Constructing a value-based healthcare system for hypertensive patients through changing payment mode: evidence from a comparative study in rural China

Miao, Yudong; Yuan, Xiangdong; Gu, Jianqin; Zhang, Liang; He, Ruibo; Sandeep, Sandeep; Wu, Jian

doi:10.1080/13696998.2018.1558864

Cited by 7 publications

(22 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The studies ( N = 2) that measured the effects of ‘organize into IPUs’, showed an increase in quality adjusted life years and financial benefit for the provider [ 19 ]; and a decrease in pre-operative MRIs [ 33 ]. The implementation of bundled payments ( N = 2) led to a decrease in patients admitted to skilled nursing facilities [ 50 ], total medical expenditure [ 34 ] and length of stay [ 50 ]. Two articles measured the effect of ‘measure costs and outcomes for every patient’ in combination with ‘integrate care delivery across separate facilities’ and found an increase in patient satisfaction [ 25 ], and an increased number of primary care visits [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…In 15 articles, the concept of VBHC was defined by reference to its value or its goals only, without defining the VBHC concept. Six conceptualized value in VBHC [26][27][28][29][30][31], six conceptualized goals of VBHC [7,[32][33][34][35][36] and three conceptualized both value and goals in VBHC [37][38][39]. The remaining articles (N = 11) did not include a conceptualization of VBHC [40][41][42][43][44][45][46][47][48][49][50].…”

Section: Vbhc Conceptualizationmentioning

confidence: 99%

“…an interactive application to collect patient experiences or a dashboard [16,17,22,29,36]. Two studies described the implementation of 'move to bundled payments for care cycles [34,50]' . Lastly, four articles described the 'integration of care delivery across separate facilities' [7,25,42,43], often in the form of an Accountable Care Organization, a collaboration between regional healthcare services or a roadmap to reform healthcare delivery.…”

Section: Implemented Vbhc Components and Effectsmentioning

confidence: 99%

See 2 more Smart Citations

The implementation of value-based healthcare: a scoping review

Staalduinen

Bekerom

Groeneveld

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background The aim of this study was to identify and summarize how value-based healthcare (VBHC) is conceptualized in the literature and implemented in hospitals. Furthermore, an overview was created of the effects of both the implementation of VBHC and the implementation strategies used. Methods A scoping review was conducted by searching online databases for articles published between January 2006 and February 2021. Empirical as well as non-empirical articles were included. Results 1729 publications were screened and 62 were used for data extraction. The majority of the articles did not specify a conceptualization of VBHC, but only conceptualized the goals of VBHC or the concept of value. Most hospitals implemented only one or two components of VBHC, mainly the measurement of outcomes and costs or Integrated Practice Units (IPUs). Few studies examined effects. Implementation strategies were described rarely, and were evaluated even less. Conclusions VBHC has a high level of interpretative variability and a common conceptualization of VBHC is therefore urgently needed. VBHC was proposed as a shift in healthcare management entailing six reinforcing steps, but hospitals have not implemented VBHC as an integrative strategy. VBHC implementation and effectiveness could benefit from the interdisciplinary collaboration between healthcare and management science. Trial registration This scoping review was registered on Open Science Framework https://osf.io/jt4u7/ (OSF | The implementation of Value-Based Healthcare: a Scoping Review).

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Vbhc Conceptualizationmentioning

confidence: 99%

Section: Implemented Vbhc Components and Effectsmentioning

confidence: 99%

See 1 more Smart Citation

The implementation of value-based healthcare: a scoping review

Staalduinen

Bekerom

Groeneveld

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In 2010, three basic medical insurances, NCMS, URBMI, and UEBMI, in China have achieved near-universal coverage [25]. Previous studies in China found that basic medical insurances, particularly NCMS and URBMI, provided relatively high reimbursement proportion for inpatient care, but limited coverage for outpatient care [26,27,28].…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Xiao

