Hariri Bayan A, Albagmi Faisal M, Aljaffary Afnan A
Health Information Management and Technology Department, Collage of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, KSA.
Public Health Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, KSA.
J Taibah Univ Med Sci. 2024 Aug 6;19(4):835-846. doi: 10.1016/j.jtumed.2024.07.008. eCollection 2024 Aug.
Value-based healthcare (VBHC) represents a paradigm shift in healthcare delivery through optimizing patient outcomes relative to the costs of achieving those outcomes. This scoping review is aimed at revealing critical insights into the conceptualization and establishment of VBHC in the context of Saudi Arabia, a nation in a critical stage of healthcare transformation.
A scoping review was conducted by using online databases and official websites with a timeframe of 2017-2023. This review included 14 pieces of literature, comprising six research articles, six government documents, and two reports.
The findings highlight increasing alignment with the definition of global VBHC principles, notably the emphasis on patient outcomes as a primary metric of healthcare value. Furthermore, financial reform has signaled a real move toward VBHC in the Kingdom, through a gradual shift from volume-based payments to value-based payments. However, the diverse interpretations and applications of VBHC across the examined literature indicate a promising stage of implementation characterized by evolving definitions and practices tailored to local needs and constraints.
This scoping review describes the current landscape of VBHC conceptualization and establishment, highlighting the substantial progress achieved and the future challenges.
基于价值的医疗保健（VBHC）通过相对于实现这些结果的成本优化患者结果，代表了医疗保健提供方式的范式转变。本范围综述旨在揭示在沙特阿拉伯这一处于医疗保健转型关键阶段的国家背景下，对VBHC概念化和建立的关键见解。
通过使用在线数据库和官方网站进行范围综述，时间范围为2017年至2023年。本综述包括14篇文献，其中有6篇研究文章、6份政府文件和2份报告。
研究结果突出了与全球VBHC原则定义的日益一致，特别是强调将患者结果作为医疗保健价值的主要衡量标准。此外，金融改革标志着沙特王国真正朝着VBHC迈进，通过从基于数量的支付逐渐转向基于价值的支付。然而，在所审查的文献中，VBHC的不同解释和应用表明，这是一个充满希望的实施阶段，其特点是根据当地需求和限制不断演变的定义和实践。
本范围综述描述了VBHC概念化和建立的当前状况，突出了取得的重大进展和未来挑战。
