Take a patient-centered approach to value-based care

Take a patient-centered approach to value-based care

The value-based model of care is gaining momentum in healthcare, and it’s not hard to see why. After all, value-based care – which rewards healthcare providers with incentives based on the quality of care they provide to patients – has been shown to improve healthcare outcomes and reduce costs. for patients. On paper, value-based care should be an easy sell for hospitals. However, applying such a model of care is not as simple as it seems.

speaking to Hospital Management Asia 2022, Morris said: “Implementing (a value-based model of care) is incredibly challenging, and I think that represents, in this region, the challenges where you have a private- audience. The majority of long-term patient care is done outside of the hospital. If we can manage our patients in this pre-illness phase, they may never get to the point where they actually need to be in the hospital. It’s quite a difficult concept when you’re a supplier looking at your bottom line – how do you handle that? »

However, implementing a value-based model of care with a patient-centric view is not only about reducing the cost of care for patients, but also about using an evidence-based approach to improve outcomes. health care outcomes.

Morris explained, “If you’re just cutting costs, using it to improve patient value isn’t necessarily the same thing. We often see the patient as a customer, and maybe that’s a poor view of the patient. When a patient is a customer, they potentially want the most expensive drug because it is perceived to be the best. It will not necessarily be evidence-based.

“It’s critical that when we start to develop our value-based models of care, we think about the patient, but we also think about how to provide the best possible care, evidence-based care, relevant to that as well. . Elsevier spends a lot of time developing evidence-based content to try to improve outcomes, and often the evidence indicates we don’t intervene. We are reducing the number of treatments. We can’t do surgery; we can do something different.

Thus, a patient-centered vision of care must take into account the values ​​of patients, their expressed needs and wishes. But you have to do it within the framework of the value you’re trying to achieve for your population.

In order to achieve the best patient outcomes, healthcare providers should consider adopting a multidisciplinary approach to their value-based model of care – this means combining the knowledge and experience of the physician within the hospital with primary care physicians, as well as working with nurses in the community and working with the patient themselves.

Morris clarified: “It’s an interdisciplinary approach in terms of developing the measures you want to put in place to achieve health outcomes and then really learning from that.

“Unless you look at the cost of all the elements of health care – in primary care, the home care elements – you won’t have a full understanding of the total cost of care. Once you have this framework in place, you can then expand it to larger populations, and the more hospitals you have committed to a value-based model of care, the better the success will be.

The value-based model of care can also help reconnect clinicians with their patients as healers. This allows clinicians to think about their patients as a whole, rather than just being responsible for a particular disease. This, according to Morris, can invigorate clinicians, as he said: “If our doctors start to think of themselves as healers of their patients, then we start to reduce clinician burnout, and we can start to help clinicians to recommit to their future. role.

“We know we have a crisis across the world – we don’t have enough doctors, nurses and paramedics. But if we can engage them and revalue their roles, we can reduce the number of people who leave.

Find out how the healthcare sector can address urgent and emerging challenges and the skills clinicians need for the future in our latest report.

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