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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Main Authors: N. Z. Musina, V. V. Omelyanovskiy, R. V. Gostischev, O. A. Sukhorukikh, V. K. Fedyaeva, N. N. Sisigina, D. G. Shchurov
Format: Article
Language:Russian
Published: IRBIS LLC 2021-02-01
Series:Фармакоэкономика
Subjects:
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.
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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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AT vvomelyanovskiy conceptofvaluebasedhealthcare
AT rvgostischev conceptofvaluebasedhealthcare
AT oasukhorukikh conceptofvaluebasedhealthcare
AT vkfedyaeva conceptofvaluebasedhealthcare
AT nnsisigina conceptofvaluebasedhealthcare
AT dgshchurov conceptofvaluebasedhealthcare