A public health value-based healthcare paradigm for HIV
Abstract Background HIV patients face considerable acute and chronic healthcare needs and battling the HIV epidemic remains of the utmost importance. By focusing on health outcomes in relation to the cost of care, value-based healthcare (VBHC) proposes a strategy to optimize quality of care and cost...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-07371-7 |
| _version_ | 1798034569976348672 |
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| author | Sebastian Vermeersch Rémy P. Demeester Nathalie Ausselet Steven Callens Paul De Munter Eric Florence Jean-Christophe Goffard Sophie Henrard Patrick Lacor Peter Messiaen Agnès Libois Lucie Seyler Françoise Uurlings Stefaan J. Vandecasteele Eric Van Wijngaerden Jean-Cyr Yombi Lieven Annemans Stéphane De Wit |
| author_facet | Sebastian Vermeersch Rémy P. Demeester Nathalie Ausselet Steven Callens Paul De Munter Eric Florence Jean-Christophe Goffard Sophie Henrard Patrick Lacor Peter Messiaen Agnès Libois Lucie Seyler Françoise Uurlings Stefaan J. Vandecasteele Eric Van Wijngaerden Jean-Cyr Yombi Lieven Annemans Stéphane De Wit |
| author_sort | Sebastian Vermeersch |
| collection | DOAJ |
| description | Abstract Background HIV patients face considerable acute and chronic healthcare needs and battling the HIV epidemic remains of the utmost importance. By focusing on health outcomes in relation to the cost of care, value-based healthcare (VBHC) proposes a strategy to optimize quality of care and cost-efficiency. Its implementation may provide an answer to the increasing pressure to optimize spending in healthcare while improving patient outcomes. This paper describes a pragmatic value-based healthcare framework for HIV care. Methods A value-based HIV healthcare framework was developed during a series of roundtable discussions bringing together 16 clinical stakeholder representatives from the Belgian HIV reference centers and 2 VBHC specialists. Each round of discussions was focused on a central question translating a concept or idea to the next level of practical implementation: 1) how can VBHC principles be translated into value-based HIV care drivers; 2) how can these value-based HIV care divers be translated into value-based care objectives and activities; and 3) how can value-based HIV care objectives and activities be translated into value-based care indicators. Value drivers were linked to concrete objectives and activities using a logical framework approach. Finally, specific, measurable, and acceptable structure, process and outcomes indicators were defined to complement the framework. Results Our framework identifies 4 core value areas where HIV care would benefit most from improvements: Prevention, improvement of the cascade of care, providing patient-centered HIV care and sustaining a state-of-the-art HIV disease management context. These 4 core value areas were translated into 12 actionable core value objectives. For each objective, example activities were proposed. Indicators are suggested for each level of the framework (outcome indicators for value areas and objectives, process indicators for suggested activities). Conclusions This framework approach outlines how to define a patient- and public health centered value-based HIV care paradigm. It proposes how to translate core value drivers to practical objectives and activities and suggests defining indicators that can be used to track and improve the framework’s implementation in practice. |
| first_indexed | 2024-04-11T20:46:03Z |
| format | Article |
| id | doaj.art-31e93b738dc84cc3b64121cba299e2e1 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-11T20:46:03Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-31e93b738dc84cc3b64121cba299e2e12022-12-22T04:04:02ZengBMCBMC Health Services Research1472-69632022-01-0122111110.1186/s12913-021-07371-7A public health value-based healthcare paradigm for HIVSebastian Vermeersch0Rémy P. Demeester1Nathalie Ausselet2Steven Callens3Paul De Munter4Eric Florence5Jean-Christophe Goffard6Sophie Henrard7Patrick Lacor8Peter Messiaen9Agnès Libois10Lucie Seyler11Françoise Uurlings12Stefaan J. Vandecasteele13Eric Van Wijngaerden14Jean-Cyr Yombi15Lieven Annemans16Stéphane De Wit17HictHIV Reference Centre, University Hospital of CharleroiDepartment of Infectious Diseases, CHU UCL NamurDepartment General Internal Medicine, Ghent University HospitalDepartment of Microbiology Immunology, Transplantation and HIV Reference