Background
The current healthcare model is challenged by fewer concerns with healthcare quality and its sustainable development, affecting all participants involved in the healthcare system.Value-based healthcare (VBHC) delivery refers to a new management paradigm that prioritizes patients’ health outcomes at lower healthcare costs.The use of value payments can effectively control the increases in medical costs and reduces the cost of health systems, presenting pieces of evidence in improving the diagnosis and treatment results as well as creating value for patients. Extant studies have investigated VBHC preparation and formulated a set of evaluation indices in the West context. However, a dearth of VBHC-related research conducted in China was noted wherein the VBHC’s evaluation system has not yet been explored. Thus, this study aims at developing China’s medical service attitude appraisal evaluation framework by adopting VBHC delivery.
Results
Two rounds of surveys found the authority degree coefficient of experts (0.805 and 0.812), degree of positivity (93.75% and 100%), the range of arithmetic means for the importance (3.30–5.0 and 4.05–5.0), the range of full-score frequency (16–94% and 23–100%), the range of variable coefficient (0.11–0.29 and 0.0–0.12), and the coordination coefficient (0.39 and 0.79; p༜0.5 for all). The final evaluation index system comprises 35 items with three, nine, and 23 first-, second-, and third-level indicators, respectively. The three first-level indicators and their weight coefficients are data collection and sharing of treatment cost and curative effect for specific diseases (0.409), medical expense payers (0.245), and healthcare providers (0.346).
Conclusions
This study constructs an evaluation index system on the basis of the VBHC delivery, the study methods are reasonable, the experts representativeness are high, the positivity degree and authority degree of experts are high, the concentration degree and coordination degree of experts’ opinions are good, and the weight of the indicators was calculated, which is scientific and can be used as a tool to evaluate the implementation of the VBHC delivery in China.