SynthesisBMC health services research2025
The VBHC big picture: an umbrella review.
Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundValue-Based Health Care (VBHC) aims to improve patient outcomes while optimising healthcare costs. Despite global interest, its adoption varies widely due to system-specific contexts and stakeholder dynamics. Challenges such as organisational inertia, inconsistent data, and limited evidence on patient-reported measures hinder widespread implementation. PURPOSE: This umbrella review synthesises global evidence on the implementation of VBHC, identifying key impacts, challenges, and opportunities. It seeks to uncover patterns, assess the effectiveness of VBHC initiatives, and inform future research and system improvements.
methodsA systematic search across four databases identified reviews and meta-analyses on VBHC published between 2006 and April 2024. The Context, Intervention, Mechanism, Outcome (CIMO) framework guided data extraction, and methodological quality was assessed using the Joanna Briggs Institute's checklist.
resultsForty-eight studies were included and grouped into seven categories. VBHC initiatives show the potential to improve care quality, efficiency, and patient satisfaction while reducing costs. However, challenges persist, including fragmented performance metrics, limited integration of Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs), resistance to organisational change, and inadequate cost evaluation models. Payment models such as Pay-for-Performance and bundled payments yield mixed outcomes, often hampered by complexity and stakeholder scepticism. The Value-Based Insurance Design has proven effective in improving treatment adherence. Efforts to reduce low-value care show moderate success, underscoring the need for validated de-adoption strategies. Skill gaps among leaders and professionals further limit effective VBHC adoption.
conclusionVBHC offers a compelling framework for health system transformation but requires coordinated reforms in structure, culture, technology, and education. Priorities include standardising outcome metrics, aligning payments with value, improving cost transparency, and engaging stakeholders. Future research should focus on contextual barriers, refined evaluation methods, and enhanced patient involvement to realise the full promise of value-based healthcare.
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.