nephrology 030204 cardiovascular system & hematology [SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology Outcome (game theory) Value-based healthcare Patient pathway PATIENT 03 medical and health sciences 0302 clinical medicine STAGE Care coordination Health care Medicine QUALITY Quality (business) Renal Insufficiency Chronic Intensive care medicine Set (psychology) media_common business.industry MESH: Delivery of Health Care / economics Delivery of Health Care / standards: Renal Insufficiency Chronic / economics Renal Insufficiency Chronic / therapy Hematology General Medicine Benchmarking medicine.disease Payment 3. Good health Europe [STAT]Statistics [stat] Nephrology Costs and Cost Analysis [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business BURDEN Delivery of Health Care COSTS Kidney disease |
| Zdroj: | Blood Purification Blood Purification, Karger, 2019, 47 (1-3), pp.156-165. ⟨10.1159/000496681⟩ |
| ISSN: | 0253-5068 1421-9735 |
| DOI: | 10.1159/000496681 |
| Popis: | Background: Increasing healthcare expenditures have triggered a trend from volume to value by linking patient outcome to costs. This concept first described as value-based healthcare (VBHC) by Michael Porter is especially applicable for chronic conditions. This article aims to explore the applicability of the VBHC framework to the chronic kidney disease (CKD) care area. Methods: The 4 dimensions of VBHC (measure value; set and communicate value benchmarking; coordinate care; payment to reward value-add) were explored for the CKD care area. Available data was reviewed focusing on CKD initiatives in Europe to assess to what extent each of the 4 dimensions of VBHC have been applied in practice. Results: Translating VBHC into value-based renal care (VBRC) seems to be initiated to a limited extent in European health systems. In most cases not all dimensions of VBHC have been utilized in the renal care initiatives. Conclusion: The translation of VBHC into VBRC is possible and even desirable if an optimal treatment pathway for CKD patients could be achieved. This would require an organizational change in health system set up and should include a strategy focusing on full care responsibility. The patient outcome perspective and health economic analysis need to be the centre of attention. |
| Databáze: | OpenAIRE |
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