ArticleBMC health services research2022
Redesigning value-based hospital structures: a qualitative study on value-based health care in the Netherlands.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed.
- Perspectives from healthcare providers and decision-makers on strategies toward a future hospital: qualitative insights from a group modelling process.BMC health services research · 2026Article
- Financing Regimes and Case-Mix Complexity in Psychiatric Hospitals Beyond the Pandemic Shock-Insights from a Regional European Healthcare System.Healthcare (Basel, Switzerland) · 2026Article
- Impact of holiday periods on glioblastoma surgery: a Dutch nationwide population-based cohort study.Scientific reports · 2026Article
- Development of a practical guide for patient participation in value-based healthcare: an action research study.BMJ open · 2025Article
- Development of a Tool to Assess the Implementation and Perception of the Value-Based Healthcare Model: Our Results.Healthcare (Basel, Switzerland) · 2025Article
- Transforming Healthcare: A Scoping Review of the Significance of Value-Based Healthcare.Global journal on quality and safety in healthcare · 2025Review
- Costs in value-based health care dashboards: a qualitative study on stakeholder requirements.BMC health services research · 2025Article
- Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study.BMC health services research · 2025Article
- The Missing Link: Why Value-Based Healthcare Needs Healthcare and Management Science to Unite Efforts Comment on "Reflections on Managing the Performance of Value-Based Healthcare: A Scoping Review".International journal of health policy and management · 2025Article
- Reworking Nursing Expertise: Directors of Nursing's Tactics to (Re)Connect Knowledge and Power in Hospital Governance.Nursing inquiry · 2025Article
- Value-based healthcare for social insurance medicine: key enablers for adoption in practice.BMJ open quality · 2024Article
- Moving from Principles to Practice: A Scoping Review of Value-Based Healthcare (VBHC) Implementation Strategies.Healthcare (Basel, Switzerland) · 2024Article
- 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
- 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
- Multidisciplinary Collaboration in Hospitals via Patient- and Process-Oriented Units: A Longitudinal Study.Journal of multidisciplinary healthcare · 2024Article
- Five years' experience with value-based quality improvement teams: the key factors to a successful implementation in hospital care.BMC health services research · 2022Article
- Relational coordination in value-based health care.Health care management reviewArticle
- Differing Professional Perspectives on the Interprofessional Collaboration in IPUs: A Mixed-methods Study.International journal of integrated careArticle
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6 authors.
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Abstract
backgroundA crucial component of value-based health care concerns the redesign of organizational structures. In theory, hospital structures should follow value creation: addressing medical conditions for specific groups of patients over full cycles of care. In practice, however, it remains unclear how hospitals can reorganize themselves into value-based structures. The purpose of this study is to explore the ways in which Dutch hospitals are currently implementing and pursuing value-based redesign.
methodsThis qualitative exploratory study used semi-structured interviews and a focus group for data collection. Transcripts were analyzed through deductive coding, for which we used Mintzberg's theory on organizational structures, particularly his work on design parameters.
resultsIn their efforts to create more value-based structures, Dutch hospitals often employ a variety of liaison devices, such as project teams and committees. By contrast, the actual formation of units around medical conditions is much rarer. Outcome data are widely used within planning and control systems, and some hospitals partake in external benchmarking. Not all hospitals use cost indicators for monitoring performance.
conclusionsValue-based redesign is not necessarily a matter of radical changes or binary choices. Instead, as Dutch hospitals show, it can be an incremental process, with a variety of potential knobs to turn to various degrees. Health care executives, managers, and professionals thus have a wide range of options when they aim for more value-based structures. Our conceptualization of "value-based design parameters" can help guide the selection and implementation of strategies and mechanisms for further coordination around medical conditions over full cycles of care.
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