Value-based health care definition and characteristics: an evidence-based approach
H. Khalil
A * , M. Ameen B , C. Davies A , R. Arunkumar A and C. Liu A
A
B
Abstract
The aim of this study was to develop a concise, accessible definition of value-based health care (VBHC) and identify its main characteristics through a comprehensive analysis of existing literature.
A scoping review methodology was employed to map definitions and characteristics of VBHC from nine databases, including JBI EBP Database, Cochrane Reviews, Embase, Ovid MEDLINE(R), APA PsycINFO, and others, from inception until November 2023. The scoping review aimed to clarify existing concepts and identify gaps in VBHC definitions and frameworks across various geographical contexts. Additionally, qualitative data on VBHC were analysed from the included studies using a word cloud generated via an online tool and a word frequency table generated from Excel. This dual analysis informed the creation of a simplified, data-driven definition of VBHC along with its key characteristics.
The word frequency analysis highlighted common themes, including ‘care,’ ‘outcomes,’ ‘quality,’ ‘efficiency,’ and ‘cost.’ Based on these frequently mentioned terms, a simplified definition of VBHC was formulated, focusing on patient-centred care that aims to improve health outcomes relative to costs. Comparisons with existing literature revealed that while the derived definition is more accessible and concise, it lacks the depth of the academic definitions, which emphasise strategic implementation, interdisciplinary collaboration, and nuanced measurement of outcomes.
This study provides a simplified, data-driven definition of VBHC that can facilitate understanding and implementation among practitioners and stakeholders. Integrating this accessible definition can bridge the gap between theory and practice, ultimately supporting better health outcomes and system sustainability.
Keywords: cost efficiency, health outcomes, healthcare, patient care, patient-centred care, quality improvement, value, value-based health care (VBHC).
References
1 Adelson KB, Velji S, Patel K, et al. Preparing for Value-Based Payment: A Stepwise Approach for Cancer Centers. J Oncol Pract 2016; 12(10): e911-e32.
| Crossref | Google Scholar | PubMed |
2 Cuellar AE, Dyer MB, Matulis R. Value-Based Payment, the Safety Net, and Rethinking Risk. Am J Manag Care 2022; 28(8): e280-e81.
| Crossref | Google Scholar | PubMed |
3 Aguirre GC, Mendivelso JC, Jimenez HB, et al. 99 Participatory health guide for value-based care. BMJ Evid Based Med 2022; 27(Supplement 1): A21.
| Crossref | Google Scholar |
4 Sparring V, Granstrom E, Andreen Sachs M, et al. One size fits none - a qualitative study investigating nine national quality registries’ conditions for use in quality improvement, research and interaction with patients. BMC Health Serv Res 2018; 18(1): 802.
| Crossref | Google Scholar | PubMed |
5 Abicalaffe C, Schafer J. Opportunities and challenges of value-based health care: How Brazil can learn from U.S. Experience. J Manag Care Spec Pharm 2020; 26(9): 1172-75.
| Crossref | Google Scholar | PubMed |
6 Al-Amin M, Makarem SC, Rosko M. Efficiency and hospital effectiveness in improving Hospital Consumer Assessment of Healthcare Providers and Systems ratings. Health Care Manage Rev 2016; 41(4): 296-305.
| Crossref | Google Scholar | PubMed |
7 Abdalla R, Pavlova M, Hussein M, et al. Quality measurement for cardiovascular diseases and cancer in hospital value-based healthcare: a systematic review of the literature. BMC Health Serv Res 2022; 22(1): 979.
| Crossref | Google Scholar | PubMed |
8 Bachman SS, Comeau M, Long TF. Statement of the Problem: Health Reform, Value-Based Purchasing, Alternative Payment Strategies, and Children and Youth With Special Health Care Needs. Pediatrics 2017; 139: S89-S98.
| Crossref | Google Scholar | PubMed |
9 Aiyegbusi OL, Roydhouse J, Rivera SC, et al. Key considerations to reduce or address respondent burden in patient-reported outcome (PRO) data collection. Nat Commun 2022; 13(1): 6026.
| Crossref | Google Scholar | PubMed |
10 Bousché G, Koutris M, Su N, et al. Predictors of patients’ satisfaction after temporomandibular disorder treatment in a referral clinic. J Oral Rehabil 2024; 51: 266-277.
| Crossref | Google Scholar | PubMed |
11 Colldén C, Gremyr I, Hellström A, et al. A value-based taxonomy of improvement approaches in healthcare. J Health Organ Manag 2017; 31(4): 445-58.
| Crossref | Google Scholar | PubMed |
12 Allen H, Burton WN, Fabius R. Value-Driven Population Health: An Emerging Focus for Improving Stakeholder Role Performance. Popul Health Manag 2017; 20(6): 465-74.
| Crossref | Google Scholar | PubMed |
13 Alberti PM, Bonham AC, Kirch DG. Making equity a value in value-based health care. Acad Med 2013; 88(11): 1619-23.
| Crossref | Google Scholar | PubMed |
14 Clement F. Value-Based Healthcare: Is It Just Another Buzzword? Healthc Policy 2023; 18(4): 18-25.
| Crossref | Google Scholar | PubMed |
15 Fantini B, Vaccaro CM. Value based healthcare for rare diseases: efficiency, efficacy, equity. Ann Ist Super Sanita 2019; 55(3): 251-57.
| Crossref | Google Scholar | PubMed |
16 Cherkaoui Z, Felli E, LeAost E, et al. 27th Annual Conference of the International Society for Quality of Life Research. Qual Life Res 2020; 29(SUPPL 1): S175.
