Hospice-Palliative Medicine as a Model of Value-Based Healthcare

Heo, Dae Seog; Yoo, Seong Ho; Keam, Bhumsuk; Yoo, Keunjoo; Choi, Insun; Kim, Min Jeong

doi:10.3346/jkms.2022.37.e111

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…In addition, hospital systems must evaluate risk allocation as repayment models are defined to avoid financially incentivizing doctors to select for only healthy patients with mild chronic conditions. Furthermore, moving to bundled payment may be complicated for practices that accommodate multiple payer types, as multiple eligibility requirements will have to be met and multiple provider-payer agreements will need to be forged (Heo et al, 2022;Hines et al, 2021;Hurh et al, 2017;Ryan et al, 2019;Stiegel et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

Key Success in The Transformation from Volume-Based to Value-Based Healthcare: A Scoping Review

Gunawan

Nadjib

Soraya

2022

jss

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The medical cost trend had been increasing faster than the global inflation rate. Higher costs posed a significant problem for healthcare providers, payers, and eventually patients. The concept of value-based healthcare (VBHC), which emphasized the importance of measuring outcomes relative to the costs, was introduced to mitigate the impact of these medical trends. This research used a scoping review methodology to describe the factors that affect the shift from the conventional volume-based healthcare to value-based healthcare. Data of research based on article search was conducted using online Scopus and Embase databases, resulting in 800 articles describing value-based healthcare. Duplication removal excluded 76 articles, screening excluded 295 articles, eligibility assessment excluded 76 articles, and the remaining 30 articles were included. The results of study show that VBHC was proposed as a shift in healthcare management entailing six reinforcing elements, but most hospitals have implemented only one VBHC element. The most common implemented elements are “the measurement of outcome and cost” and “the reorganization to integrated practice units.” The key success for the implementation of these elements are: (1) strong data collection to measure clinical outcomes that matter to patients, (2) clear governance of this data management, and (3) strong support from the high leadership to encourage multidisciplinary teamwork. Thus, the true VBHC system can only be reached when all the six elements are achieved. However, no single study describes a success in implementing all elements of VBHC. Hospital leaders need to be cautious when interpreting VBHC as not to think that the VBHC can be reached by cherry-picking only selected elements of VBHC.

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Section: Resultsmentioning

confidence: 99%

Key Success in The Transformation from Volume-Based to Value-Based Healthcare: A Scoping Review

Gunawan

Nadjib

Soraya

2022

jss

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“…Finally, while this article raises concerns about the Act from the perspective of human rights, financial support and implementable policies to enhance shared decision-making and strengthen supportive care networks are crucial beyond legal revisions. 37 …”

Section: Conclusion: Ensuring the Right To Quality Eol Care For Every...mentioning

confidence: 99%

For the Universal Right to Access Quality End-of-Life Care in Korea: Broadening Our Perspective After the 2018 Life-Sustaining Treatment Decisions Act

Park,

Kim,

Yoo

et al. 2024

J Korean Med Sci

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The impact of palliative care consultation on reducing antibiotic overuse in hospitalized patients with terminal cancer at the end of life: a propensity score-weighting study

Kim

Yoo

Keam

et al. 2022

Journal of Antimicrobial Chemotherapy

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Objectives A substantial number of hospitalized patients with terminal cancer at the end-of-life phase receive antibiotics, even with imminent death. We evaluated the impact of palliative care consultation on antibiotic use in hospitalized patients with terminal cancer during the end-of-life phase. Methods We identified adult patients with metastatic solid cancer who died at a tertiary medical centre in Seoul, Republic of Korea, following at least 4 days of hospitalization (January 2018–December 2020). Patients were divided into palliative and non-palliative care consultation groups. Propensity score-weighted, multivariable logistic regression analysis was used to compare the proportion of patients receiving antibiotics within 3 days before death between the two groups. Results Among 1143 patients analysed, 940 (82.2%) received antibiotics within 3 days before death. The proportion of patients receiving antibiotics was significantly lower (propensity score-weighted P < 0.001) in the palliative care consultation group (344/468; 73.5%) than in the non-palliative care consultation group (596/675; 88.3%). The decrease in the proportion of patients receiving antibiotics in the palliative care consultation group was significant for a carbapenem (42.4% versus 22.4%; P < 0.001), a glycopeptide (23.3% versus 11.1%; P < 0.001) and a quinolone (30.5% versus 19.4%; P = 0.012). In the multivariable logistic regression analysis, receiving palliative care consultation (adjusted OR 0.46, 95% CI 0.33–0.65; P < 0.001) was independently associated with reduced antibiotic use during the end-of-life phase. Conclusions Palliative care consultation may reduce aggressive antibiotic use in hospitalized patients with terminal cancer during the end-of-life phase.

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Hospice-Palliative Medicine as a Model of Value-Based Healthcare

Cited by 4 publications

References 8 publications

Key Success in The Transformation from Volume-Based to Value-Based Healthcare: A Scoping Review

Key Success in The Transformation from Volume-Based to Value-Based Healthcare: A Scoping Review

For the Universal Right to Access Quality End-of-Life Care in Korea: Broadening Our Perspective After the 2018 Life-Sustaining Treatment Decisions Act

The impact of palliative care consultation on reducing antibiotic overuse in hospitalized patients with terminal cancer at the end of life: a propensity score-weighting study

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