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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">farmaec</journal-id><journal-title-group><journal-title xml:lang="en">FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology</journal-title><trans-title-group xml:lang="ru"><trans-title>ФАРМАКОЭКОНОМИКА. Современная фармакоэкономика и фармакоэпидемиология</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-4909</issn><issn pub-type="epub">2070-4933</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2070-4909/farmakoekonomika.2020.042</article-id><article-id custom-type="elpub" pub-id-type="custom">farmaec-457</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ ПУБЛИКАЦИИ</subject></subj-group></article-categories><title-group><article-title>Concept of value-based healthcare</article-title><trans-title-group xml:lang="ru"><trans-title>Концепция ценностноориентированного здравоохранения</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6914-6222</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мусина</surname><given-names>Н. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Musina</surname><given-names>N. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мусина Нурия Загитовна – кандидат фарм. наук, начальник отдела развития и внешних коммуникаций ФГБУ ЦЭККМП МР; доцент кафедры управления и экономики фармации ФГБОУ ВО СПГХФУ; руководитель лаборатории оценки технологий в здравоохранении Института прикладных экономических исследований при ФГБОУ ВПО РАНХГС при Президенте РФ.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028; ул. Профессора Попова, д. 14, лит. А, Санкт-Петербург 197376; просп. Вернадского, д. 82, Москва 119571</p></bio><bio xml:lang="en"><p>Nuriya Z. Musina - PhD (Pharmaceutical Sciences), Head of the Development and Communications Department of the Center for Healthcare Quality Assessment and Control MH RF; Associate Professor at the Department of Management and Pharmaceutical Economics in Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation; Head of the Health Technology Assessment Laboratory IAER RPA NEPA.</p><p>10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376; 84-2 Prospect Vernadskogo, Moscow 119571</p></bio><email xlink:type="simple">musina@rosmedex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1581-0703</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Омельяновский</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Omelyanovskiy</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Омельяновский Виталий Владимирович - доктор медицинских наук, профессор, генеральный директор ФГБУ ЦЭККМП МР; руководитель Центра финансов здравоохранения НИФИ Минфина России; заведующий кафедрой экономики, управления и оценки технологий здравоохранения факультета профилактической медицины и ОЗ ФГБОУ ДПО РМАНПО Минздрава России; Scopus Author ID: 6507287753; WoS Researcher ID: P-6911-2018.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028; Настасьинский пер., д. 3 стр. 2, Москва 127006; ул. Баррикадная, д. 2/1, стр.1, Москва 125993</p></bio><bio xml:lang="en"><p>Vitaly V. Omelyanovskiy- MD, Dr Sci Med, Professor, General Director of the Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation; Head of the Center for Healthcare Funding, Financial Research Institute MH RF; Head of the Economics, Management and Health Technology Assessment Department, Faculty of Preventative Medicine of the Russian Medical Academy of Continuous Professional Education MH RF; Scopus Author ID: 6507287753; WoS Researcher ID: P-6911-2018.</p><p>10-5 Khokhlovsky per., Moscow 109028; 3-2 Nastasyinsky per., Moscow 127006; 2/1, bld.1 Barrikadnaya Str., Moscow 125993</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2379-5761</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гостищев</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gostischev</surname><given-names>R. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гостищев Роман Витальевич - кандидат медицинских наук, заместитель главного врача по перспективному развитию.</p><p>Ул. Сосенский стан, д. 7, Москва 129301</p></bio><bio xml:lang="en"><p>Roman V. Gostischev- MD, PhD, Deputy Chief Medical Officer for Prospective Development of the City Clinical Hospital №40 of Moscow Healthcare Department.</p><p>8 Sosenskiy stan Str., Moscow 129301</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6681-5200</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сухоруких</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukhorukikh</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сухоруких Ольга Александровна - начальник отдела медицинского обеспечения стандартизации ФГБУ ЦЭККМП МР; лаборант-исследователь Центра финансов здравоохранения НИФИ Минфина России; Scopus Author ID: 57201486113.