ArticleJournal of patient experience2026
Advancing Lung Cancer Care in Bulgaria: A Successful Implementation of Value-Based Healthcarе.
Article in Journal of patient experience, 2026. 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
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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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This project aims to assess the early impact of value-based healthcare (VBHC) implementation in a Bulgarian cancer center, focusing on lung cancer treatment, and to improve care coordination, expand capacity, and introduce outcome measurement through integrated practice units (IPUs), optimized pathways, and patient-reported outcome measures (PROMs). The approach included (i) 90 h of direct observation, (ii) structured stakeholder interviews, and (iii) time-driven activity-based costing (TDABC) to map resource use. Process maps guided workflow redesign. PROM implementation, based on the International Consortium for Health Outcomes Measurement lung cancer set, involved staff training and licensing. One year post-implementation, day hospital capacity doubled (50-100 patients/day). An external call center reduced physicians' administrative load. Interdisciplinary meetings and optimized referrals enhanced communication. PROMs now cover part of the lung cancer cohort. TDABC revealed opportunities for staff reallocation and streamlined diagnostics. Early results suggest VBHC is feasible in Eastern Europe, with measurable gains in efficiency. Future steps include PROM digitization, telemedicine expansion, and adapting the IPU model to other cancer types.
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