Evidence map›Paper›PMID 39613433›Full record

SynthesisBMJ open2024

Value-based healthcare from a military health system perspective: a systematic review.

Henk van der Wal, Damon Duijnkerke, Maarten F M Engel, Rigo Hoencamp, Jan Antonius Hazelzet

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

5 authors.

Henk van der WalDepartment of Surgery, Trauma Research Unit, Erasmus Medical Center, Rotterdam, The Netherlands h.vanderwal.1@erasmusmc.nl.ORCID http://orcid.org/0000-0001-7551-2842
Damon DuijnkerkeDepartment of Surgery, Trauma Research Unit, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0009-0009-5047-5243
Maarten F M EngelMedical Library, Erasmus MC, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-1774-7042
Rigo HoencampDepartment of Surgery, Trauma Research Unit, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-1253-673X
Jan Antonius HazelzetDepartment of Public Health, Erasmus Universiteit Rotterdam, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9414-5539

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this systematic review was to provide an overview of value-based healthcare (VBHC) strategies and/or components within military medicine. For this purpose, the extent to which VBHC has been applied within a military health system (MHS), with emphasis on military trauma care was assessed.

designThis systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DATA SOURCES: Medline, Embase, Web of Science CC and the Cochrane CRCT databases were searched from 1946 to present for VBHC strategies and/or components and military settings, including associated keywords. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included observational and trial studies focused on the presence of VBHC components and/or system, and the presence of acute/trauma operational care or definitive postoperational care regarding combat injured service members. The included articles were classified into injury-related and system-level studies. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers used standardised methods to search, screen and code included studies. For quality assessment, the Mixed Methods Appraisal Tool version 2018 was used.

resultsA total of 3241 publications were screened, and 18 were included for data extraction. 15 studies focused on (military) medical trauma-related conditions (injury groups), and 3 studies focused on an MHS approach. Four articles contained the two VBHC components ('creating an integrated practice unit' and 'measuring outcomes and costs for every patient') considered the basis for successful implementation. The 'outcomes and costs' and 'patient-centred care' components were most prevalent as respectively mentioned in 17 and 8 included studies.

conclusionThe systematic review showed the application of VBHC components in military medicine, although use of standard VBHC terminology is not consistently applied. This study suggests that implementing VBHC as a concept in military healthcare, could enhance benchmarking to provide insight in health outcomes (both clinically and patient-reported), and overall quality of care.

Indexed as

Military MedicineDelivery of Health CareHumansMilitary Health ServicesMilitary PersonnelValue-Based Health CareWounds and InjuriesOrganisation of health servicesOrthopaedic & trauma surgeryPatient-Centered CarePatient Reported Outcome MeasuresQuality in health care

Identifiers

PMID39613433
PMCPMC11605841

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.