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Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
Journal of Diabetes Investigation, Volume: 14, Issue: 8, Pages: 925 - 929
Swansea University Author:
Sally Lewis
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Copyright 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License.
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DOI (Published version): 10.1111/jdi.14023
Abstract
The term value-based healthcare (VBHC) describes an approach to the organization and delivery of care that emphasizes reducing the cost of care while improving outcomes. This involves increased investment earlier in the care pathway e.g., in the prevention, timely diagnosis, and screening for compli...
| Published in: | Journal of Diabetes Investigation |
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| ISSN: | 2040-1116 2040-1124 |
| Published: |
Wiley
2023
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa71008 |
| Abstract: |
The term value-based healthcare (VBHC) describes an approach to the organization and delivery of care that emphasizes reducing the cost of care while improving outcomes. This involves increased investment earlier in the care pathway e.g., in the prevention, timely diagnosis, and screening for complications in order to maximize the overall impact of care. Key elements of VBHC include the collection and interpretation of relevant data to drive quality improvement and appropriateness of care, a focus on a continuum of care from prevention through to complications, an awareness of the financial drivers of the cost of care and a recognition that meaningful outcomes of care are those that are important to patients. Although VBHC has its origins in North America and has mostly been applied to private health systems, the principles can also be applied to national health services. In publicly funded health systems, where resources are finite, VBHC initiatives aim to eliminate ineffective care that has no beneficial impact or added value for patients and to optimize patient outcomes by delivering care that meets the changing healthcare needs of a population over time. The National Health Service in Wales has established a VBHC Office and has begun to realize the benefits of adopting VBHC approaches. The Irish Health Service Executive (HSE) can learn from the approaches used in Wales. In this paper we explore some of the principles of VBHC through case studies from Ireland and Wales highlighting how national health services are using VBHC to achieve improvement in outcomes for people living with diabetes. |
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| College: |
Faculty of Humanities and Social Sciences |
| Issue: |
8 |
| Start Page: |
925 |
| End Page: |
929 |

