Abstract
“I do not understand the way that you treat patients,” said a resident to the medical specialist who had just seen two patients with pain in the hip joint. “You prescribed heavy pain medication to one, but only some paracetamol to the other even though they have the same symptoms?”
However, one played pool several times a week and the other sat at home on the couch. That non-medical difference was one of the factors that led to a different balance between the pros and cons of heavy pain medication in patients who presented with the same symptoms and disorders (Van Bruchem-Visser, personal communication, 28 November 2018).
This sensitivity is fundamental in value-based care: the treatment helps a patient best if it is tailored to their personal needs, preferences, and values. We have to use that as our compass if we want to improve “patient experiences and outcomes” in health care, as the Dutch university medical centers and others aim to do.
The value of care is primarily related to the consultation room and not to a market of supply and demand.
The severity of symptoms was found to decrease by using PROMs, and physical function improved.
“The inspiring effect that value-based health care has affects everyone, from politicians to insurers, and from healthcare administrators to medical or nursing professionals.”
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Van Bruchem-Visser R. Persoonlijke communicatie; 28 Nov 2018.
Inspectie voor de Gezondheidszorg, Ministerie van Volksgezondheid, Welzijn en Sport. Voor een gerechtvaardigd vertrouwen in verantwoorde zorg (II). Meerjarenbeleidsplan 2012–2015. Utrecht; 2011.
NFU. Position paper Waardegedreven Zorg. Utrecht. 2019. https://nfukwaliteit.nl/pdf/NFU-Position_Paper_Waardegedreven_Zorg.pdf.
Porter ME, Tiesberg E. Redefining health care, creating value-based competition on results. Harvard, MA: Harvard Business School Publishing; 2006.
Frampton SB, Guastello S, Hoy L. Harnessing evidence and experience to change culture: a guiding framework for patient and family engaged care. Conversation paper. IOM (Institute of Medicine); 2017.
Bastemeijer CM, Voogt L, van Ewijk JP, et al. What do patient values and preferences mean? A taxonomy based on a systematic review of qualitative papers. Patient Educ Couns. 2017;100(5):871–88.
Stiggelbout AM, Pieterse AH, De Haes JCJM. Shared decision making: concepts, evidence, and practice. Patient Educ Couns. 2015;98(10):1172–9.
Elwyn G, Durand MA, Song J, et al. A three-talk model for shared decision making: multistage consultation process. BMJ. 2017;359:j4891. https://doi.org/10.1136/bmj.j4891.
van Leeuwen B, van der Laan M. Treatment Decisions Based on Treatment Goals of Oncogeriatric Patients. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
IOM (Institute of Medicine). Best care at lower cost: the path to continuously learning health care in America. Washington, DC: The National Academies Press; 2012.
Porter ME. What is value in health care? N Engl J Med. 2010;363:2477–81. https://doi.org/10.1056/NEJMp1011024.
ICHOM.org. Accessed 11 Feb 2021.
Greenhalgh J, Gooding K, Gibbons E, et al. How do patient reported outcome measures (PROMs) support clinician-patient communication and patient care? A realist synthesis. J Patient Rep Outcomes. 2018;2:42. https://doi.org/10.1186/s41687-018-0061-6.
van Egdom LSE, Lagendijk M, van der Kemp MH, et al. Implementation of value based breast cancer care. Eur J Surg Oncol. 2019;45(7):1163–70. https://doi.org/10.1016/j.ejso.2019.01.007.
van Egdom LSE, Oemrawsingh A, Verweij LM, et al. Implementing patient-reported outcome measures in clinical breast cancer care: a systematic review. Value Health. 2019;22(10):1197–226. https://doi.org/10.1016/j.jval.2019.04.1927.
Lagendijk M, van Egdom LSE, van Veen FEE, et al. Patient-reported outcome measures may add value in breast cancer surgery. Ann Surg Oncol. 2018;25(12):3563–71. https://doi.org/10.1245/s10434-018-6729-6.
