Characteristics of value-based health and social care from organisations’ perspectives (OrgValue): a mixed-methods study protocol

Abstract

IntroductionHealth and social care systems are under pressure to organise care around patients’ needs with constrained resources. Several studies reveal that care is constantly challenged by balancing economic requirements against individual patients’ preferences and needs. Therefore, value-based health and social care aims to facilitate patient-centredness while taking the resources spent into consideration. The OrgValue project examines the implementation of patient-centredness while considering the health and social care organisations’ resource orientation in the model region of the city of Cologne, Germany.Methods and analysisFirst, the implementation status of patient-centredness as well as its facilitators and barriers—also in terms of resource orientation—will be assessed through face-to-face interviews with decision-makers (at least n=18) from health and social care organisations (HSCOs) in Cologne. Second, patients’ understanding of patient-centredness and their preferences and needs will be revealed by conducting face-to-face interviews (at least n=15). Third, the qualitative results will provide the basis for a quantitative survey of decision-makers from all HSCOs in Cologne, which will include questions on patient-centredness, resource orientation and determinants of implementation. Fourth, qualitative interviews with decision-makers from different types of HSCOs will be conducted to develop a uniform measurement instrument on the cost and service structure of HSCOs.Ethics and disseminationFor all collected data, the relevant data protection regulations will be adhered to. Consultation and a positive vote from the ethics committee of the Medical Faculty of the University of Cologne have been obtained. All personal identifiers (eg, name, date of birth) will be pseudonymised. Dissemination strategies include a feedback report as well as research and development workshops for the organisations with the aim of initiating organisational learning and organisational development, presenting results in publications and at conferences, and public relations.Trial registration numberDRKS00011925.

Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations

“…The subproject OrgValue analyses the implementation of patient-centredness while considering the HCSOs’ resource orientation in the model region of the city of Cologne. The implementation of patient-centredness was assessed through face-to-face interviews with decision makers in various HSCOs contexts 11. This study presents results of the qualitative interviews with decision makers in HSCOs.…”

“…While the need and public attention for PCC have increased,10 health and social care organisations (HSCOs) face scarce resources (eg, financial, personnel and material) due to a shift from acute illnesses towards chronic illnesses and more complex treatment processes in an ageing society. Ultimately, such developments can increase economic pressures and require organisations to maintain, accumulate and preserve their resources, which is defined as resource-orientation11 and obstructs PCC 12. Therefore, health and social care systems, organisations and individual caregivers are constantly challenged to organise care according to the tenets of PCC under constrained resources 13…”

Patients’ perspectives of facilitators and barriers to patient-centred care: insights from qualitative patient interviews

“…41 The data collection for this study took place within the research project OrgValue (Characteristics of Value-Based Health and Social Care from Organisations' Perspectives), which is one of currently four projects affiliated with CoRe-Net. 42 CoRe-Net members participated in developing ideas on the study conduct. The study results were partly presented at public CoRe-Net events and will be disseminated to all participants.…”

Implementation of patient-centred care: which system-level determinants matter from a decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations

“… 2 11 Therefore, the research project OrgValue explores the decision makers’ as well as the patients’ perspective on the implementation of PCC in the metropolitan region of Cologne, Germany. 12 Within this study, determinants of PCC implementation at the organisational and individual levels across different health and social care organisations (HSCOs) have already been explored. 13 Determinants on the level of the healthcare system have still to be examined.…”