We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Disentangling the value equation: a step forward in value-based healthcare.
- Authors
García-Lorenzo, Borja; Alayo, Itxaso; Arrospide, Arantzazu; Gorostiza, Ania; Fullaondo, Ane; Group, VOICE Study
- Abstract
Background The value equation of value-based healthcare (VBHC) as a single figure remains ambiguous, closer to a theoretical framework than a useful tool for decision making. The challenge lies in the way patient-centred outcomes (PCOs) might be combined to produce a single value of the numerator. This paper aims to estimate the weights of PCOs to provide a single figure in the numerator, which ultimately will allow a VBHC figure to be reached. Methods A cohort of patients diagnosed with breast cancer (n = 690) with a 6-month follow-up recruited in 2019–20 across six European hospitals was used. Patient-reported outcomes (PROs), clinical-related outcomes (CROs), and clinical and socio-demographic variables were collected. The numerator was defined as a composite indicator of the PCOs (CI-PCO), and regression analysis was applied to estimate their weights and consequently arrive at a single figure. Results Pain showed as the highest weight followed by physical functioning , emotional functioning , and ability to work , and then by a symptom, either arm or breast. PCOs weights were robust to sensitivity analysis. The CI-PCO value was found to be more informative than the health-related quality of life (HRQoL) value. Conclusions To the best of our knowledge, this is the first research to combine the PCOs proposed by ICHOM to provide a single figure in the numerator of the value equation. This figure shows a step forward in VBHC to reach a holistic benchmarking across healthcare centres and a value-based payment. This research might also be applied in other medical conditions as a methodological pathway.
- Subjects
EUROPE; SECONDARY analysis; RESEARCH funding; VALUE-based healthcare; BREAST tumors; BENCHMARKING (Management); CANCER patients; EMOTIONS; FUNCTIONAL status; DESCRIPTIVE statistics; PATIENT-centered care; LUNG tumors; PAIN; QUALITY of life; HEALTH outcome assessment; SOCIODEMOGRAPHIC factors; REGRESSION analysis
- Publication
European Journal of Public Health, 2024, Vol 34, Issue 4, p632
- ISSN
1101-1262
- Publication type
Article
- DOI
10.1093/eurpub/ckae060