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028; ул. Профессора Попова, д. 14, лит. А, Санкт-Петербург 197376; просп. Вернадского, д. 82, Москва 119571; Настасьинский пер., д. 3 стр. 2, Москва 127006</p></bio><bio xml:lang="en"><p>Olga A. Sukhorukikh - Head of the Department of Medical Support and Standardization, Center for Healthcare Quality Assessment and Control MH RF; Laboratory Assistant-Researcher, HealthCare Finance Center at the Research Financial Institute of the Ministry of Finance of Russia.; Scopus Author ID: 57201486113.</p><p>10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7730-1237</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федяева</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedyaeva</surname><given-names>V. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Федяева Влада Константиновна - заместитель начальника отдела медицинского обеспечения и стандартизации ФГБУ ЦЭККМП МР; научный сотрудник лаборатории оценки технологий в здравоохранении института прикладных экономических исследований ФГБОУ ВПО РАНХГС при Президенте РФ; Scopus Author ID: 57189502826.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028; просп. Вернадского, д. 82, Москва 11957</p></bio><bio xml:lang="en"><p>Vlada K. Fedyaeva - Deputy Head of the Department of Medical Support and Standardization, Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation; Researcher at the Laboratory of Health Technology Assessment IAER RPA NEPA; Scopus Author ID: 57189502826.</p><p>10-5 Khokhlovsky per., Moscow 109028</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9130-2343</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сисигина</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Sisigina</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сисигина Наталья Николаевна - главный специалист отдела методологического обеспечения проведения комплексной оценки технологий здравоохранения ФГБУ ЦЭККМП МР; младший научный сотрудник Центра налоговой политики НИФИ Минфина России; научный сотрудник Международной лаборатории экономики реформы здравоохранения Института социального анализа и прогнозирования ФГБОУ РАНХГС при Президенте РФ; Scopus Author ID: 57205304532; WoS Researcher ID: X-4298-2019.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028; просп. Вернадского, д. 82, Москва 11957; Настасьинский пер., д. 3 стр. 2, Москва 127006</p></bio><bio xml:lang="en"><p>Natalia N. Sisigina - Chief Specialist of the Department of Methodological Support for Comprehensive Health Technology Assessment of the Center for Healthcare Quality Assessment and Control of the MH RF; Research Fellow at the Tax Policy Center of the Institute of the MFR; Research Fellow at the International Laboratory of Healthcare Economics ISA RPANEPA; Scopus Author ID: 57205304532; WoS Researcher ID: X-4298-2019.</p><p>10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376; 2/1, bld.1 Barrikadnaya Str., Moscow 125993</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6703-4788</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щуров</surname><given-names>Д. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shchurov</surname><given-names>D. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щуров Дмитрий Георгиевич - кандидат медицинских наук, заместитель начальника отдела развития и внешних коммуникаций ФГБУ ЦЭККМП МР.</p><p>Хохловский пер., вл. 10 стр. 5, Москва 109028</p></bio><bio xml:lang="en"><p>Dmitriy.G. Shchurov- MD, PhD, Deputy Head of Development and External Communications Department</p><p>10-5 Khokhlovsky per., Moscow 109028</p></bio><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования Санкт-Петербургский государственный химико-фармацевтический университет Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования Российская академия народного хозяйства и государственной службы при Президенте Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation; Russian Presidential Academy of National Economy and Public Administration<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное учреждение Научно-исследовательский финансовый институт Министерства финансов Российской Федерации; Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Financial Research Institute of the Ministry of Finance of Russia; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Государственное бюджетное учреждение здравоохранения Городская клиническая больница № 40 Департамента здравоохранения города Москвы<country>Россия</country></aff><aff xml:lang="en">City Clinical Hospital №40 of Moscow Healthcare Department<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования Санкт-Петербургский государственный химико-фармацевтический университет Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования Российская академия народного хозяйства и государственной службы при Президенте Российской Федерации; Федеральное государственное бюджетное учреждение Научно-исследовательский финансовый институт Министерства финансов Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации; 	Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования Российская академия народного хозяйства и государственной службы при