Value-Based Integrated Care (VBIC) Concept Implementation in a Real-World Setting—Problem-Based Analysis of Barriers and Challenges

Author:

Bandurska Ewa1ORCID,Ciećko Weronika1ORCID,Olszewska-Karaban Marzena2ORCID,Damps-Konstańska Iwona3ORCID,Szalewska Dominika2,Janowiak Piotr4,Jassem Ewa4

Affiliation:

1. Center for Competence Development, Integrated Care and e-Health, Medical University of Gdańsk, 80-210 Gdańsk, Poland

2. Division of Rehabilitation Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland

3. Division of Allergology, Medical University of Gdańsk, 80-210 Gdańsk, Poland

4. Division of Pulmonology, Medical University of Gdańsk, 80-210 Gdańsk, Poland

Abstract

Healthcare effectiveness measurement and value in health have been common topics in public health literature since 2006 when value-based healthcare (VBHC) was first defined by Porter and Teisberg. The aim of this study was to identify the barriers and challenges related to the implementation of VBHC solutions in the example of Poland. A case presentation was used as a method. The national integrated care programs (KOS-Infarction, POZ-Plus, and comprehensive treatment of chronic wounds) were used to present general challenges, along with the Integrated Care Model (ICM) for patients with advanced chronic obstructive pulmonary disease (COPD), to determine specific difficulties. ICM has been operating since 2012 in Gdańsk and gradually adapted the value-based integrated care (VBIC) approach. An analysis of the available data showed that the greatest difficulties related to the implementation of the VBHC and VBIC concepts are a lack of legal and reimbursement solutions, staff shortages, a lack of educational standards for some members of the multidisciplinary team, and insufficient awareness of the role of integrated care. As the level of preparation to implement VBHC policies varies between individual countries, the conclusions drawn from the experience of ICM and other Polish projects may be a valuable voice in discussion.

Funder

Gdańsk Medical University

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference46 articles.

1. Porter, M.E., and Teisberg, E.O. (2006). Redefining Health Care: Creating Value-Based Competition on Results, Harvard Business School Press.

2. Update on Value-Based Medicine;Brown;Curr. Opin. Ophthalmol.,2013

3. Hurst, L., Mahtani, K., Pluddemann, A., Lewis, S., Harvey, K., Briggs, A., Boyle, A., Bajwa, R., Haire, K., and Entwistle, A. (2019). Defining Value-Based Healthcare in the NHS: CEBM Report, University of Oxford. Available online: https://www.cebm.net/2019/04/defining-value-based-healthcare-in-the-nhs/.

4. (2023, February 02). Opinion on Defining Value in “Value-Based Healthcare” (Draft Version). Expert Panel of Effective Ways of Investing in Health (European Commission). Available online: https://ec.europa.eu/health/expert_panel/sites/expertpanel/files/024_valuebasedhealthcare_en.pdf.

5. Defining and Implementing Value-Based Health Care;Teisberg;Acad. Med.,2020

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