ArticleBMJ open2021
Expert consensus on moving towards a value-based healthcare system in the Netherlands: a Delphi study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07337057 (PROMs in Implant Dentistry), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled 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.
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.
PROMs in Implant Dentistry: Development of a Dental Implant Standard Set
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Value-based healthcare from a military health system perspective: a systematic review.BMJ open · 2024Pooled it
- Applications of the experience sampling method (ESM) in paediatric healthcare: a systematic review.Pediatric research · 2024Pooled it
- The immaturity of patient engagement in value-based healthcare-A systematic review.Frontiers in public health · 2023Pooled it
- Value-Based Healthcare From the Perspective of the Healthcare Professional: A Systematic Literature Review.Frontiers in public health · 2021Pooled it
- Implementation of values-based healthcare in inflammatory bowel disease-a review.Journal of Crohn's & colitis · 2026Review
- Transforming Healthcare: A Scoping Review of the Significance of Value-Based Healthcare.Global journal on quality and safety in healthcare · 2025Review
- Implementing routine medical and mental health screening in children and adolescents with inflammatory bowel disease.Journal of pediatric gastroenterology and nutrition · 2025Article
- Design, implementation and evaluation of value-based payment models: a Delphi study.BMC health services research · 2025Article
- A decade of change towards Value-Based Health Care at a Dutch University Hospital: a complexity-informed process study.Health research policy and systems · 2024Article
- Towards the Improvement of Patient Experience Evaluation Items for Patient-Centered Care in Head and Neck Cancer: A Qualitative Comparative Study.Healthcare (Basel, Switzerland) · 2024Article
- Building a patient-centred nationwide integrated cardiac care registry: intermediate results from the Netherlands.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024Review
- The importance and feasibility of hospital interventions to prevent and manage patient aggression and violence against physicians in China: a Delphi study.Human resources for health · 2024Article
- How to Use Costs in Value-Based Healthcare: Learning from Real-life Examples.Journal of general internal medicine · 2024Article
- Value-based healthcare implementation in the Netherlands: a quantitative analysis of multidisciplinary team performance.BMC health services research · 2024Article
- Evaluating patient participation in value-based healthcare: Current state and lessons learned.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Value-Based Healthcare Delivery: A Scoping Review.International journal of environmental research and public health · 2024Article
- Does value-based healthcare support patient-centred care? A scoping review of the evidence.BMJ open · 2023Article
- Article
- Transforming Health Care Delivery towards Value-Based Health Care in Germany: A Delphi Survey among Stakeholders.Healthcare (Basel, Switzerland) · 2023Article
- Quality Improvement with Outcome Data in Integrated Obstetric Care Networks: Evaluating Collaboration and Learning Across Organizational Boundaries with an Action Research Approach.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWhile the uptake of value-based health care (VBHC) is remarkable, uncertainty prevails regarding the most important actions and practices in establishing a value-based healthcare system. In this paper, we generate expert consensus on the most important aspects of VBHC.
designThe Delphi technique was used to reach consensus on the most important practices in moving towards a value-based healthcare system. SETTING AND
participantsA Dutch expert panel consisting of nine members participated in a two-round survey. PRIMARY AND SECONDARY OUTCOME MEASURES: We developed 39 initial items based on the pioneering literature on VBHC and recent health policies in the Netherlands. Experts rated the importance of each item on a 4-point Likert scale. Experts could change items or add new ones as they saw fit. We retained items that were rated (very) important by ≥80% of the panel.
resultsAfter two survey rounds, 32 items (72%) were included through expert consensus. Experts unanimously agree on the importance of shared decision-making, with this item uniquely obtaining the maximum score. Experts also reached consensus on the importance of outcome measurements, a focus on medical conditions, and full cycles of care. No consensus was reached on the importance of benchmarking.
conclusionThis paper provides new insight into the most important actions and practices for establishing a value-based healthcare system in the Netherlands. Interestingly, several of our findings contrast with the pioneering literature on VBHC. This raises the question whether VBHC's widespread international uptake indicates its actual implementation, or rather that the original concept primarily serves as an inspiring idea.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.