Kehyayan Vahe, Yasin Yasin M, Al-Hamad Areej
College of Business, Healthcare Management, University of Doha for Science & Technology, P.O. Box 24449, Doha, Qatar.
Faculty of Nursing, University of New Brunswick, Fredericton, Canada.
J Nurs Manag. 2025 Apr 19;2025:8186530. doi: 10.1155/jonm/8186530. eCollection 2025.
Value-based healthcare (VBHC) aims to improve the quality of healthcare delivery while reducing costs and also aims for outcomes that are of utmost importance from patients' perspectives. Despite a growing interest in VBHC, a significant knowledge gap persists within the existing literature in the absence of a clear conceptualization of VBHC itself. The aim of the present study was to develop a comprehensive understanding of the concept of VBHC in order to arrive at a definition based on the evidence in the existing literature. A concept analysis approach was used to identify the concept's defining attributes, its antecedents, consequences, and its empirical referents. The analysis of the concept yielded three defining attributes: monetary value of health service, quality of care, and patient-centered care. The analysis also identified several crucial antecedents for transitioning traditional fee-for-service models to those focused on value; it also identified key interrelated consequences: improved patient outcomes, cost reduction, and increased patient satisfaction. The concept analysis of VBHC provides a comprehensive framework for understanding its key components and challenges. By aligning healthcare delivery with the values and needs of patients, VBHC represents a promising avenue toward achieving high-quality, sustainable healthcare. The findings from this analysis call for a collaborative effort among healthcare leaders, researchers, and policymakers to further refine and implement VBHC models, ensuring healthcare systems are both patient-centered and cost-effective. These findings also have implications for nursing management.
基于价值的医疗保健（VBHC）旨在提高医疗服务质量，同时降低成本，并追求从患者角度来看至关重要的结果。尽管人们对VBHC的兴趣日益浓厚，但现有文献中仍存在重大知识空白，因为缺乏对VBHC本身的清晰概念化。本研究的目的是全面理解VBHC的概念，以便根据现有文献中的证据得出定义。采用概念分析方法来确定该概念的定义属性、其前因、后果及其实证指涉物。对该概念的分析产生了三个定义属性：卫生服务的货币价值、护理质量和以患者为中心的护理。分析还确定了将传统的按服务收费模式转变为注重价值的模式的几个关键前因；它还确定了关键的相互关联的后果：改善患者结局、降低成本和提高患者满意度。VBHC的概念分析为理解其关键组成部分和挑战提供了一个全面的框架。通过使医疗服务与患者的价值观和需求保持一致，VBHC是实现高质量、可持续医疗保健的一条有前景的途径。该分析的结果呼吁医疗保健领导者、研究人员和政策制定者共同努力，进一步完善和实施VBHC模式，确保医疗系统以患者为中心且具有成本效益。这些发现对护理管理也有影响。
