IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i14p8466-d860406.html
   My bibliography  Save this article

Healthcare Providers’ Knowledge of Value-Based Care in Germany: An Adapted, Mixed-Methods Approach

Author

Listed:
  • Axel Kuck

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Kristian Kinscher

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Leonard Fehring

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Helmut Hildebrandt

    (Optimedis AG, 20095 Hamburg, Germany)

  • Johannes Doerner

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
    Department of Surgery II, Helios University Hospital Wuppertal, 42283 Wuppertal, Germany)

  • Jonas Lange

    (Cologne-Merheim Medical Center, Department of Abdominal, Vascular and Transplant Surgery, Witten/Herdecke University, 58455 Witten, Germany)

  • Hubert Truebel

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Philip Boehme

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Celina Bade

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany)

  • Thomas Mondritzki

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
    Bayer AG, Cardiovascular Precision Medicine, 42096 Wuppertal, Germany)

Abstract

Background: Value-Based Care (VBC) is being discussed to provide better outcomes to patients, with an aim to reimburse healthcare providers (HCPs) based on the quality of care they deliver. Little is known about German HCPs’ knowledge of VBC. This study aims to investigate the knowledge of HCPs of VBC and to identify potential needs for further education toward implementation of VBC in Germany. Methods: For evidence generation, we performed a literature search and conducted an online survey among HCPs at 89 hospitals across Germany. The questionnaire was based on published evidence and co-developed with an expert panel using a mixed methods approach. Results: We found HCPs to believe that VBC is more applicable in surgery than internal medicine and that well-defined cycles of care are essential for its application. HCPs believe that VBC can reduce health care costs significantly. However, they also assume that implementing VBC will be challenging. Conclusions: The concept in general is well perceived, however, HCPs do not want to participate in any financial risk sharing. Installing an authority/independent agency that measures achieved value, digital transformation, and that improves the transition between the inpatient and the outpatient sectors are top interests of HCPs.

Suggested Citation

  • Axel Kuck & Kristian Kinscher & Leonard Fehring & Helmut Hildebrandt & Johannes Doerner & Jonas Lange & Hubert Truebel & Philip Boehme & Celina Bade & Thomas Mondritzki, 2022. "Healthcare Providers’ Knowledge of Value-Based Care in Germany: An Adapted, Mixed-Methods Approach," IJERPH, MDPI, vol. 19(14), pages 1-10, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8466-:d:860406
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/14/8466/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/14/8466/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Michael E. Porter & Clemens Guth, 2012. "Redefining German Health Care," Springer Books, Springer, edition 127, number 978-3-642-10826-6, December.
    2. Papanicolas, Irene & Mossialos, Elias & Gundersen, Anders & Woskie, Liana & Jha, Ashish, 2019. "Performance of UK National Health Service compared with other high income countries: observational study," LSE Research Online Documents on Economics 102714, London School of Economics and Political Science, LSE Library.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gartner, Daniel & Kolisch, Rainer, 2014. "Scheduling the hospital-wide flow of elective patients," European Journal of Operational Research, Elsevier, vol. 233(3), pages 689-699.
    2. Aujla, Navneet & Frost, Helen & Guthrie, Bruce & Hanratty, Barbara & Kaner, Eileen & O'Donnell, Amy & Ogden, Margaret E. & Pain, Helen G. & Shenkin, Susan D. & Mercer, Stewart W., 2023. "A comparative overview of health and social care policy for older people in England and Scotland, United Kingdom (UK)," Health Policy, Elsevier, vol. 132(C).
    3. Carla Collicelli, 2013. "Subjective Indicators in the Health Sector and Their Usefulness in Policy Making," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 114(1), pages 87-103, October.
    4. Vogl, Matthias, 2013. "Improving patient-level costing in the English and the German ‘DRG’ system," Health Policy, Elsevier, vol. 109(3), pages 290-300.
    5. Kai Fischer, 2023. "Skilled Labour Migration and Firm Performance: Evidence from English Hospitals and Brexit," CESifo Working Paper Series 10747, CESifo.
    6. Theofilos Kempapidis & Nikki Heinze & Asharee K. Green & Renata S. M. Gomes, 2023. "Queer and Disabled: Exploring the Experiences of People Who Identify as LGBT and Live with Disabilities," Disabilities, MDPI, vol. 4(1), pages 1-23, December.
    7. Göpffarth, Dirk & Henke, Klaus-Dirk, 2013. "The German Central Health Fund—Recent developments in health care financing in Germany," Health Policy, Elsevier, vol. 109(3), pages 246-252.
    8. Rajtar, Małgorzata, 2016. "Health care reform and Diagnosis Related Groups in Germany: The mediating role of Hospital Liaison Committees for Jehovah's Witnesses," Social Science & Medicine, Elsevier, vol. 166(C), pages 57-65.
    9. Matthias Pelster & Vera Hagemann & Franziska Laporte Uribe, 2016. "Key Aspects of a Sustainable Health Insurance System in Germany," Applied Health Economics and Health Policy, Springer, vol. 14(3), pages 293-312, June.
    10. Paolo Roffia & Alessandro Bucciol & Sara Hashlamoun, 2023. "Determinants of life expectancy at birth: a longitudinal study on OECD countries," International Journal of Health Economics and Management, Springer, vol. 23(2), pages 189-212, June.
    11. Inês Casquilho-Martins & Soraia Ferreira, 2022. "Migrants’ Health Policies and Access to Health Care in Portugal within the European Framework," Societies, MDPI, vol. 12(2), pages 1-21, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8466-:d:860406. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.