Healthcare Organizations' Readiness for Potential System Transformation to Value-Based Care

Aim: This study aimed to determine the readiness of healthcare organizations for a potential systemic shift to value-based healthcare. Meanwhile, it also sought to understand healthcare professionals' awareness and attitudes toward value-based healthcare, their views on the need for system change, and on what is needed to achieve system change. Methods: The basic qualitative analysis design was used in the study. Interviews using a semi-structured questionnaire were conducted with 14 clinical and non-clinical health professionals. The data obtained were evaluated by content analysis and MAXQDA 2024 program was used in the analysis. Results: It’s stated that there are deficiencies and failures in the current health system (n=14) and that value-based system can be realized in the long term, provided that some changes are made (n=9). Care delivery and human resources aspects of the current health system are the most problematic and these are the priority areas that will ensure the harmonization of organizations with the value-based system through regulation. Evaluations in terms of care delivery process, financial strength, clinical and operational informatics, and provider network comprehensiveness were particularly positive about technology and informatics (n=27). The areas with the most negative evaluations were provider network comprehensiveness (n=23) and financial strength (n=26). Conclusion: Healthcare professionals' demands on the system are aligned with the promises of value-based healthcare. Many processes, especially in private and city hospitals, are running parallel to value-based healthcare, even if they are not labeled as “value-based”. Private hospitals are better prepared than public hospitals for the potential transition to value. If implemented with the necessary changes, value-based healthcare can be a suitable reform for the Turkish health system and an ideal method to meet the needs.