Zhang

Nan-zi

et al. 2019

IJERPH

View full text Add to dashboard Cite

Purpose: Hypertension is a major risk factor for cardiovascular diseases and stroke, and it requires lifelong medication. This study aimed to investigate the factors impacting on Health-Related Quality of Life (HRQoL) among hypertensive patients in Chongqing, China, and to provide evidence-based strategies to improve their HRQoL. Methods: This cross-sectional survey was conducted in Chongqing, China. Of 600 randomly selected patients, 586 patients agreed to participate and 567 patients completed the survey. A SF-36 (Medical Outcomes Study (MOS) Short Form Health Survey questionnaire) that included eight domains: physical functioning, role limitations due to physical problems, body pain, general health, vitality, social function, role limitations due to emotional problems, and mental health was used to measure HRQoL. Linear regressions were used; each domain of HRQoL was measured in the stratification of sex. Results: Self-perceived relatively low economic burden caused by hypertension and regular physical activity had a positive impact on HRQoL (p < 0.05) for both men and women. For women, younger age was associated with higher scores of measuring physical functioning and body pain. Living with more than three family members had a positive impact on domains, including physical functioning. Emotional self-regulation had a positive association with women’s mental health. Alcohol use for men was associated with higher scores in physical and mental health measures, and emotional self-regulation showed some positive impact on general health. Conclusion: Perceived economic burden caused by hypertension was the most common factor impacting on patients’ HRQoL. Female patients were more susceptible when compared to male patients. Health intervention strategies need to be further explored and adapted to the context of improving HRQoL for patients who suffer from hypertension and other chronic non-communicable diseases.

show abstract

“…It is important for an insurance program to fulfill patients' expectations of insurance benefits [42] since the fulfillment is clearly linked with patient satisfaction [43]. Because the scope of healthcare services coved by an insurance program, the reimbursement and copayment ratios, as well as the reimbursement amount, have been key features of insurance benefits [44,45], we took such attributes into consideration. In our survey, the scope of covered healthcare services represented the catalog of health technologies issued by the NHSA and its branch in Jiangsu province, the reimbursement ratio referred to the fixed proportion paid by an insurance program for the covered healthcare services, and the reimbursement amount was the payments made by the health insurance program to patients.…”

Section: The Fulfillment Of Patients' Expectations Of Insurance Benefitsmentioning

confidence: 99%

Assessment of the satisfaction with public health insurance programs by patients with chronic diseases in China: a structural equation modeling approach

et al. 2021

View full text Add to dashboard Cite

Background China has successfully sustained its universal health insurance coverage over the past decade. Although patient satisfaction has been recognized as an important indicator to measure the performance of insurance programs in China, there is a lack of evidence on how patients with chronic diseases are satisfied with China’s public health insurance programs and whether their satisfaction differs by type of insurance. We aimed to fill the evidence gap. Methods We established a hypothetical model that comprised patients’ awareness of insurance policies, the fulfillment of patients’ expectations of insurance benefits, patients’ perceived value of health insurance coverage, patients’ satisfaction with health insurance programs, patients’ complaints, and trust in health insurance programs. We performed a confirmatory factor analysis by using a structural equation modeling (SEM) approach to examine the hypothesized model. A model-testing survey in 10 tertiary hospitals was conducted between June and October 2018, with a valid sample of 922 insured patients with chronic diseases. Results The SEM model, with good fit indices, showed that patients’ awareness of health insurance policies, insurance program’s fulfillment of expectations, and patients’ perceived value of insurance coverage, positively predicted patient satisfaction (P < 0.01). The fulfillment of patients’ expectations of insurance benefits was the major predictor of satisfaction with health insurance (coefficient = 0.593, P < 0.001), while the patients’ perceived value of insurance coverage had the largest impact on their trust in health insurance (coefficient = 0.409, P < 0.01). Compared to patients with Urban-Rural Resident Basic Medical Insurance, Urban Employee Basic Medical Insurance enrollees had a higher degree of satisfaction with insurance on average (P < 0.01). Despite differences in the degree of satisfaction, the main findings from the SEM were also proved by the multi-group analysis. Conclusions Our findings highlight the importance of incorporating patients’ perceived value as part of the ongoing efforts to increase satisfaction with health insurance by patients, especially those who have chronic diseases. Policymakers are also suggested to formulate evidence-informed reimbursement policies that meet patients’ expectations.

show abstract

Constructing a value-based healthcare system for hypertensive patients through changing payment mode: evidence from a comparative study in rural China

Cited by 7 publications

References 28 publications

The implementation of value-based healthcare: a scoping review

The implementation of value-based healthcare: a scoping review

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Assessment of the satisfaction with public health insurance programs by patients with chronic diseases in China: a structural equation modeling approach

Contact Info

Product

Resources

About