A decade of change towards Value-Based Health Care at a Dutch University Hospital: a complexity-informed process study.

ABSTRACT:

Background

While healthcare organizations in several countries are embracing Value-Based Health Care (VBHC), there are limited insights into how to achieve this paradigm shift. This study examines the decade-long (2012-2023) change towards VBHC in a pioneering Dutch university hospital.

Method

Through retrospective, complexity-informed process research, we study how a Dutch university hospital's strategy to implement VBHC evolved, how implementation outcomes unfolded, and the underlying logic behind these developments. Data include the hospital's internal documents (n = 10,536), implementation outcome indicators (n = 4), a survey among clinicians (n = 47), and interviews with individuals contributing to VBHC at the hospital level (n = 20).

Results

The change towards V

SUBMITTER: van Engen V 

PROVIDER: S-EPMC11301982 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature