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Faculty of Economics, University PIM Bosnia and Herzegovina
Modern healthcare is characterized by a clear trend towards a value-based approach first presented by M. Porter in 2004 as a competitive strategy for US healthcare system. The concept expands the focus from operating solely with clinical data by including a patient’s values. The goal of the study is to present a personal experience of implementing value-based approach in various field of clinical practice and summarize the key findings and metrics. Methods The experience of implementing a methodology in several sites of the public healthcare is analyzed and summarized. The following tools were used: processes standardization, "patient's pathway" analysis, cost estimation, patients' values evaluation, shared decision-making, patients' adherence, satisfaction with the quality of medical services, assessment of quality of life. Results Through the implementation of the Matrix tool, a structured roadmap was developed to orient efforts and resources towards transformation. This transition moves beyond measuring processes only, to measuring outcomes that matter to patients. Adding measurable subjective values is the essence of a value-based approach that improves an effectiveness of medical care. Conclusions Healthcare needs applied research aimed at forming an evidence base of quality improvement projects. Current research provides further guidance of dissemination the value-based approach in practice.
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