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. 2022 Mar 1;22(1):270.
doi: 10.1186/s12913-022-07489-2.

The implementation of value-based healthcare: a scoping review

Dorine J van Staalduinen  1   2 , Petra van den Bekerom  3 , Sandra Groeneveld  3 , Martha Kidanemariam  4 , Anne M Stiggelbout  4 , M Elske van den Akker-van Marle  4
Affiliations

The implementation of value-based healthcare: a scoping review

Dorine J van Staalduinen et al. BMC Health Serv Res. .

Abstract

Background: The aim of this study was to identify and summarize how value-based healthcare (VBHC) is conceptualized in the literature and implemented in hospitals. Furthermore, an overview was created of the effects of both the implementation of VBHC and the implementation strategies used.

Methods: A scoping review was conducted by searching online databases for articles published between January 2006 and February 2021. Empirical as well as non-empirical articles were included.

Results: 1729 publications were screened and 62 were used for data extraction. The majority of the articles did not specify a conceptualization of VBHC, but only conceptualized the goals of VBHC or the concept of value. Most hospitals implemented only one or two components of VBHC, mainly the measurement of outcomes and costs or Integrated Practice Units (IPUs). Few studies examined effects. Implementation strategies were described rarely, and were evaluated even less.

Conclusions: VBHC has a high level of interpretative variability and a common conceptualization of VBHC is therefore urgently needed. VBHC was proposed as a shift in healthcare management entailing six reinforcing steps, but hospitals have not implemented VBHC as an integrative strategy. VBHC implementation and effectiveness could benefit from the interdisciplinary collaboration between healthcare and management science.

Trial registration: This scoping review was registered on Open Science Framework https://osf.io/jt4u7/ (OSF | The implementation of Value-Based Healthcare: a Scoping Review).

Keywords: Delivery of health care; Health policy; Hospitals; Implementation; Value-based healthcare.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of search results and record selection
See this image and copyright information in PMC

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