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Tuesday, 20 September 2016

EIU analysis of 25 countries provides roadmap for adoption of value-based healthcare


  • New EIU research establishes a common framework for assessing and tracking progress toward value-based healthcare (VBHC) in 25 countries worldwide
  • The framework, created in conjunction with a panel of independent healthcare experts, reveals most countries are in the early stages of aligning with VBHC
  • The programme includes a foundational 25-country study where VBHC alignment is published via a data matrix, a comprehensive report, an executive summary and individual country snapshots

The Economist Intelligence Unit (EIU) unveiled today (September 20th) research that includes a new framework for evaluating value-based healthcare (VBHC), an emerging model for health systems to connect the medical outcomes that matter to patients relative to their costs. The framework consists of 17 key indicators organised into four domains: Enabling context, policies and institutions for value in healthcare; measuring outcomes and costs; integrated and patient-focused care; and outcome-based payment approach.

The key findings include: Sweden and the UK are in the lead with "very high" and "high" levels of alignment with VBHC, respectively; outcomes-based payment approaches, such as bundled payments for co-ordinating care, are increasingly being recognised—in six of the 25 countries, bundled payments are being implemented by one or more payers; and strong policy support, which helps countries align their health systems more closely with the tenets of VBHC, tends to be found in wealthier countries. Of the seven countries with a high-level policy or plan for VBHC, only two—Turkey and Colombia—are developing countries.

The research programme, commissioned by Medtronic, a medical technology, services and solutions company, seeks to establish the core components of the enabling environment for VBHC globally in a unified framework that can be widely used by healthcare stakeholders. The framework for evaluating VBHC alignment was created in conjunction with a panel of seven independent expert advisors from geographies across the globe.

The programme includes the foundational 25-country study, in which VBHC alignment is published via a data matrix of the indicator scores, a comprehensive findings and methodology report, an executive summary and individual country snapshots. The study is also complemented by policy papers and case studies focused on key issues that policymakers face when implementing VBHC—technology systems and human resources and payments. 

“This study on alignment of country health systems with value-based healthcare provides a transparent framework for organisations interested in the building blocks of a value-based system. For countries willing to adopt those principles, many elements must be in place to achieve an effective transition, and that means all stakeholders in the systems need to be engaged at different levels. For example it requires training of health professionals, as well as an effort from providers to collect and make data available, driven by high level policies to support the building of a health system that is organised around the health outcomes that matter to the patients,” says Annie Pannelay, Principal, EIU Healthcare.

Visit http://www.vbhcglobalassessment.eiu.com/ to access the full research. 

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About The Economist Intelligence Unit
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