Department of Information Systems, Vall d'Hebron, Barcelona Hospital Campus, Barcelona, Spain.
Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria and Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria.
Value Health. 2022 Jul;25(7):1148-1156. doi: 10.1016/j.jval.2021.11.1355. Epub 2021 Dec 15.
Value-based healthcare (VBHC) aims at improving patient outcomes while optimizing the use of hospitals' resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach. In this article, we present a blueprint for the implementation of VBHC in hospitals, based on our experience as members of the European University Hospital Alliance.
The European University Hospital Alliance is a consortium of 9 large hospitals in Europe and aims at increasing the quality and efficiency of care to ultimately drive better outcomes for patients.
The blueprint describes how to prepare hospitals for VBHC implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways into a process that results in high-value care. Using a patient-centric approach, we identified 4 core minimum components that must be established as cornerstones and 7 organizational enablers to waive the barriers to implementation and ensure sustainability.
The blueprint guides through pathway implementation and establishment of key performance indicators in 6 phases, which hospitals can tailor to their current status on their way to implement VBHC.
通过循证、协作的方法，旨在提高患者的治疗效果，同时优化医务人员、行政人员和支持服务人员对医院资源的利用，实现基于价值的医疗保健（VBHC）。本文基于我们作为欧洲大学医院联盟成员的经验，提出了在医院中实施 VBHC 的蓝图。
欧洲大学医院联盟是由欧洲 9 家大型医院组成的联盟，旨在提高护理质量和效率，最终为患者带来更好的治疗效果。
蓝图描述了如何使医院为 VBHC 的实施做好准备；分析了差距、障碍和促进因素；并探讨了将患者路径转化为产生高价值护理的过程的最有效方法。采用以患者为中心的方法，我们确定了必须作为基石建立的 4 个核心最低要求组件，以及 7 个组织促进因素，以克服实施障碍并确保可持续性。
蓝图指导了路径实施，并在 6 个阶段建立了关键绩效指标，医院可以根据自身的现状，逐步实施 VBHC。
