Implementation of value-based healthcare in ophthalmology: a scoping review.

IF 2 Q2 OPHTHALMOLOGY

BMJ Open Ophthalmology Pub Date : 2024-03-01 DOI:10.1136/bmjophth-2024-001654

Zulkarnain Abubakar, Amal Chalik Sjaaf, Tjahjono Darminto Gondhowiardjo, Moh Anfasa Giffari Makkaraka

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Abstract

Objective: This review aimed to identify and summarise how value-based healthcare (VBHC) is implemented in the field of ophthalmology.

Methods: A scoping review was conducted by searching empirical and non-empirical articles from from electronic databases (PubMed, Science Direct, ProQuest and Scopus) and other methods starting January 2006 (the year Porter and Teisberg introduced VBHC) up to 31 December 2023.

Results: 1.081 records were screened, and 12 articles (8 empirical studies and 4 non-empirical articles) were used for data extraction. Most articles were published in the UK. Most articles described the implementation of VBHC agenda by measuring outcomes and costs. All the included empirical studies reported implementation effect; otherwise, non-empirical articles were only described proposed implementation.

Conclusion: The implementation of VBHC in ophthalmology has shown a positive impact on enhancing patient value and reducing healthcare costs. Nevertheless, the study highlighted that no provider or healthcare system has fully embraced and implemented VBHC, comprehensively addressing the entire value agenda.

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在眼科实施以价值为基础的医疗保健：范围界定综述。

目的本综述旨在确定和总结眼科领域如何实施基于价值的医疗保健（VBHC）：方法：通过搜索电子数据库（PubMed、Science Direct、ProQuest 和 Scopus）中的经验性和非经验性文章以及其他方法，对自 2006 年 1 月（Porter 和 Teisberg 引入 VBHC 的年份）至 2023 年 12 月 31 日的文章进行了范围界定：共筛选出 1,081 条记录，其中 12 篇文章（8 篇实证研究文章和 4 篇非实证文章）用于数据提取。大多数文章在英国发表。大多数文章通过测量结果和成本描述了自愿生物保健议程的实施情况。所有收录的实证研究都报告了实施效果，而非实证文章仅描述了建议的实施情况：结论：VBHC 在眼科的实施对提高患者价值和降低医疗成本产生了积极影响。然而，该研究强调，没有任何医疗机构或医疗系统完全接受并实施 VBHC，全面解决整个价值议程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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