Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug 16;12(8):e064983.
doi: 10.1136/bmjopen-2022-064983.

Mapping the extent, range and nature of research activity on value-based healthcare in the 15 years following its introduction (2006-2021): a scoping review

Joanna R G Vijverberg  1   2 , Kirsten Daniels  2   3 , Gijs Steinmann  4 , Mirjam M Garvelink  2 , Marc B V Rouppe van der Voort  5 , Douwe Biesma  6 , Willem Jan W Bos  6   7 , Frits van Merode  8 , Paul van der Nat  2   3
Affiliations

Mapping the extent, range and nature of research activity on value-based healthcare in the 15 years following its introduction (2006-2021): a scoping review

Joanna R G Vijverberg et al. BMJ Open. .

Abstract

Objectives: We aimed to systematically map the extent, range and nature of research activity on value-based healthcare (VBHC), and to identify research gaps.

Design: A scoping review with an additional cited reference search was conducted, guided by the Joanna Briggs Institute methodology.

Data sources: The search was undertaken in PubMed, Embase and Web of Science.

Eligibility criteria: Eligible articles mentioned VBHC or value with reference to the work of Porter or provided a definition of VBHC or value.

Data extraction and synthesis: Data were independently extracted using a data extraction form. Two independent reviewers double extracted data from 10% of the articles. Data of the remaining articles (90%) were extracted by one reviewer and checked by a second. The strategic agenda of Porter and Lee was used to categorise the included articles.

Results: The searches yielded a total of 27,931 articles, of which 1,242 were analysed. Most articles were published in North America. Most articles described an application of VBHC by measuring outcomes and costs (agenda item 2). The other agenda items were far less frequently described or implemented. Most of these articles were conceptual, meaning that nothing was actually changed or implemented.

Conclusion: The number of publications increased steadily after the introduction of VBHC in 2006. Almost one-fifth of the articles could not be categorised in one of the items of the strategic agenda, which may lead to the conclusion that the current strategic agenda could be extended. In addition, a practical roadmap or guideline to implement VBHC is still lacking. Future research could fill this gap by specifically studying the effectiveness of VBHC in day-to-day clinical practice.

Keywords: HEALTH SERVICES ADMINISTRATION & MANAGEMENT; Health policy; Quality in health care.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow chart with review decision process. VBHC, value-based healthcare.
Figure 2
Figure 2
Bar chart with number of publications over the years. The search was conducted in June 2021.
See this image and copyright information in PMC

References

    1. Porter ME, Teisberg EO. Redefining health care: creating value-based competition on results: Harvard business review press, 2006.
    1. Porter ME. Value-Based health care delivery. Ann Surg 2008;248:503–9. 10.1097/SLA.0b013e31818a43af - DOI - PubMed
    1. Porter ME, Lee TH. The strategy that will fix health care. Harvard Business Review 2013;91:50-+.
    1. Cossio-Gil Y, Omara M, Watson C, et al. The roadmap for implementing value-based healthcare in European university Hospitals-Consensus report and recommendations. Value Health 2022;25:1148-1156. 10.1016/j.jval.2021.11.1355 - DOI - PubMed
    1. Porter ME. What is value in health care? N Engl J Med 2010;363:2477–81. 10.1056/NEJMp1011024 - DOI - PubMed

Publication types