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Concept of value-based healthcare

https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.042

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Abstract

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.

About the Authors

N. Z. Musina
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
Russian Federation

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.

10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376; 84-2 Prospect Vernadskogo, Moscow 119571



V. V. Omelyanovskiy
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
Russian Federation

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.

10-5 Khokhlovsky per., Moscow 109028; 3-2 Nastasyinsky per., Moscow 127006; 2/1, bld.1 Barrikadnaya Str., Moscow 125993



R. V. Gostischev
City Clinical Hospital №40 of Moscow Healthcare Department
Russian Federation

Roman V. Gostischev- MD, PhD, Deputy Chief Medical Officer for Prospective Development of the City Clinical Hospital №40 of Moscow Healthcare Department.

8 Sosenskiy stan Str., Moscow 129301



O. A. Sukhorukikh
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 Federation

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.

10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376



V. K. Fedyaeva
Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation
Russian Federation

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.

10-5 Khokhlovsky per., Moscow 109028



N. N. Sisigina
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
Russian Federation

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.

10-5 Khokhlovsky per., Moscow 109028; 14/A Prof. Popov Str., Saint Petersburg 197376; 2/1, bld.1 Barrikadnaya Str., Moscow 125993



D. G. Shchurov
Center for Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation
Russian Federation

Dmitriy.G. Shchurov- MD, PhD, Deputy Head of Development and External Communications Department

10-5 Khokhlovsky per., Moscow 109028



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For citation:


Musina N.Z., Omelyanovskiy V.V., Gostischev R.V., Sukhorukikh O.A., Fedyaeva V.K., Sisigina N.N., Shchurov D.G. Concept of value-based healthcare. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):438-451. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.042

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