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Personalized Health Care as Value-Based Care

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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.”

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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

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  • DOI: https://doi.org/10.1007/978-3-030-63746-0_2

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