Implementation of Values based healthcare in inflammatory bowel disease-a review article.

Abstract

The rising global prevalence of inflammatory bowel disease (IBD) and costs of care associated with its management mandates the need to constrain costs whilst improving patient outcomes. Traditional care models such as fee for service do not capture the functional impact of IBD across the whole patient journey. There is a need to develop innovative care models to better address the multifaceted needs of patients with IBD. Values based healthcare(VBHC) is a model of care that aims to deliver quality care by prioritising outcomes that matter to patients in a manner that demonstrates cost-effectiveness of health service provision. In this comprehensive scoping review of the literature, we examine the implementation of VBHC-orientated approaches to IBD care delivery and assess how they have demonstrated value in relation to clinical outcomes, patient reported outcomes (PROs), costs (direct and indirect) and healthcare utilisation (HCU). In addition, we outline key enablers and barriers to implementation of VBHC models in IBD. We then describe the ideal composition of IBD VBHC models and parameters required for implementation and demonstration of their value proposition.