No Cover Image

Journal article 195 views 6 downloads

Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales

Máire T O’Donnell, Sally Lewis Orcid Logo, Sarah Davies, Sean F Dinneen Orcid Logo

Journal of Diabetes Investigation, Volume: 14, Issue: 8, Pages: 925 - 929

Swansea University Author: Sally Lewis Orcid Logo

  • 71008.VoR.pdf

    PDF | Version of Record

    Copyright 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License.

    Download (295.26KB)

Check full text

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...

Full description

Published in: Journal of Diabetes Investigation
ISSN: 2040-1116 2040-1124
Published: Wiley 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa71008
first_indexed 2025-11-28T16:01:39Z
last_indexed 2025-12-20T05:28:46Z
id cronfa71008
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2025-12-19T10:51:29.5465477</datestamp><bib-version>v2</bib-version><id>71008</id><entry>2025-11-28</entry><title>Delivering value&#x2010;based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales</title><swanseaauthors><author><sid>f800f55db95f30d9a4ebb0ed6e24fe8a</sid><ORCID>0000-0002-2369-2308</ORCID><firstname>Sally</firstname><surname>Lewis</surname><name>Sally Lewis</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2025-11-28</date><deptcode>CBAE</deptcode><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.</abstract><type>Journal Article</type><journal>Journal of Diabetes Investigation</journal><volume>14</volume><journalNumber>8</journalNumber><paginationStart>925</paginationStart><paginationEnd>929</paginationEnd><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2040-1116</issnPrint><issnElectronic>2040-1124</issnElectronic><keywords/><publishedDay>1</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2023</publishedYear><publishedDate>2023-08-01</publishedDate><doi>10.1111/jdi.14023</doi><url/><notes/><college>COLLEGE NANME</college><department>Management School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>CBAE</DepartmentCode><institution>Swansea University</institution><apcterm>Other</apcterm><funders/><projectreference/><lastEdited>2025-12-19T10:51:29.5465477</lastEdited><Created>2025-11-28T11:10:48.3828311</Created><path><level id="1">Faculty of Humanities and Social Sciences</level><level id="2">School of Management - Business Management</level></path><authors><author><firstname>M&#xE1;ire T</firstname><surname>O&#x2019;Donnell</surname><order>1</order></author><author><firstname>Sally</firstname><surname>Lewis</surname><orcid>0000-0002-2369-2308</orcid><order>2</order></author><author><firstname>Sarah</firstname><surname>Davies</surname><order>3</order></author><author><firstname>Sean F</firstname><surname>Dinneen</surname><orcid>0000-0002-6636-0493</orcid><order>4</order></author></authors><documents><document><filename>71008__35864__3ed58a42ed2b4a86b68d17c1fb7f6b8e.pdf</filename><originalFilename>71008.VoR.pdf</originalFilename><uploaded>2025-12-19T10:49:36.8504039</uploaded><type>Output</type><contentLength>302342</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2025-12-19T10:51:29.5465477 v2 71008 2025-11-28 Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales f800f55db95f30d9a4ebb0ed6e24fe8a 0000-0002-2369-2308 Sally Lewis Sally Lewis true false 2025-11-28 CBAE 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. Journal Article Journal of Diabetes Investigation 14 8 925 929 Wiley 2040-1116 2040-1124 1 8 2023 2023-08-01 10.1111/jdi.14023 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University Other 2025-12-19T10:51:29.5465477 2025-11-28T11:10:48.3828311 Faculty of Humanities and Social Sciences School of Management - Business Management Máire T O’Donnell 1 Sally Lewis 0000-0002-2369-2308 2 Sarah Davies 3 Sean F Dinneen 0000-0002-6636-0493 4 71008__35864__3ed58a42ed2b4a86b68d17c1fb7f6b8e.pdf 71008.VoR.pdf 2025-12-19T10:49:36.8504039 Output 302342 application/pdf Version of Record true Copyright 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License. true eng http://creativecommons.org/licenses/by-nc/4.0/
title Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
spellingShingle Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
Sally Lewis
title_short Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
title_full Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
title_fullStr Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
title_full_unstemmed Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
title_sort Delivering value‐based healthcare for people with diabetes in a national publicly funded health service: Lessons from Ireland and Wales
author_id_str_mv f800f55db95f30d9a4ebb0ed6e24fe8a
author_id_fullname_str_mv f800f55db95f30d9a4ebb0ed6e24fe8a_***_Sally Lewis
author Sally Lewis
author2 Máire T O’Donnell
Sally Lewis
Sarah Davies
Sean F Dinneen
format Journal article
container_title Journal of Diabetes Investigation
container_volume 14
container_issue 8
container_start_page 925
publishDate 2023
institution Swansea University
issn 2040-1116
2040-1124
doi_str_mv 10.1111/jdi.14023
publisher Wiley
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
document_store_str 1
active_str 0
description 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.
published_date 2023-08-01T05:31:16Z
_version_ 1856715071518932992
score 11.095883

Similar Items