The blind spot: value‐based health care in obstetrics and gynaecology
File(s)VBH TOG V10_accepted version.pdf (231.87 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Key content
Continuing financial constraints on the UK’s National Health Service means the need for clinicians to provide high-quality care in a cost-effective way has never been greater.
While the medical education system equips doctors with skills to provide safe clinical care, it should also provide an understanding of healthcare costs and cost-effectiveness analysis.
Value-based care is becoming a key paradigm in women’s health services, where clinicians must employ strategies for delivering value, rationalising costs and capitalising on the use of emerging technologies.
The calculation of value of an intervention for providers and service users may differ; care must be taken to ensure this concept is adapted for, and not imposed on healthcare systems.
Engaging trainees in systems transformation and embedding the concepts of ‘do no financial harm’ are essential to ensure sustainable healthcare services.
Learning Objectives
To understand the principles of value-based health care.
To highlight the importance of adopting ‘cost-conscious’ care within daily clinical practice.
To learn the differences between ‘cost’, ‘charge’, ‘price’ and ‘reimbursement.
To encourage developing value-based competencies for future medical workforce through utilising out of programme placements and digital resources.
Ethical Issues
The ethical obligation of clinicians to consider cost may encompass justice and equity. However, the impact of practicing value-based health care is yet to be evaluated.
Continuing financial constraints on the UK’s National Health Service means the need for clinicians to provide high-quality care in a cost-effective way has never been greater.
While the medical education system equips doctors with skills to provide safe clinical care, it should also provide an understanding of healthcare costs and cost-effectiveness analysis.
Value-based care is becoming a key paradigm in women’s health services, where clinicians must employ strategies for delivering value, rationalising costs and capitalising on the use of emerging technologies.
The calculation of value of an intervention for providers and service users may differ; care must be taken to ensure this concept is adapted for, and not imposed on healthcare systems.
Engaging trainees in systems transformation and embedding the concepts of ‘do no financial harm’ are essential to ensure sustainable healthcare services.
Learning Objectives
To understand the principles of value-based health care.
To highlight the importance of adopting ‘cost-conscious’ care within daily clinical practice.
To learn the differences between ‘cost’, ‘charge’, ‘price’ and ‘reimbursement.
To encourage developing value-based competencies for future medical workforce through utilising out of programme placements and digital resources.
Ethical Issues
The ethical obligation of clinicians to consider cost may encompass justice and equity. However, the impact of practicing value-based health care is yet to be evaluated.
Date Issued
2022-01
Date Acceptance
2021-02-14
Citation
The Obstetrician & Gynaecologist, 2022, 24 (1), pp.67-72
ISSN
1467-2561
Publisher
Wiley
Start Page
67
End Page
72
Journal / Book Title
The Obstetrician & Gynaecologist
Volume
24
Issue
1
Copyright Statement
© 2021 Royal College of Obstetricians and Gynaecologists. This is the accepted version of the following article: Naji, O, Souter, V, Mullins, E, Gaughran, J, Diab, Y, Fitzgerald, JE, Bourne, T, Morris, E. The blind spot: value-based health care in obstetrics and gynaecology. The Obstetrician & Gynaecologist 2021, which has been published in final form at https://doi.org/10.1111/tog.12781
Identifier
https://obgyn.onlinelibrary.wiley.com/doi/10.1111/tog.12781
Subjects
Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
cost effectiveness
health care costs
health economics
value based health care
1114 Paediatrics and Reproductive Medicine
Publication Status
Published
Date Publish Online
2021-11-24