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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
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    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, October.
    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.
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