Evidence map›Paper›PMID 41933327›Full record

SynthesisBMC health services research2026

Expert narrative review on the impact of value-based healthcare on medical quality and patient safety system restructuring.

Jing Wang, Lei Zhong, Shihong Xiong, Sumei Min, Na Gong

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jing WangMedical Services Department, Huangshi Second Hospital, Huangshi, Hubei, 435000, China.
Lei ZhongMedical Services Department, Huangshi Second Hospital, Huangshi, Hubei, 435000, China.
Shihong XiongDepartment of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei, 430064, China. 215961973@qq.com.
Sumei MinMedical Records Department, Hubei Provincial Hospital of Direct Affiliation (Hubei Provincial Rehabilitation Hospital), Wuhan, 430072, China.
Na GongMedical Examination Center, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan, Hubei, 430064, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValue-based healthcare (VBHC) is critical for enhancing medical quality and patient safety. Integrating soft indicators like patient-reported outcomes (PROs) remains challenging due to methodological heterogeneity.

objectiveThis narrative review synthesizes evidence on the efficacy of VBHC interventions for improving medical quality and patient safety.

methodsA structured search of PubMed, Cochrane Library, Embase, Web of Science, and ClinicalTrials.gov covered studies published from 2020 to 2024. The review included randomized trials and cohort studies. A total of 49 studies underwent thematic narrative synthesis. The study selection process was documented transparently, inspired by systematic review principles. Tools like risk-of-bias assessments provided contextual description.

resultsThe synthesis included 49 studies (n = 15,392 participants). VBHC interventions appeared to improve detection rates and cooperation efficacy. They also enhanced safety culture and process metrics, but effect sizes varied. Substantial heterogeneity was noted.

conclusionsVBHC shows significant potential for enhancing medical quality and patient safety. However, evidence certainty remains moderate. Future work should prioritize standardized metrics and robust evaluations to bridge translational gaps.

Indexed as

Patient SafetyQuality of Health CareValue-Based Health CareHumansBehavioral economicsMedical qualityPatient-reported outcomesPatient safetyPay for performancePrecision quality controlQuality managementQuality of lifeSafety cultureValue-based healthcare

Identifiers

PMID41933327
PMCPMC13173824

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.