Could Value-Based Purchasing Approach Be Used in Assessment of Healthcare Delivery Outputs?

Year 2019, Volume: 11 Issue: 3, 475 - 481, 23.10.2019

İsmail Simsir , Selma Altındiş

https://doi.org/10.18521/ktd.591897

Abstract

ABSTRACT

In spite of increasing expenditures for health services, the lack of improvement in the quality and patient safety at the desired level brought about the search for reform of the reimbursement mechanisms. The main purpose of the present review is a search for a comprehensive answer for the question of “Can Value-based Purchasing (VPB) approach emerged as such kind of quest and applications developed in this context be used to evaluate the outputs of health service delivery?”. According to the studies, the VBP approach and especially Hospital Value-based Purchasing Program and Hospital-Acquired Conditions Program which are the two applications developed under this approach can provide effective results in evaluating the outputs in health services and improving quality and patient safety. The data show that the VBP approach in health care has the potential to contribute significantly to improving the quality and patient safety level of the health care service and to keep costs under control. In this context, Hospital Value-based Purchasing and Hospital-Acquired Conditions Programs draw attention in terms of its potential to be implemented especially in the public sphere in our country. The realization of the research and applications in our country aimed at revealing the potential benefits of the mentioned programs will facilitate the evaluation.

Keywords

Value, Cost, Value-based Purchasing, Hospital Acquired Conditions

Sağlık Hizmet Sunumunun Çıktılarını Değerlendirmede Değer Bazlı Satın Alma Yaklaşımı Kullanılabilir mi?

Abstract

ÖZET

Sağlık hizmetleri için yapılan harcamaların giderek artmasına rağmen, buna paralel olarak kalite ve hasta güvenliğinin istenen düzeyde gelişmemesi, geri ödeme mekanizmalarında reform arayışlarını beraberinde getirmiştir. Bu derlemenin temel amacı, “Bu tür arayışların sonucu olarak ortaya çıkan Değer Bazlı Satın Alma Yaklaşımı (DBSA) ve bu bağlamda geliştirilen uygulamalar, sağlık hizmet sunumunun çıktılarını (output) değerlendirmede kullanılabilir mi?” sorusuna kapsamlı bir cevap arayışıdır. Çalışmalara göre DBSA yaklaşımı ve bu yaklaşım kapsamında gelişen iki uygulama olan Hastane Değer Bazlı Satın Alma Programı ile Hastane Kaynaklı Durumlar Programı, sağlık hizmetlerinde sonuçların değerlendirilmesi ve kalite ve hasta güvenliğinin geliştirilmesinde etkili sonuçlar ortaya koyabilmektedir. Veriler, sağlık hizmetlerinde DBSA yaklaşımının, alınan sağlık hizmetinin kalite ve hasta güvenliği seviyesinin geliştirilerek maliyetlerin kontrol altında tutulmasına önemli düzeyde katkı sağlama potansiyeli barındırdığını göstermektedir. Bu kapsamdaki Hastane Değer Bazlı Satın Alma ve Hastane Kaynaklı Durumlar Programları ülkemizde, özellikle kamusal alanda uygulanabilme potansiyeli açısından dikkat çekmektedir. Söz konusu programların potansiyel faydalarını ortaya koymaya yönelik ülkemizde de araştırma ve uygulamaların gerçekleşmesi, değerlendirme açısından kolaylık sağlayacaktır.

Keywords

Değer, Maliyet, Değer Bazlı Satın Alma, Hastane Kaynaklı Durumlar

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