Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Department of Rehabilitation Medicine and Physical Therapy, Erasmus MC - University Medical Center Rotterdam, Rotterdam, The Netherlands.
Stud Health Technol Inform. 2024 Aug 22;316:1834-1838. doi: 10.3233/SHTI240788.
Hospitals widely employ value-based healthcare (VBHC) to effectively manage healthcare quality. VBHC aims to maximize patient outcomes while minimizing costs by using quality measurements. The Dutch Erasmus Medical Centre experiences challenges with the time-consuming efforts to collect, evaluate, and present value-based quality measurements. Using similar VBHC measurement indicators across multiple care pathways could reduce these efforts. This study aims to identify such generic indicators for evaluating and monitoring VBHC across care pathways. A scoping review resulted in 33 articles from which indicators for VBHC measurement were extracted, aggregated and categorized using Donabedian's Structure-Process-Outcome model. The results of this study can inform researchers and VBHC practitioners on generic quality measurement indicators for VBHC management and guide future system development to facilitate the inclusion of standardized quality indicators in healthcare information systems.
医院广泛采用基于价值的医疗保健（VBHC）来有效管理医疗保健质量。VBHC 旨在通过使用质量测量来最大化患者的结果，同时最小化成本。荷兰伊拉斯谟医疗中心在收集、评估和呈现基于价值的质量测量方面面临着耗时的挑战。在多个护理途径中使用类似的 VBHC 测量指标可以减少这些努力。本研究旨在确定这些通用指标，以评估和监测护理途径中的 VBHC。通过范围综述，从 33 篇文章中提取了 VBHC 测量指标，并使用 Donabedian 的结构-过程-结果模型对其进行了汇总和分类。本研究的结果可以为研究人员和 VBHC 从业者提供 VBHC 管理的通用质量测量指标，并指导未来的系统开发，以促进将标准化质量指标纳入医疗保健信息系统。
