Les obstacles à l'approvisionnement fondé sur la valeur en santé: le cas de la province de Québec

The concept of value-based purchasing aims to move away from the logic of price reduction in purchasing to integrate other dimensions that support the acquisition of innovations in healthcare institutions. As with other fundamental transformations in supply management, a series of obstacles hinder the implementation of this concept. A case study, conducted with a Canadian healthcare purchasing group as part of collaborative research, captures the relationships between the barriers identified in the literature. We discuss the potential efforts public policymakers should put in place to deploy this concept while identifying some relevant research questions.