Roozenbeek R, Wijffels M, Buijck B. Integrated Health Care for Ischemic Stroke Patients. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Atkinson TM, Schwartz CE, Goldstein L, et al. Perceptions of response burden associated with completion of patient-reported outcome assessments in oncology. Value Health. 2019;22(2):225–30. https://doi.org/10.1016/j.jval.2018.07.875.
Fluit L, Verduijn M, Peerdeman S. Interprofessional Learning and Working. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
van Breda F, van der Steen M, de Bruijne M. Multidisciplinary Improvements in the Nephrology Outpatient Clinic. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
van Furth W, Biermasz N. Personal Attention to the Patient in the Pituitary Tumor Health-Care Pathway. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Oemrawsingh A, Koppert L. The State of Patient-Centered Breast Cancer Care: An Academic Center’s Experience and Perspective. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Dykgraaf R, van den Hoven A, Mijnarends-Akkermans H. Value-Based Health-Care Pathway for Patients with Turner Syndrome. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Weel-Koenders A, Kok M, Lopes Barreto D. Better Experiences for Inflammatory Arthritis Patients Through Value-Based Patient Journey. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Pierik MJ, Markus T, Dijkstra G. SMART-IBD: Better Health Care from the Patient’s Perspective. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
de Jong MJ, van der Meulen-de Jong AE, Romberg-Camps MJ, Becx MC, Maljaars JP, Cilissen M, van Bodegraven AA, Mahmmod N, Markus T, Hameeteman WM, Dijkstra G, Masclee AA, Boonen A, Winkens B, van Tubergen A, Jonkers DM, Pierik MJ. Telemedicine for management of inflammatory bowel disease (myIBDcoach): a pragmatic, multicentre, randomised controlled trial. Lancet. 2017;390(10098):959–68.
Huirne J, Bouwsma E, Anema H. E-Health Application IkHerstel: A Textbook Example of Value-Based Care. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Kaasjager K, Prinssen M, Zwart D. Cardiometabolic Health-Care Network: The Right Care in the Right Place Through Customized Treatment. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Depla A, Laureij L, Ernst-Smelt H. Working with Outcomes in Perinatal Care. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
van der Kolk M, Kouwen A, Fuijkschot J, Griffioen IPM. From Care Pathway to a Personalized Metro Network. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
van der Horst CMAM. Personalized Health Care for Orofacial Cleft Patients. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Offerman M, Dronkers E, Baatenburg de Jong R. Healthcare Monitor Supports Value-Based Health Care for Head and Neck Cancer Patients. In: Van Weert N, Hazelzet J, editors. Personalized Specialty Care - Value-based Healthcare Frontrunners from The Netherlands. Springer; 2021.
Van Merode F. Waardegedreven zorg vraagt aanpassingen aan IT. Qruxx; 11 juli 2019. https://www.qruxx.com/waardegedreven-zorg-vraagt-aanpassingen-aan-it/.
Kievit J. Zorg en Kwaliteit: van individu naar system, naar beide. Universiteit Leiden (afscheidsrede); 2017.
Begeleidingscommissie Anders Verantwoorden van het NFU-consortium Kwaliteit van Zorg. Verslag ronde tafel anders verantwoorden over kwaliteit: Van registratielast naar verbeterlust. https://nfukwaliteit.nl/pdf/Verslag_Ronde_Tafel_Anders_Verantwoorden_definitief.pdf. Updated 12 May 2020.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Hazelzet, J., van Weert, N. (2021). Personalized Health Care as Value-Based Care. In: van Weert, N., Hazelzet, J. (eds) Personalized Specialty Care. Springer, Cham. https://doi.org/10.1007/978-3-030-63746-0_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-63746-0_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-63745-3
Online ISBN: 978-3-030-63746-0
eBook Packages: MedicineMedicine (R0)