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dc.contributor.authorZanotto, Bruna Stellapt_BR
dc.contributor.authorEtges, Ana Paula Beck da Silvapt_BR
dc.contributor.authorMarcolino, Miriam Allein Zagopt_BR
dc.contributor.authorPolanczyk, Carisi Annept_BR
dc.date.accessioned2022-07-28T04:45:32Zpt_BR
dc.date.issued2021pt_BR
dc.identifier.issn1096-9012pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/245612pt_BR
dc.description.abstractValue-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.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofJournal of healthcare management. Chicago. Vol. 66, no. 5 (2021), p. 340-365.pt_BR
dc.rightsOpen Accessen
dc.subjectRevisão sistemáticapt_BR
dc.subjectCustos e análise de custopt_BR
dc.subjectHospitalizaçãopt_BR
dc.titleValue-based healthcare initiatives in practice : a systematic reviewpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001146127pt_BR
dc.type.originEstrangeiropt_BR


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