Value-based health care: alignment the tools and methods (literature review)

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Abstract

The desire to solve the problem of efficient spending of funds in the public sector has been transformed into an understanding of values. The desire to reduce costs, maintain the proper quality and maximize the availability of medical care led to the emergence and formation of a new concept of effective functioning based on values — VВHC (Value-based Health Care). 

Purpose. To systematize the criteria, metrics and methods for evaluating effectiveness in the context of the VHBC concept. To obtain the necessary information, a selective literature review was carried out. Electronic bibliographic databases in Russian (“RSCI/eLibrary”) and English (“Pubmed”) were used. Search queries were formed taking into account the MeSH nomenclature. To determine the effectiveness of the provision of medical services and the implementation of government programs (projects) in general, there are a number of methods. First of all, it is an analysis of costs, benefits, effectiveness and benefits. The most applicable performance measure is Quality Adjusted Life Years. QALY is a universal indicator of any health program. This expression of “utility” is by default the ultimate goal (final target unofficial indicator) of any government management decision in health care. Assessing the effectiveness of health care and developing a value-based model of health care through cost-benefit analysis is a time-consuming and important task. The study showed that it is necessary to use multidimensional tools for assessing the effectiveness of medical care. 

Conclusions. As a result of the review, it was found that there is no unified information system that offers ready-made assessment tools, and metrics have not been developed to evaluate the effectiveness of value-based healthcare VBHC models. It seems possible to create a checklist with universal parameters, implement it into a ready-made information system available on the market today to any medical institution, and analyze the effectiveness of the VBHC model based on the developed checklist.

Contribution of the authors:
Kamynina N.N. — research concept and design;
Polishchuk N.S. — material collection and processing, writing the text.
All authors are responsible for the integrity of all parts of the manuscript and approval of its final version.

Acknowledgment. The study had no sponsorship.

Conflict of interests. The authors declare that there is no conflict of interests.

Received: July 18, 2022 
Accepted: September 07, 2022
Published: December 12, 2022

About the authors

Natalya N. Kamynina

Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department

Author for correspondence.
Email: kamyninann@zdrav.mos.ru
ORCID iD: 0000-0002-0925-5822

MD, PhD, DSci, Deputy Director for Research of the Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow, 115088, Russian Federation.

e-mail: kamyninann@zdrav.mos.ru

Russian Federation

Nikita S. Polishchuk

Telemedicine Center of the Moscow Department of Healthcare

Email: polischukns@zdrav.mos.ru
ORCID iD: 0000-0001-8216-601X

Deputy Director of the Telemedicine Center of the Moscow Department of Healthcare, Moscow, 123060, Russian Federation.

e-mail: polischukns@zdrav.mos.ru

Russian Federation

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