Centre, University Hospital LeuvenDepartment of Clinical Sciences, Institute of Tropical MedicineHIV Reference Centre, Internal Medicine, C.U.B. Erasme, Université Libre de BruxellesHIV Reference Centre, Internal Medicine, C.U.B. Erasme, Université Libre de BruxellesHIV Reference Centre, Universitair Ziekenhuis BrusselDepartment of Infectious Diseases and Immunity, Jessa HospitalDivision of Infectious Diseases, Saint Pierre University Hospital, Université Libre de BruxellesHIV Reference Centre, Universitair Ziekenhuis BrusselHIV Reference Centre, Infectious Diseases Department, Liège University HospitalDepartment of Nephrology and Infectious Diseases, AZ Sint-Jan Brugge Oostende AVDepartment of Microbiology Immunology, Transplantation and HIV Reference Centre, University Hospital LeuvenDepartment of Internal Medicine and Infectious Diseases, Cliniques Universitaires Saint LucDepartment of Public Health, Ghent UniversityDivision of Infectious Diseases, Saint Pierre University Hospital, Université Libre de BruxellesAbstract Background HIV patients face considerable acute and chronic healthcare needs and battling the HIV epidemic remains of the utmost importance. By focusing on health outcomes in relation to the cost of care, value-based healthcare (VBHC) proposes a strategy to optimize quality of care and cost-efficiency. Its implementation may provide an answer to the increasing pressure to optimize spending in healthcare while improving patient outcomes. This paper describes a pragmatic value-based healthcare framework for HIV care. Methods A value-based HIV healthcare framework was developed during a series of roundtable discussions bringing together 16 clinical stakeholder representatives from the Belgian HIV reference centers and 2 VBHC specialists. Each round of discussions was focused on a central question translating a concept or idea to the next level of practical implementation: 1) how can VBHC principles be translated into value-based HIV care drivers; 2) how can these value-based HIV care divers be translated into value-based care objectives and activities; and 3) how can value-based HIV care objectives and activities be translated into value-based care indicators. Value drivers were linked to concrete objectives and activities using a logical framework approach. Finally, specific, measurable, and acceptable structure, process and outcomes indicators were defined to complement the framework. Results Our framework identifies 4 core value areas where HIV care would benefit most from improvements: Prevention, improvement of the cascade of care, providing patient-centered HIV care and sustaining a state-of-the-art HIV disease management context. These 4 core value areas were translated into 12 actionable core value objectives. For each objective, example activities were proposed. Indicators are suggested for each level of the framework (outcome indicators for value areas and objectives, process indicators for suggested activities). Conclusions This framework approach outlines how to define a patient- and public health centered value-based HIV care paradigm. It proposes how to translate core value drivers to practical objectives and activities and suggests defining indicators that can be used to track and improve the framework’s implementation in practice.https://doi.org/10.1186/s12913-021-07371-7Value-based healthcareHIVPublic healthIndicatorsFrameworks |
| spellingShingle | Sebastian Vermeersch Rémy P. Demeester Nathalie Ausselet Steven Callens Paul De Munter Eric Florence Jean-Christophe Goffard Sophie Henrard Patrick Lacor Peter Messiaen Agnès Libois Lucie Seyler Françoise Uurlings Stefaan J. Vandecasteele Eric Van Wijngaerden Jean-Cyr Yombi Lieven Annemans Stéphane De Wit A public health value-based healthcare paradigm for HIV BMC Health Services Research Value-based healthcare HIV Public health Indicators Frameworks |
| title | A public health value-based healthcare paradigm for HIV |
| title_full | A public health value-based healthcare paradigm for HIV |
| title_fullStr | A public health value-based healthcare paradigm for HIV |
| title_full_unstemmed | A public health value-based healthcare paradigm for HIV |
| title_short | A public health value-based healthcare paradigm for HIV |
| title_sort | public health value based healthcare paradigm for hiv |
| topic | Value-based healthcare HIV Public health Indicators Frameworks |
| url | https://doi.org/10.1186/s12913-021-07371-7 |
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