Value-based healthcare initiatives in practice : a systematic review
dc.contributor.author | Zanotto, Bruna Stella | pt_BR |
dc.contributor.author | Etges, Ana Paula Beck da Silva | pt_BR |
dc.contributor.author | Marcolino, Miriam Allein Zago | pt_BR |
dc.contributor.author | Polanczyk, Carisi Anne | pt_BR |
dc.date.accessioned | 2022-07-28T04:45:32Z | pt_BR |
dc.date.issued | 2021 | pt_BR |
dc.identifier.issn | 1096-9012 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/245612 | pt_BR |
dc.description.abstract | Value-based initiatives are growing in importance as strategic models of healthcare management, prompting the need for an in-depth exploration of their outcome measures. This systematic review aimed to identify measures that are being used in the application of the value agenda. Multiple electronic databases (PubMed/MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials) were searched. Eligible studies reported various implementations of value-based healthcare initiatives. A qualitative approach was used to analyze their outcome measurements. Outcomes were classified according to a tier-level hierarchy. In a radar chart, we compared literature to cases from Harvard Business Publishing. The value agenda effect reported was described in terms of its impact on each domain of the value equation. A total of 7,195 records were retrieved; 47 studies were included. Forty studies used electronic health record systems for data origin. Only 16 used patient-reported outcome surveys to cover outcome tiers that are important to patients, and 3 reported outcomes to all 6 levels of our outcome measures hierarchy. A considerable proportion of the studies (36%) reported results that contributed to value-based financial outcomes focused on cost savings. However, a gap remains in measuring outcomes that matter to patients. A more complete application of the value agenda by health organizations requires advances in technology and culture change management. | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Journal of healthcare management. Chicago. Vol. 66, no. 5 (2021), p. 340-365. | pt_BR |
dc.rights | Open Access | en |
dc.subject | Revisão sistemática | pt_BR |
dc.subject | Custos e análise de custo | pt_BR |
dc.subject | Hospitalização | pt_BR |
dc.title | Value-based healthcare initiatives in practice : a systematic review | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001146127 | pt_BR |
dc.type.origin | Estrangeiro | pt_BR |
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