The immaturity of patient engagement in value-based healthcare—A systematic review
IntroductionIn recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–doc...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144027/full |
| _version_ | 1797828903724646400 |
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| author | Michael van der Voorden Wim S. Sipma Margriet F. C. de Jong Arie Franx Kees C. T. B. Ahaus |
| author_facet | Michael van der Voorden Wim S. Sipma Margriet F. C. de Jong Arie Franx Kees C. T. B. Ahaus |
| author_sort | Michael van der Voorden |
| collection | DOAJ |
| description | IntroductionIn recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–doctor communication. Although patient engagement in direct care in the VBHC setting is well described, patient engagement at the organizational level of improving care has hardly been studied. This systematic review maps current knowledge regarding the intensity and impact of patient engagement in VBHC initiatives. We focus on the organizational level of a continuous patient engagement model.MethodsWe performed a systematic review following PRISMA guidelines using five electronic databases. The search strategy yielded 1,546 records, of which 21 studies were eligible for inclusion. Search terms were VBHC and patient engagement, or similar keywords, and we included only empirical studies in hospitals or transmural settings at the organizational level.ResultsWe found that consultation, using either questionnaires or interviews by researchers, is the most common method to involve patients in VBHC. Higher levels of patient engagement, such as advisory roles, co-design, or collaborative teams are rare. We found no examples of the highest level of patient engagement such as patients co-leading care improvement committees.ConclusionThis study included 21 articles, the majority of which were observational, resulting in a limited quality of evidence. Our review shows that patient engagement at the organizational level in VBHC initiatives still relies on low engagement tools such as questionnaires and interviews. Higher-level engagement tools such as advisory roles and collaborative teams are rarely used. Higher-level engagement offers opportunities to improve healthcare and care pathways through co-design with the people being served. We urge VBHC initiatives to embrace all levels of patient engagement to ensure that patient values find their way to the heart of these initiatives. |
| first_indexed | 2024-04-09T13:11:53Z |
| format | Article |
| id | doaj.art-f211e11484644a809d47afd7171f8371 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-09T13:11:53Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-f211e11484644a809d47afd7171f83712023-05-12T06:53:48ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.11440271144027The immaturity of patient engagement in value-based healthcare—A systematic reviewMichael van der Voorden0Wim S. Sipma1Margriet F. C. de Jong2Arie Franx3Kees C. T. B. Ahaus4Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, NetherlandsDepartment of Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, NetherlandsDepartment of Nephrology, University Medical Centre Groningen, Groningen, NetherlandsDepartment of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, NetherlandsDepartment of Health Services Management & Organisation, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, NetherlandsIntroductionIn recent years, Value-Based Healthcare (VBHC) has been gaining traction, particularly in hospitals. A core VBHC element is patient value, i.e., what matters most to the patient and at what cost can this be delivered. This interpretation of value implies patient engagement in patient–doctor communication. Although patient engagement in direct care in the VBHC setting is well described, patient engagement at the organizational level of improving care has hardly been studied. This systematic review maps current knowledge regarding the intensity and impact of patient engagement in VBHC initiatives. We focus on the organizational level of a continuous patient engagement model.MethodsWe performed a systematic review following PRISMA guidelines using five electronic databases. The search strategy yielded 1,546 records, of which 21 studies were eligible for inclusion. Search terms were VBHC and patient engagement, or similar keywords, and we included only empirical studies in hospitals or transmural settings at the organizational level.ResultsWe found that consultation, using either questionnaires or interviews by researchers, is the most common method to involve patients in VBHC. Higher levels of patient engagement, such as advisory roles, co-design, or collaborative teams are rare. We found no examples of the highest level of patient engagement such as patients co-leading care improvement committees.ConclusionThis study included 21 articles, the majority of which were observational, resulting in a limited quality of evidence. Our review shows that patient engagement at the organizational level in VBHC initiatives still relies on low engagement tools such as questionnaires and interviews. Higher-level engagement tools such as advisory roles and collaborative teams are rarely used. Higher-level engagement offers opportunities to improve healthcare and care pathways through co-design with the people being served. We urge VBHC initiatives to embrace all levels of patient engagement to ensure that patient values find their way to the heart of these initiatives.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144027/fullvalue-based healthcare (VBHC)patient engagementquality improvementpatient perspectiveco-designco-production |
| spellingShingle | Michael van der Voorden Wim S. Sipma Margriet F. C. de Jong Arie Franx Kees C. T. B. Ahaus The immaturity of patient engagement in value-based healthcare—A systematic review Frontiers in Public Health value-based healthcare (VBHC) patient engagement quality improvement patient perspective co-design co-production |
| title | The immaturity of patient engagement in value-based healthcare—A systematic review |
| title_full | The immaturity of patient engagement in value-based healthcare—A systematic review |
| title_fullStr | The immaturity of patient engagement in value-based healthcare—A systematic review |
| title_full_unstemmed | The immaturity of patient engagement in value-based healthcare—A systematic review |
| title_short | The immaturity of patient engagement in value-based healthcare—A systematic review |
| title_sort | immaturity of patient engagement in value based healthcare a systematic review |
| topic | value-based healthcare (VBHC) patient engagement quality improvement patient perspective co-design co-production |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1144027/full |
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