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- Title
The role of laboratory medicine in a value-based healthcare system: the example of heart failure patient management in the Italian context.
- Authors
PECORARO, V.; FASANO, T.; ASPROMONTE, N.; BAROCCI, S.; BARTOLUCCI, D.; CLERICO, A.; GALLUCCI, F.; GNERRE, P.; SASSO, B. LO; MARIOTTINI, A.; MEDEA, G.; PERRONE, M. A.; RUSCIO, M.; SCIACOVELLI, L.; TRENTI, T.; CHIANI, V.; PAOLINI, D.; BANFI, G.
- Abstract
OBJECTIVE: As of today, healthcare systems worldwide face severe challenges that undermine their sustainability. The value-based healthcare (VBHC) approach has been proposed as a strategic and methodological framework to ensure the delivery of the best patient outcomes with economic efficiency. Through the illustrative example of B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) for heart failure (HF) patient management in the context of the Italian National Healthcare system, this article explores the role that in vitro diagnostics (IVDs) can play in enabling value-based care models. SUBJECTS AND METHODS: 14 healthcare professionals representing the relevant professional figures involved in HF patient management met to revise the current HF patient journey and design a new care pathway that, leveraging on BNP/NT-proBNP, reflects the VBHC principles. RESULTS: The literature recognizes the dosage of BNP/NT-proBNP as the gold standard for diagnosing HF. However, as of today, these IVDs are not employed at their full potential regarding HF patient management. A new patient journey is proposed so that patients are diagnosed early and properly monitored in the aftermath of hospitalization, improving outcomes at contained costs. CONCLUSIONS: As testified by the example of HF patient management in Italy, laboratory medicine can represent a lever for adopting value-based care models. Still, large-scale adoption of VBHC will call for structural reforms that revise how healthcare delivery is organized, measured, and reimbursed.
- Publication
European Review for Medical & Pharmacological Sciences, 2023, Vol 27, Issue 21, p10763
- ISSN
1128-3602
- Publication type
Article