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Review
. 2021;30(1):27-35.
doi: 10.1097/QMH.0000000000000289.

A Health Care Value Framework for Physical Therapy Primary Health Care Organizations

Affiliations
Review

A Health Care Value Framework for Physical Therapy Primary Health Care Organizations

Rutger Friso IJntema et al. Qual Manag Health Care. 2021.

Abstract

Background and objective: To develop a health care value framework for physical therapy primary health care organizations including a definition.

Method: A scoping review was performed. First, relevant studies were identified in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition was explored by physical therapy primary health care organization experts.

Results: Numerical and thematic data on health care quality and context-specific performance resulted in a health care value framework for physical therapy primary health care organizations-including a definition of health care value, namely "to continuously attain physical therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered outcomes, leveraged by an organization's capacity for change."

Conclusion: Prior literature mainly discussed health care quality and context-specific performance for primary health care organizations separately. The current study met the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous health care quality and context-specific performance. Future research is recommended on longitudinal exploration of the HV (health care value) framework.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Study selection for health care value for physical therapy primary health care organizations.
Figure 2.
Figure 2.
Health care value framework for physical therapy primary health care organizations.

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