What is value-based health care

EU Commission researches "Value-based Healthcare"

>> The opinions of the Expert Panel on Health are intended to support the EU Commission by providing the panel's views based on findings on issues that can bring about real change in health system reforms and investments in the EU. The aim of the hearings in early June this year was to give stakeholders the opportunity to express their views on the draft opinion of the Panel of Experts on Health Care, which was published on the Panel's website1 prior to the hearing.
There were two hearings; On the one hand, there is the “Value-based Healthcare” 2, in which the experts Prof. Claudia Wild, Prof. Jan De Maeseneer, Prof. Lasse Lehtonen, Prof. Luigi Siciliani, Dr. Dionne Kringos, Dr. Aleš Bourek, Prof. Walter Ricciardi and Assoc.Prof. Liubove Murauskiene participated; on the other hand, the "relocation of tasks in health systems" 3.
In her lecture, Wild stated that three external experts were included in the working group, since value-based health care is a very broad topic. She also pointed out that the use of the term on the one hand to inflation, but on the other hand also a "dilution of its contents" occurs, which was the subject of the research itself. For this reason, the European Commission would have asked the group to assess the question of what exactly is the value of value-based healthcare and how this concept is precisely defined. And once it was defined, it would then also answer the question of which measures the Member States can derive to improve the resilience of their health systems.
In order to fulfill this task, the working group first analyzed the current situation and identified initiatives to increase value; assessed established instruments and methods, identified key values ​​and finally submitted the requested proposals and recommendations for possible implementation principles.
According to the definition proposed by the working group, the concept of "value-based health care" is a comprehensive concept based on four pillars of values:
• the appropriate care ("appropria-
te care ") to achieve patient-specific
eller goals ("personal value"),
• the achievement of the best possible results with the available resources (technical value),
• the fair distribution of resources across all patient groups (allocative value) and
• the contribution of health care to social participation and solidarity (societal value)
In the opinion of Prof. Wild, one of the most important principles for this is the improvement of health awareness. This is an "essential investment in an equal and fair European society
society and the centrality of European solidarity values ​​”. Wild: “Health is wealth.” In order to achieve the goal of a transition from a low-value system to a high-value system, a long-term strategy must be developed.
She went on to say that an analysis of the current situation would have shown that 10 to 34 percent of resources in the health care system were wasted, which was already suggested by an estimate by the OECD4. There are several reasons for this, such as: B. unjustified fluctuations in investment, activity, access and results. Another factor is insufficient use of effective measures such as prevention or early detection. On the other hand, there is an overuse of resources such as overdiagnosis and over-treatment.
As a result, health systems no longer function optimally due to the enormous increase in the scope and intensity of their activities. Despite constantly rising costs, the health effects remain minor and are sometimes even harmful.
Hearing “Relocation of
Tasks in health systems "
At the second hearing on “Shifting Tasks in Health Systems” 4 - the experts Dr. Aleš Bourek, Dr. Dionne Kringos, Prof. Luigi Siciliani, Prof. Martin McKee and Assoc. Prof. Liubove Murauskiene - McKee was referring to the WHO definition of task shifting. According to this, “in the rational distribution of tasks among the health care workforce”, if necessary, “certain tasks would be shifted from highly qualified health professionals to less qualified health professionals in order to use the available human resources for health more efficiently”. However, he also stated that there were also “significant indications” that on the one hand “some tasks need to be shifted to more qualified workers”, but on the other hand there are also many things that “possibly come from the patients, their carers and technology done ”. Therefore, according to McKee, the shifting of tasks could take place in the following main lines:
1. From healthcare professionals to patients,
2. Shifting tasks to community health workers,
3. Shifting tasks from health workers to machines,
4. Shifting tasks to different types of health workers. <<

Edition 04/2019