Institutionalizing value-based healthcare in a service system: a policy and document analysis over three decades

Kokshagina, Olga; Keränen, Joona

doi:10.1108/jbim-08-2020-0380

Cited by 11 publications

(13 citation statements)

References 69 publications

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“…The medical information was not able to alleviate the (purchasing) managers' information asymmetry as representatives of the buyer organisation, given they were unable to recognise the level of clinical assurance provided. As such, our findings provide support for Antonanzas et al (2019) and Kokshagina and Ker€ anen (2022) who suggest that VBP models necessitate upskilling of procurement personnel. Concerning medical professionals' responses, a possible explanation is that the evidence provided was not differentiated enough compared to their own experiences.…”

Section: Promise Of Value-based Purchasingsupporting

confidence: 70%

Realising the promise of value-based purchasing: experimental evidence of medical device selection

Matinheikki,

Kenny,

Kauppi

et al. 2024

IJOPM

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Purpose Despite the unparalleled importance of value within healthcare, value-based models remain underutilised in the procurement of medical devices. Research is needed to understand what factors incentivise standard, low-priced device purchasing as opposed to value-adding devices with potentially higher overall health outcomes. Framed in agency theory, we examine the conditions under which different actors involved in purchasing decisions select premium-priced, value-adding medical devices over low-priced, standard medical devices.Design/methodology/approach We conducted 2 × 2 × 2 between-subjects scenario-based vignette experiments on three UK-based online samples of managers (n = 599), medical professionals (n = 279) and purchasing managers (n = 449) with subjects randomly assigned to three treatments: (1) cost-saving incentives, (2) risk-sharing contracts and (3) stronger (versus weaker) clinical evidence.Findings Our analysis demonstrates the harmful effects of intra-organisational cost-saving incentives on value-based purchasing (VBP) adoption; the positive impact of inter-organisational risk-sharing contracts, especially when medical professionals are involved in decision-making; and the challenge of leveraging clinical evidence to support value claims.Research limitations/implications Our results demonstrate the need to align incentives in a context with multiple intra- and inter-organisational agency relationships at play, as well as the difficulty of reducing information asymmetry when information is not easily interpretable to all decision-makers. Overall, the intra-organisational agency factors strongly influenced the choices for the inter-organisational agency relationship.Originality/value We contribute to VBP in healthcare by examining the role of intra- and inter-organisational agency relationships and incentives concerning VBP (non-) adoption. We also examine how the impact of such mechanisms differs between medical and purchasing (management) professionals.

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Section: Promise Of Value-based Purchasingsupporting

confidence: 70%

Realising the promise of value-based purchasing: experimental evidence of medical device selection

Matinheikki,

Kenny,

Kauppi

et al. 2024

IJOPM

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“…The VBHC agenda was not new to the Victorian Department of Health. The evolution and institutionalization of VBHC in Australia began in 1988, with the centralization of public healthcare funding procurement under the Health Services Act (1988) [ 65 ]. Government reviews of public healthcare funding procurement from 2011 to 2015 increased visibility and accountability for shifting the approach from short-term costs to long-term value and outcomes [ 65 ].…”

Section: Implementing Value-based Healthcare For Oral Health: An Aust...mentioning

confidence: 99%

Is value-based healthcare a strategy to achieve universal health coverage that includes oral health? An Australian case study

Nguyen

Bridge

Hall

et al. 2023

J Public Health Pol

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The 2021 Resolution on Oral Health by the 74th World Health Assembly supports an important health policy direction: inclusion of oral health in universal health coverage. Many healthcare systems worldwide have not yet addressed oral diseases effectively. The adoption of value-based healthcare (VBHC) reorients health services towards outcomes. Evidence indicates that VBHC initiatives are improving health outcomes, client experiences of healthcare, and reducing costs to healthcare systems. No comprehensive VBHC approach has been applied to the oral health context. Dental Health Services Victoria (DHSV), an Australian state government entity, commenced a VBHC agenda in 2016 and is continuing its efforts in oral healthcare reform. This paper explores a VBHC case study showing promise for achieving universal health coverage that includes oral health. DHSV applied the VBHC due to its flexibility in scope, consideration of a health workforce with a mix of skills, and alternative funding models other than fee-for-service.

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“…Research on activism as organizational practice could help to understand how, in the broadest sense, service providers shape their markets, industries, and institutional environments. This could include questions such as how service providers become transformative leaders in their service systems, initiate radical change processes towards systemic change (cf., Delmas et al, 2019), and convince and engage with other ecosystem actors to join their cause (Fehrer et al, 2020), or how different social, political, or regulatory factors drive or hinder organizational change in different service systems (Kokshagina and Ker€ anen, 2021).…”

Section: Sustainabilitymentioning

confidence: 99%

Opportunities for social activism in transformative service research: a research agenda

Keränen

Olkkonen

2022

JOSM

Self Cite

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PurposeThis paper highlights the potential of social activism – defined as a public act that aims to challenge the status quo by bringing alternative views or narratives to the debate – in transformative service research and proposes a future research agenda.Design/methodology/approachThis paper builds upon a review of social activism in the management and communications literature to identify its potential for social change in service (eco)systems.FindingsThis paper outlines three ways in which social activism can influence companies (external activism, internal activism, and activism as practice) and illustrates how they can be used to advance transformative service research in selected priority areas.Research limitations/implicationsThis paper develops a future research agenda and suggests research questions that could guide scholarly inquiry at the intersection of social activism and transformative service research.Practical implicationsFor managers and policy makers, this paper highlights how social activism can influence companies' attempts to drive social change.Originality/valueThis paper is among the first to link social activism and transformative service research and highlight novel research opportunities at their intersection.

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Institutionalizing value-based healthcare in a service system: a policy and document analysis over three decades

Cited by 11 publications

References 69 publications

Realising the promise of value-based purchasing: experimental evidence of medical device selection

Realising the promise of value-based purchasing: experimental evidence of medical device selection

Is value-based healthcare a strategy to achieve universal health coverage that includes oral health? An Australian case study

Opportunities for social activism in transformative service research: a research agenda

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