User:Nicoleheim98/Value-based health care/Bibliography

Overview
Value based health care (VBHC) is a framework for restructuring health care systems with the overarching goal of value for patients. The concept was introduced in 2006 in a book by Michael Porter and Elizabeth Olmsted Teisberg. The three principles of VBHC are creating value for patients, care cycles and the measurement of medical outcomes and medical costs. Value for patients is the main goal of value based health care with the outcome of cost reduction. Cost reduction alone is not an answer to our problems. Health outcomes have to improve to enhance value. Although value based health care is seen as a priority in many health systems worldwide, a global assessment in 2016 found many countries are only beginning to align their health systems with VBHC values.

What is Value?
Value is not patient satisfaction. These two are most commonly confused because if a patient is satisfied, their health has usually improved. Patient satisfaction is not like value because it shows how the doctor, provider, or clinic treated them instead of how their health has improved. Value based health care is not a patient satisfaction survey but measuring the health results of that patient. Following up with patients and measuring their results of what matter most to them.

How to Implement Value-based Health Care
How would value based health care work? The health care provider and the patient would work together and share ideas to come up with a plan that meets the patients needs. The plan will be implemented out and the health care provider would continue to follow up with the patient as needed to fulfill his or her needs. The health care provider would also get a team together to pursue future needs of the patient. Then the provider would need to measure the health results of that patient.

Ways to Improve
Once there is an established value-based health care practice, there is always improvement to be done. Coordinating care around a patient is one of them. After finding out the patient's medical condition, you could coordinate care for that patient around their needs, instead of having the patient go to specialized departments.

Cost Reduction
Many health care examinations and procedures are very costly and time-consuming. Cost reduction is a part of value based healthcare, but cost reduction alone is not the answer. Making information regarding costs more available to patients can make the patients more aware of how much their health needs will cost. This could increase the value outcome of value based health care.