Barriers and Strategies for Inclusion of Value-Based Healthcare in Contract Negotiations in the Netherlands: Study Among Hospital and Insurer Executives.
Diogo L L Leao, Dennis van Veghel, Lise A M Moers, Wim Groot, Milena Pavlova
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引用次数: 0
Abstract
Background: This paper analyses why, despite its recognized importance, value-based healthcare (VBHC) has not gained more prominence in negotiations between health insurers and hospitals in the Netherlands.
Methods: Data collected by interviews used a standardized questionnaire with closed- and open-ended questions. Respondents included hospital and insurer executives, and experts on VBHC in the Netherlands.
Results: Hospital and insurer executives addressed issues of cost containment, volume management, and care availability. Despite recognising the potential of VBHC to enhance patient outcomes and experiences, reluctance persists due to uncertainties about cost-savings, its complexity, lack of data, and competing priorities. Hospital executives advocated experiments with VBHC, trust-building, and continuous evaluation, with strategies to standardise measures, enhance information technology (IT) infrastructure, promote data transparency, foster collaboration, and educate stakeholders. Participants also underlined the need for systemic change and governmental action.
Conclusions: Negotiations mostly focus on cost containment and volume management. This reflects a systemic emphasis on immediate financial concerns over long-term value creation. The hesitancy in transitioning to VBHC underscores the need for collaborative strategies and systemic shifts to prioritise patient-centric care. External factors such as fee-for-service payment systems further complicate VBHC adoption, requiring governmental intervention and cultural transformation to align incentives and promote sustainable healthcare practices.
期刊介绍：
Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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