Evidence map›Paper›PMID 27749717›Full record

ArticleQuality management in health care

Value-Based Health Care for Chronic Care: Aligning Outcomes Measurement with the Patient Perspective.

David Ebbevi, Helena Hvitfeldt Forsberg, Anna Essén, Sofia Ernestam

Abstract read
In one paragraph

Article in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. A framework for value-creating learning health systems.Health research policy and systems · 2019
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

David EbbeviDepartment of Learning, Informatics, Management and Ethics, Karolinska Institute, Solna, Stockholm, Sweden (Drs Ebbevi, Forsberg, and Ernestam); and Center for Human Resource Management and Knowledge Work, Stockholm School of Economics, Stockholm, Sweden (Dr Essén).
Helena Hvitfeldt Forsberg
Anna Essén
Sofia Ernestam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValue-based health care is increasingly used for developing health care services by relating patient outcomes to costs. A hierarchical value scorecard for creating outcome measurements has been suggested: the 3-tier model. The objective of this study was to test the model against the patient's view of value in a chronic care setting.

methodsSemistructured interviews with 22 persons with rheumatoid arthritis were conducted, transcribed, and analyzed using qualitative content analysis. Themes were extracted, and the model was critically applied and revised.

resultsThe study validates existing dimensions in the model but suggests adding information, social health, predictability, and continuity to make it more useful and representative of patients' preferences.

conclusionAlthough the model aims to focus on outcomes relevant to patients, it lacks dimensions important to individuals with rheumatoid arthritis. The data illustrate difficulties in finding patients' preferred outcomes and imply tactics for arriving at meaningful measurements.

Indexed as

Models, TheoreticalPatient Outcome AssessmentAdultAgedArthritis, RheumatoidChronic DiseaseContinuity of Patient CareFemaleFocus GroupsHealth StatusHumansInterpersonal RelationsInterviews as TopicMaleMental HealthMiddle Aged

Identifiers

PMID27749717
PMCPMC5054973

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.