Concept of value-based healthcare
This article contains the aims and main principles of the concept of value-based healthcare (VBHC). The relevance of the implementation of this approach into the Russian healthcare system results from the fact that during the control and payment for medical care, the treatment outcomes are evaluated...
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Format: | Article |
Language: | Russian |
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IRBIS LLC
2021-02-01
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Series: | Фармакоэкономика |
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Online Access: | https://www.pharmacoeconomics.ru/jour/article/view/457 |
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author | N. Z. Musina V. V. Omelyanovskiy R. V. Gostischev O. A. Sukhorukikh V. K. Fedyaeva N. N. Sisigina D. G. Shchurov |
author_facet | N. Z. Musina V. V. Omelyanovskiy R. V. Gostischev O. A. Sukhorukikh V. K. Fedyaeva N. N. Sisigina D. G. Shchurov |
author_sort | N. Z. Musina |
collection | DOAJ |
description | This article contains the aims and main principles of the concept of value-based healthcare (VBHC). The relevance of the implementation of this approach into the Russian healthcare system results from the fact that during the control and payment for medical care, the treatment outcomes are evaluated selectively and at separate stages. The medical care payment system considers only its volumes and not achieving the desired treatment outcome significant to a patient. A review of the world’s best practices of introducing VBHC conception and, also new medical care payment methods such as bundled payment and pay-for-performance (P4P) has been conducted. According to international experience, VBHC increases the quality of medical care and provides the optimization of costs. To implement VBHC model in the Russian Federation, it is necessary to ensure the informatization of the providing medical care, development, and improvement of medical quality control systems (development of the resulting criteria for medical care quality for all diseases), and introduction of the rating system for medical organizations. Provided these processes are ensured, further progressing to P4P is possible. Moreover, it would also be feasible to implement VBHC in other healthcare processes including procurement of drugs and medical devices, their pricing, and reimbursement. |
first_indexed | 2024-04-10T02:40:19Z |
format | Article |
id | doaj.art-ac432edf7d1146239fa449db35811c2b |
institution | Directory Open Access Journal |
issn | 2070-4909 2070-4933 |
language | Russian |
last_indexed | 2025-03-14T11:16:10Z |
publishDate | 2021-02-01 |
publisher | IRBIS LLC |
record_format | Article |
series | Фармакоэкономика |
spelling | doaj.art-ac432edf7d1146239fa449db35811c2b2025-03-02T10:15:53ZrusIRBIS LLCФармакоэкономика2070-49092070-49332021-02-0113443845110.17749/2070-4909/farmakoekonomika.2020.042326Concept of value-based healthcareN. Z. Musina0V. V. Omelyanovskiy1R. V. Gostischev2O. A. Sukhorukikh3V. K. Fedyaeva4N. N. Sisigina5D. G. Shchurov6Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation; Russian Presidential Academy of National Economy and Public AdministrationCenter for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Financial Research Institute of the Ministry of Finance of Russia; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian FederationCity Clinical Hospital №40 of Moscow Healthcare DepartmentCenter for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian FederationCenter for Healthcare Quality Assessment and Control, Ministry of Health of the Russian FederationCenter for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian FederationCenter for Healthcare Quality Assessment and Control, Ministry of Health of the Russian FederationThis article contains the aims and main principles of the concept of value-based healthcare (VBHC). The relevance of the implementation of this approach into the Russian healthcare system results from the fact that during the control and payment for medical care, the treatment outcomes are evaluated selectively and at separate stages. The medical care payment system considers only its volumes and not achieving the desired treatment outcome significant to a patient. A review of the world’s best practices of introducing VBHC conception and, also new medical care payment methods such as bundled payment and pay-for-performance (P4P) has been conducted. According to international experience, VBHC increases the quality of medical care and provides the optimization of costs. To implement VBHC model in the Russian Federation, it is necessary to ensure the informatization of the providing medical care, development, and improvement of medical quality control systems (development of the resulting criteria for medical care quality for all diseases), and introduction of the rating system for medical organizations. Provided these processes are ensured, further progressing to P4P is possible. Moreover, it would also be feasible to implement VBHC in other healthcare processes including procurement of drugs and medical devices, their pricing, and reimbursement.https://www.pharmacoeconomics.ru/jour/article/view/457value-based healthcarevalue-based medicinepay-for-performancerisk-sharing agreementpatient-reported outcome measurespatient-centered healthcaremedical care quality controlmedical care payment |
spellingShingle | N. Z. Musina V. V. Omelyanovskiy R. V. Gostischev O. A. Sukhorukikh V. K. Fedyaeva N. N. Sisigina D. G. Shchurov Concept of value-based healthcare Фармакоэкономика value-based healthcare value-based medicine pay-for-performance risk-sharing agreement patient-reported outcome measures patient-centered healthcare medical care quality control medical care payment |
title | Concept of value-based healthcare |
title_full | Concept of value-based healthcare |
title_fullStr | Concept of value-based healthcare |
title_full_unstemmed | Concept of value-based healthcare |
title_short | Concept of value-based healthcare |
title_sort | concept of value based healthcare |
topic | value-based healthcare value-based medicine pay-for-performance risk-sharing agreement patient-reported outcome measures patient-centered healthcare medical care quality control medical care payment |
url | https://www.pharmacoeconomics.ru/jour/article/view/457 |
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