Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, Rte de Lennik 808, 1070 Bruxelles, Belgium.
Department of Cardiology, HCR (Heidelberg Center for Heart Rhythm Disorders), Medical University Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.
Europace. 2024 Aug 30;26(9). doi: 10.1093/europace/euae210.
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients' wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
基于价值的医疗保健（VBHC）模式的实现可以为全球医疗系统每年节省高达 1 万亿美元，同时提高患者的幸福感和体验。然而，其采用和发展具有挑战性。本综述旨在提供心血管领域 VBHC 模型实施的当前文献概述，重点关注心脏电生理学。
本范围综述根据系统评价和荟萃分析的首选报告项目进行。本出版物中包含的记录是在 PubMed、Mendeley 和 ScienceDirect 上发表的关于心血管和电生理学领域 VBHC 的相关文件。搜索标准是 2006 年至 2023 年期间发表的关于心血管和电生理学中 VBHC 的出版物。VBHC 模型在心脏病学和电生理学中的实施仍处于起步阶段。显然需要修改当前的组织结构，以便建立以患者为中心的跨职能团队。采用新的报销计划对于推动这一进程至关重要。数据分析和患者管理等技术的采用对变革过程构成挑战。
新的 VBHC 模型有可能改善护理过程和患者体验，同时优化成本。由于需要对现有基础设施和本地组织进行重大改变，需要跟踪对指南的遵守情况，以及评估生活质量的改善和患者满意度等，因此该模型的实施还不够充分。
