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European value-based healthcare benchmarking: moving from theory to practice.

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  • معلومة اضافية
    • Corporate Authors:
      VOICE Study Group
    • المصدر:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE
    • بيانات النشر:
      Publication: Oxford : Oxford University Press
      Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-
    • الموضوع:
      Benchmarking*/methods ; Quality of Health Care*; Humans ; Delivery of Health Care
    • نبذة مختصرة :
      Background: Value-based healthcare (VBHC) is a conceptual framework to improve the value of healthcare by health, care-process and economic outcomes. Benchmarking should provide useful information to identify best practices and therefore a good instrument to improve quality across healthcare organizations. This paper aims to provide a proof-of-concept of the feasibility of an international VBHC benchmarking in breast cancer, with the ultimate aim of being used to share best practices with a data-driven approach among healthcare organizations from different health systems.
      Methods: In the VOICE community-a European healthcare centre cluster intending to address VBHC from theory to practice-information on patient-reported, clinical-related, care-process-related and economic-related outcomes were collected. Patient archetypes were identified using clustering techniques and an indicator set following a modified Delphi was defined. Benchmarking was performed using regression models controlling for patient archetypes and socio-demographic characteristics.
      Results: Six hundred and ninety patients from six healthcare centres were included. A set of 50 health, care-process and economic indicators was distilled for benchmarking. Statistically significant differences across sites have been found in most health outcomes, half of the care-process indicators, and all economic indicators, allowing for identifying the best and worst performers.
      Conclusions: To the best of our knowledge, this is the first international experience providing evidence to be used with VBHC benchmarking intention. Differences in indicators across healthcare centres should be used to identify best practices and improve healthcare quality following further research. Applied methods might help to move forward with VBHC benchmarking in other medical conditions.
      (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.)
    • References:
      Health Policy. 2023 Mar;129:104702. (PMID: 36588068)
      Health Qual Life Outcomes. 2020 Oct 12;18(1):338. (PMID: 33046106)
      ScientificWorldJournal. 2012;2012:606154. (PMID: 22666140)
      JAMA Oncol. 2017 May 1;3(5):677-685. (PMID: 28033439)
      Eur J Cancer. 2017 Nov;86:59-81. (PMID: 28963914)
      BMJ. 1995 Aug 5;311(7001):376-80. (PMID: 7640549)
      Breast. 2022 Dec;66:15-23. (PMID: 36084384)
      J Infect Public Health. 2013 Oct;6(5):323-30. (PMID: 23999329)
      Medicine (Baltimore). 2019 May;98(20):e15644. (PMID: 31096485)
      Lancet Oncol. 2013 Nov;14(12):1165-74. (PMID: 24131614)
      Acad Med. 2020 May;95(5):682-685. (PMID: 31833857)
      Int J Qual Health Care. 2020 Jun 4;32(4):271-274. (PMID: 32319525)
      Value Health. 2022 Jul;25(7):1148-1156. (PMID: 35779941)
      J Surg Res. 2015 Sep;198(1):34-40. (PMID: 26115808)
      Support Care Cancer. 2018 Jan;26(1):129-138. (PMID: 28711975)
      Int J Qual Health Care. 2003 Dec;15(6):509-21. (PMID: 14660534)
      JAMA. 1997 Nov 19;278(19):1600-7. (PMID: 9370507)
      N Engl J Med. 2010 Dec 23;363(26):2477-81. (PMID: 21142528)
      BMJ. 2010 Aug 13;341:c4078. (PMID: 20709715)
      Am J Public Health. 1996 Oct;86(10):1379-87. (PMID: 8876505)
      Am J Public Health. 1987 Sep;77(9):1162-6. (PMID: 3113272)
      Health Econ. 2009 Oct;18(10):1188-201. (PMID: 19097041)
    • Grant Information:
      The VOICE Project, or 'Value-Based Healthcare for Outcomes in Breast and Lung Cancer in Europe', coordinated by the Kronikgune Institute, has the collaboration of Roche Farma, SA and Roche Diagnostics SLU; Value-Based Healthcare for Outcomes in Breast and Lung Cancer in Europe; Kronikgune Institute
    • Contributed Indexing:
      Investigator: N González; IV Lerma; IA Irazabal; AFL Santamaría; AF Capanaga; J Cacicedo; EV Elorduy; T Acaiturri-Ayesta; E Gómez-Inhiesto; V Danesi; N Gentili; A Roncadori; FH Alarz; KI Iraola; V Adam; H De Rijck; E Everaert; E Barreira; P Medeiros; E Barros
    • الموضوع:
      Date Created: 20231024 Date Completed: 20240207 Latest Revision: 20240207
    • الموضوع:
      20240207
    • الرقم المعرف:
      PMC10843953
    • الرقم المعرف:
      10.1093/eurpub/ckad181
    • الرقم المعرف:
      37875008