| Crossref | Google Scholar | PubMed |
17 Hofmann S, Branner J, Misra A, et al. A Review of Current Approaches to Defining and Valuing Innovation in Health Technology Assessment. Value Health 2021; 24(12): 1773-83.
| Crossref | Google Scholar | PubMed |
18 Makdisse M, Ramos P, Malheiro D, et al. Value-based healthcare in Latin America: a survey of 70 healthcare provider organisations from Argentina, Brazil, Chile, Colombia and Mexico. BMJ Open 2022; 12(6): 058198.
| Crossref | Google Scholar | PubMed |
19 Ten Brink F, Rijneveld AW, Claessen MJJAG, et al. Value-based health care (VBHC) in sickle cell disease: A Dutch initiative. Blood 2015; 126(23): 5572.
| Crossref | Google Scholar |
20 Zerillo JA, Schouwenburg MG, van Bommel ACM, et al. An International Collaborative Standardizing a Comprehensive Patient-Centered Outcomes Measurement Set for Colorectal Cancer. JAMA Oncol 2017; 3(5): 686-94.
| Crossref | Google Scholar | PubMed |
21 Zwicker J. Value for Who? Value-Based Healthcare for Children and Families. Healthc Pap 2020; 19(1): 48-58.
| Crossref | Google Scholar | PubMed |
22 Seara G, Paya A, Mayol J. Value-based healthcare delivery in the digital era. Eur Psychiatry 2016; 33(S1): S33.
| Crossref | Google Scholar |
23 Teisberg E, Wallace S, O’Hara S. Defining and Implementing Value-Based Health Care: A Strategic Framework. Acad Med 2020; 95(5): 682-85.
| Crossref | Google Scholar | PubMed |
25 Porter ME. Value-based health care delivery. Ann Surg 2008; 248(4): 503-09.
| Crossref | Google Scholar | PubMed |
26 Porter ME. What is value in health care? N Engl J Med 2010; 363(26): 2477-81.
| Crossref | Google Scholar | PubMed |
27 Salvatore FP, Fanelli S, Donelli CC, et al. Value-based health-care principles in health-care organizations. Int J Organ Anal 2021; 29(6): 1443-54.
| Crossref | Google Scholar |
28 Kaplan RS, Porter ME. How to solve the cost crisis in health care. Harv Bus Rev 2011; 89(9): 46-52.
| Google Scholar | PubMed |
29 Liu T, Bozic K, Teisberg E, et al. Value-based Healthcare: Person-centered Measurement: Focusing on the Three C’s. Clin Orthop Relat Res 2017; 475(2): 315-17.
| Crossref | Google Scholar | PubMed |
30 Schapira MM, Williams M, Balch A, et al. Seeking Consensus on the Terminology of Value-Based Transformation Through use of a Delphi Process. Popul Health Manag 2020; 23(3): 243-55.
| Crossref | Google Scholar | PubMed |
31 Peters MD, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth 2020; 18(10): 2119-26.
| Google Scholar |
32 Tricco AC, Lillie E, Zarin W. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 2018; 169(7): 467-73.
| Crossref | Google Scholar | PubMed |
33 Munn Z, Pollock D, Khalil H, et al. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis. JBI Evid Synth 2022; 20(4): 950-52.
| Crossref | Google Scholar |
34 Dobrea R-C, Marin A, Dima C, et al. The Relationship Between the Tourism Industry and Sustainable Development Goals–Word Cloud Analysis. Amfiteatru Econ 2023; 25: 1131-48.
| Crossref | Google Scholar |
35 Australian Healthcare and Hospitals Association (AHHA). What is Value-Based Health Care? Available at https://ahha.asn.au/what-is-vbhc/#:~:text=VBHC%20is%20a%20global%20movement,process%20that%20must%20be%20followed. [cited 2024].
36 Nguyen TM, Bridge G, Hall M, et al. Is value-based healthcare a strategy to achieve universal health coverage that includes oral health? An Australian case study. J Public Health Policy 2023; 44(2): 310-24.
| Crossref | Google Scholar | PubMed |
37 Ridde V, Gautier L, Turcotte-Tremblay A-M, et al. Performance-based Financing in Africa: Time to Test Measures for Equity. Int J Health Serv 2018; 48(3): 549-61.
| Crossref | Google Scholar | PubMed |
38 van der Werf L, Amaya-Granados D, Hernandez F. HPR25 An Assessment of Value-Based Health Care Elements in Colombia. Value Health 2023; 26(6 Supplement): S215.
| Crossref | Google Scholar |
39 Vilcu I, Mbuthia B, Ravishankar N. Purchasing reforms and tracking health resources, Kenya. Bull World Health Organ 2020; 98(2): 126-31.
| Crossref | Google Scholar | PubMed |
40 Cossio-Gil Y, Omara M, Watson C, et al. The Roadmap for Implementing Value-Based Healthcare in European University Hospitals-Consensus Report and Recommendations. Value Health 2022; 25(7): 1148-56.
| Crossref | Google Scholar | PubMed |
41 Douglas C, Aroh D, Colella J, et al. The HackensackUMC Value-Based Care Model: Building Essentials for Value-Based Purchasing. Nurs Adm Q 2016; 40(1): 51-59.
| Crossref | Google Scholar | PubMed |
42 Yenice S. Patient-centric and value-based management at the clinical laboratory. Turk J Biochem 2016; 41(Supplement 3): 40-41.
| Google Scholar |
43 Damman OC, Jani A, de Jong BA, et al. The use of PROMs and shared decision-making in medical encounters with patients: an opportunity to deliver value-based health care to patients. J Eval Clin Pract 2020; 26(2): 524-540.
| Google Scholar |
