Conceptualization and establishment of value-based healthcare in Saudi Arabia: A scoping review

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL Journal of Taibah University Medical Sciences Pub Date : 2024-08-01 DOI:10.1016/j.jtumed.2024.07.008
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Abstract

Objectives

Value-based healthcare (VBHC) represents a paradigm shift in healthcare delivery through optimizing patient outcomes relative to the costs of achieving those outcomes. This scoping review is aimed at revealing critical insights into the conceptualization and establishment of VBHC in the context of Saudi Arabia, a nation in a critical stage of healthcare transformation.

Methods

A scoping review was conducted by using online databases and official websites with a timeframe of 2017–2023. This review included 14 pieces of literature, comprising six research articles, six government documents, and two reports.

Results

The findings highlight increasing alignment with the definition of global VBHC principles, notably the emphasis on patient outcomes as a primary metric of healthcare value. Furthermore, financial reform has signaled a real move toward VBHC in the Kingdom, through a gradual shift from volume-based payments to value-based payments. However, the diverse interpretations and applications of VBHC across the examined literature indicate a promising stage of implementation characterized by evolving definitions and practices tailored to local needs and constraints.

Conclusion

This scoping review describes the current landscape of VBHC conceptualization and establishment, highlighting the substantial progress achieved and the future challenges.

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沙特阿拉伯基于价值的医疗保健的概念化和建立:范围审查
目标以价值为基础的医疗保健(VBHC)代表了医疗保健服务模式的转变,即通过相对于实现这些结果的成本来优化患者的治疗效果。沙特阿拉伯正处于医疗保健转型的关键阶段,本范围综述旨在揭示在此背景下概念化和建立基于价值的医疗保健(VBHC)的重要见解。方法利用在线数据库和官方网站进行范围综述,时间范围为 2017-2023 年。该综述包括 14 篇文献,其中有 6 篇研究文章、6 份政府文件和 2 份报告。结果研究结果表明,与全球 VBHC 原则的定义越来越一致,特别是强调将患者疗效作为医疗保健价值的主要衡量标准。此外,通过从基于数量的支付逐步转向基于价值的支付,财政改革也标志着沙特王国真正迈向了 VBHC。然而,在所研究的文献中,对自愿生物保健的解释和应用各不相同,这表明实施阶段大有可为,其特点是根据当地需求和限制因素不断发展定义和实践。 结论 本范围综述描述了自愿生物保健概念化和建立的现状,强调了已取得的实质性进展和未来的挑战。
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来源期刊
Journal of Taibah University Medical Sciences
Journal of Taibah University Medical Sciences MEDICINE, GENERAL & INTERNAL-
CiteScore
3.40
自引率
4.50%
发文量
130
审稿时长
29 days
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