Президенте Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации; 	Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования Российская академия народного хозяйства и государственной службы при Президенте Российской Федерации; Федеральное государственное бюджетное учреждение Научно-исследовательский финансовый институт Министерства финансов Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation; Saint Petersburg State Chemical Pharmaceutical University of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение Центр экспертизы и контроля качества медицинской помощи Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>07</day><month>02</month><year>2021</year></pub-date><volume>13</volume><issue>4</issue><fpage>438</fpage><lpage>451</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Musina N.Z., Omelyanovskiy V.V., Gostischev R.V., Sukhorukikh O.A., Fedyaeva V.K., Sisigina N.N., Shchurov D.G., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Мусина Н.З., Омельяновский В.В., Гостищев Р.В., Сухоруких О.А., Федяева В.К., Сисигина Н.Н., Щуров Д.Г.</copyright-holder><copyright-holder xml:lang="en">Musina N.Z., Omelyanovskiy V.V., Gostischev R.V., Sukhorukikh O.A., Fedyaeva V.K., Sisigina N.N., Shchurov D.G.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pharmacoeconomics.ru/jour/article/view/457">https://www.pharmacoeconomics.ru/jour/article/view/457</self-uri><abstract><p>This article contains the aims and main principles of the concept of value-based healthcare (VBHC). The relevance of the implementation of this approach into the Russian healthcare system results from the fact that during the control and payment for medical care, the treatment outcomes are evaluated selectively and at separate stages. The medical care payment system considers only its volumes and not achieving the desired treatment outcome significant to a patient. A review of the world’s best practices of introducing VBHC conception and, also new medical care payment methods such as bundled payment and pay-for-performance (P4P) has been conducted. According to international experience, VBHC increases the quality of medical care and provides the optimization of costs. To implement VBHC model in the Russian Federation, it is necessary to ensure the informatization of the providing medical care, development, and improvement of medical quality control systems (development of the resulting criteria for medical care quality for all diseases), and introduction of the rating system for medical organizations. Provided these processes are ensured, further progressing to P4P is possible. Moreover, it would also be feasible to implement VBHC in other healthcare processes including procurement of drugs and medical devices, their pricing, and reimbursement.</p></abstract><trans-abstract xml:lang="ru"><p>В статье описаны цели и основные принципы концепции ценностно-ориентированного здравоохранения (ЦОЗ). Актуальность внедрения данного подхода в систему здравоохранения РФ обусловлена тем, что при контроле и оплате медицинской помощи оценка результатов лечения осуществляется выборочно и на отдельных этапах. Система оплаты медицинской помощи учитывает лишь ее объемы, а не достижение значимого для пациента результата лечения. Проведен обзор зарубежного опыта по внедрению концепции ЦОЗ, а также новых методов оплаты медицинской помощи, таких как «пакетное финансирование» и «оплата за результат». Согласно международному опыту, внедрение ценностно-ориентированного подхода позволяет повысить качество медицинской помощи и оптимизировать расходы. Для осуществления перехода в РФ на ценностно-ориентированную модель необходимо обеспечение информатизации медицинского процесса, развитие и совершенствование системы контроля качества медицинской помощи (разработка результирующих критериев качества медицинской помощи для всех заболеваний) и внедрение рейтингования медицинских организаций. При условии наличия этих составляющих возможен дальнейший переход на P4P при оплате медицинской помощи. Целесообразно внедрение принципов ЦОЗ и в другие процессы в здравоохранении, в частности в закупку лекарственных препаратов и медицинских изделий, в процесс их ценообразования и возмещения стоимости.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ценностно-ориентированное здравоохранение</kwd><kwd>ценностная медицина</kwd><kwd>оплата за результат</kwd><kwd>соглашения о разделении рисков</kwd><kwd>оценка исходов пациентами</kwd><kwd>пациент-ориентированное здравоохранение</kwd><kwd>контроль качества медицинской помощи</kwd><kwd>оплата медицинской помощи</kwd></kwd-group><kwd-group xml:lang="en"><kwd>value-based healthcare</kwd><kwd>value-based medicine</kwd><kwd>pay-for-performance</kwd><kwd>risk-sharing agreement</kwd><kwd>patient-reported outcome measures</kwd><kwd>patient-centered healthcare</kwd><kwd>medical care quality control</kwd><kwd>medical care payment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization. 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