Pitkänen Laura J, Leskelä Riikka-Leena, Tolkki Helena, Torkki Paulus
Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Nordic Healthcare Group, Helsinki, Finland.
Front Health Serv. 2021 Nov 26;1:709271. doi: 10.3389/frhs.2021.709271. eCollection 2021.
This article aims to answer how a commissioning body can steer health services based on value in an environment where the commissioner is responsible for the health services of a population with varying health service needs. In this design science study, we constructed a value-based steering model consisting of three parts: (1) the principles of steering; (2) the steering process; and (3) Value Steering Canvas, a concrete tool for steering. The study is based on Finland, a tax-funded healthcare system, where healthcare is a public service. The results can be applied in any system where there is a commissioner and a service provider, whether they are two separate organizations or not. We conclude that steering can be done based on value. The commissioning body can start using value-based steering without changes in legislation or in the present service system. Further research is needed to test the model in practice.
本文旨在回答在委托方负责满足具有不同医疗服务需求人群的医疗服务的环境中，委托机构如何基于价值来引导医疗服务。在这项设计科学研究中，我们构建了一个基于价值的引导模型，该模型由三个部分组成：（1）引导原则；（2）引导过程；（3）价值引导画布，一种具体的引导工具。该研究基于芬兰，这是一个由税收资助的医疗体系，在那里医疗保健是一项公共服务。研究结果可应用于任何存在委托方和服务提供方的系统，无论它们是否为两个独立的组织。我们得出结论，引导可以基于价值来进行。委托机构可以在不改变立法或现有服务体系的情况下开始使用基于价值的引导。需要进一步的研究来在实践中测试该模型。
