Value based competition in health care’s ethical drawbacks and the need for a values-driven approach
Abstract Value Based competition in Health Care (VBHC) has become a guiding principle in the quest for high quality health care for acceptable costs. Current literature lacks substantial ethical evaluation of VBHC. In this paper we describe how a single-minded focus on VBHC may cause serious infring...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-04-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-019-4081-6 |
| _version_ | 1818415525866242048 |
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| author | A. Stef Groenewoud Gert P. Westert Jan A. M. Kremer |
| author_facet | A. Stef Groenewoud Gert P. Westert Jan A. M. Kremer |
| author_sort | A. Stef Groenewoud |
| collection | DOAJ |
| description | Abstract Value Based competition in Health Care (VBHC) has become a guiding principle in the quest for high quality health care for acceptable costs. Current literature lacks substantial ethical evaluation of VBHC. In this paper we describe how a single-minded focus on VBHC may cause serious infringements upon at least four medical ethical principles: 1) it tends to neglect patients’ personal values; 2) it ignores the intrinsic value of the caring act; 3) it disproportionately replaces trust in professionals with accountability, and 4) it undermines solidarity. Health care needs a next step in VBHC. We suggest a ‘Values-Driven Health Care’ (VDHC) approach that a) takes patients’ personal values as prescriptive and guiding; b) holds a value account that encompasses health care’s intrinsic (gift) values; c) is based upon intelligent accountability that supports trust in trustworthy professionals, and d) encourages patients to raise their voices for the shared good of health care. |
| first_indexed | 2024-12-14T11:36:23Z |
| format | Article |
| id | doaj.art-67283825c7344e9385a4db486d907e25 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T11:36:23Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-67283825c7344e9385a4db486d907e252022-12-21T23:03:00ZengBMCBMC Health Services Research1472-69632019-04-011911610.1186/s12913-019-4081-6Value based competition in health care’s ethical drawbacks and the need for a values-driven approachA. Stef Groenewoud0Gert P. Westert1Jan A. M. Kremer2Radboud University Medical Center, Scientific Center for Quality of HealthcareRadboud University Medical Center, Scientific Center for Quality of HealthcareRadboud University Medical Center, Scientific Center for Quality of HealthcareAbstract Value Based competition in Health Care (VBHC) has become a guiding principle in the quest for high quality health care for acceptable costs. Current literature lacks substantial ethical evaluation of VBHC. In this paper we describe how a single-minded focus on VBHC may cause serious infringements upon at least four medical ethical principles: 1) it tends to neglect patients’ personal values; 2) it ignores the intrinsic value of the caring act; 3) it disproportionately replaces trust in professionals with accountability, and 4) it undermines solidarity. Health care needs a next step in VBHC. We suggest a ‘Values-Driven Health Care’ (VDHC) approach that a) takes patients’ personal values as prescriptive and guiding; b) holds a value account that encompasses health care’s intrinsic (gift) values; c) is based upon intelligent accountability that supports trust in trustworthy professionals, and d) encourages patients to raise their voices for the shared good of health care.http://link.springer.com/article/10.1186/s12913-019-4081-6Value based health careEthicsPatient valuesValues driven health careIndicatorsTrust |
| spellingShingle | A. Stef Groenewoud Gert P. Westert Jan A. M. Kremer Value based competition in health care’s ethical drawbacks and the need for a values-driven approach BMC Health Services Research Value based health care Ethics Patient values Values driven health care Indicators Trust |
| title | Value based competition in health care’s ethical drawbacks and the need for a values-driven approach |
| title_full | Value based competition in health care’s ethical drawbacks and the need for a values-driven approach |
| title_fullStr | Value based competition in health care’s ethical drawbacks and the need for a values-driven approach |
| title_full_unstemmed | Value based competition in health care’s ethical drawbacks and the need for a values-driven approach |
| title_short | Value based competition in health care’s ethical drawbacks and the need for a values-driven approach |
| title_sort | value based competition in health care s ethical drawbacks and the need for a values driven approach |
| topic | Value based health care Ethics Patient values Values driven health care Indicators Trust |
| url | http://link.springer.com/article/10.1186/s12913-019-4081-6 |
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