{"title":"Maximising Value in Healthcare Systems by Putting the Patient at the Centre – Systemic Design Considerations","authors":"Joachim Sturmberg, Saadi Taher","doi":"10.1111/jep.70270","DOIUrl":null,"url":null,"abstract":"<p>Value-based healthcare addresses inefficiencies, rising costs, and inconsistent quality by prioritising patient outcomes relative to costs. Despite broad support, its definition and implementation remain unclear. This perspective proposes a systemic, person-centred approach that aligns stakeholders around shared values. We examine frameworks like Berwick's ‘Triple Aim’ and Porter's patient-centred model, and integrat Sir Muir Gray's moral dimension for a holistic perspective. Achieving an effective system requires committed leadership, bottom-up redesign integrating all care levels, and cross-sector collaboration to align policies with sustainable health improvements. Context-sensitive metrics are essential to balancing patient-centred and economic value.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 6","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70270","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70270","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Value-based healthcare addresses inefficiencies, rising costs, and inconsistent quality by prioritising patient outcomes relative to costs. Despite broad support, its definition and implementation remain unclear. This perspective proposes a systemic, person-centred approach that aligns stakeholders around shared values. We examine frameworks like Berwick's ‘Triple Aim’ and Porter's patient-centred model, and integrat Sir Muir Gray's moral dimension for a holistic perspective. Achieving an effective system requires committed leadership, bottom-up redesign integrating all care levels, and cross-sector collaboration to align policies with sustainable health improvements. Context-sensitive metrics are essential to balancing patient-centred and economic value.
期刊介绍：
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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