ArticleBMC health services research2017
The case of value-based healthcare for people living with complex long-term conditions.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Value-Based Integrated Care: A Systematic Literature Review.International journal of health policy and management · 2024Pooled it
- Patient-reported outcomes in autosomal inherited bleeding disorders: A systematic literature review.Haemophilia : the official journal of the World Federation of Hemophilia · 2022Pooled it
- Value-Based Executive Medicine: Future Practice, Ethics, and Impact.American journal of lifestyle medicine · 2026Review
- Overcoming Patient Access Barriers in Complex Conditions: Lessons from Schizophrenia for Broader Healthcare Applications.Journal of market access & health policy · 2026Article
- Changes in participatory and societal outcomes during the waiting period for cochlear implantation - an observational study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Observational
- Implementing proximity care for people with multiple sclerosis in Italy: the bottom-up approach of the StayHome project.Journal of neurology · 2025Article
- Value-based healthcare for social insurance medicine: key enablers for adoption in practice.BMJ open quality · 2024Article
- Person-Centered Coordinated Care Experience of People With Long-Term Conditions in the Balearic Islands Measured by the P3CEQ.Health services insights · 2024Article
- Patient-relevant health outcomes for von Willebrand disease, platelet function disorders, and rare bleeding disorders: a Delphi study.Research and practice in thrombosis and haemostasis · 2023Article
- Defining the care delivery value chain and mapping the patient journey in rheumatoid arthritis.Rheumatology international · 2023Article
- A multilevel perspective on goals, barriers, and facilitators of school-based asthma management.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Article
- Negotiating the Beginning of Care: A Grounded Theory Study of Health Services for Amyotrophic Lateral Sclerosis.Brain sciences · 2022Article
- Exploring the meaning of value-based occupational therapy services from the perspectives of managers, therapists and clients.The British journal of occupational therapy · 2022Article
- The Wolfson Assessment Matrix: a potential tool to support clinicians in establishing access to specialized neuro rehabilitation by capturing important prognostic factors. Sharing more equitable and transparent criteria.European journal of physical and rehabilitation medicine · 2022Observational
- Facilitators and barriers for home-based monitoring to time frozen embryo transfers in IVF among women and healthcare providers.Human reproduction open · 2022Article
- Defining value in health care: a scoping review of the literature.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Article
- The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors.Research involvement and engagement · 2021Article
- Development of a core outcome domain set for clinical research on capillary malformations (the COSCAM project).Journal of the European Academy of Dermatology and Venereology : JEADV · 2021Article
- Discrete choice experiment for eliciting preference for health services for patients with ALS and their informal caregivers.BMC health services research · 2021Article
- Implementation of sustainable complex interventions in health care services: the triple C model.BMC health services research · 2021Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a trend towards value-based health service, striving to cut costs while generating value for the patient. The overall objective comprises higher-quality health services and improved patient safety and cost efficiency. The approach could align with patient-centred care, as it entails a focus on the patient's experience of her or his entire cycle of care, including the use of well-defined outcome measurements. Challenges arise when the approach is applied to health services for people living with long-term complex conditions that require support from various healthcare services. The aim of this work is to critically discuss the value-based approach and its implications for patients with long-term complex conditions. Two cases from clinical practice and research form the foundation for our reasoning, illustrating several challenges regarding value-based health services for people living with long-term complex conditions. DISCUSSION: Achieving value-based health services that provide the health outcomes that matter to patients and providing greater patient-centredness will place increased demands on the healthcare system. Patients and their informal caregivers must be included in the development and establishment of outcome measures. The outcome measures must be standardized to allow evaluation of specific conditions at an aggregated level, but they must also be sensitive enough to capture each patient's individual needs and goals. Healthcare systems that strive to establish value-based services must collaborate beyond the organizational boundaries to create clear patient trajectories in order to avoid fragmentation. The shift towards value-based health services has the potential to align healthcare-service delivery with patient-centred care if serious efforts to take the patient's perspective into account are made. This is especially challenging in fragmented healthcare systems and for patients with long-term- and multi-setting-care needs.
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Registered trials
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