Healthcare Providers’ Knowledge of Value-Based Care in Germany: An Adapted, Mixed-Methods Approach

Axel Kuck, Kristian Kinscher, Leonard Fehring, Helmut Hildebrandt, Johannes Doerner, Jonas Lange, Hubert Truebel, Philip Boehme, Celina Bade and Thomas Mondritzki
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Axel Kuck: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Kristian Kinscher: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Leonard Fehring: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Helmut Hildebrandt: Optimedis AG, 20095 Hamburg, Germany
Johannes Doerner: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Jonas Lange: Cologne-Merheim Medical Center, Department of Abdominal, Vascular and Transplant Surgery, Witten/Herdecke University, 58455 Witten, Germany
Hubert Truebel: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Philip Boehme: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Celina Bade: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany
Thomas Mondritzki: Faculty of Health, School of Medicine, Witten/Herdecke University, 58455 Witten, Germany

IJERPH, 2022, vol. 19, issue 14, 1-10

Abstract: Background: Value-Based Care (VBC) is being discussed to provide better outcomes to patients, with an aim to reimburse healthcare providers (HCPs) based on the quality of care they deliver. Little is known about German HCPs’ knowledge of VBC. This study aims to investigate the knowledge of HCPs of VBC and to identify potential needs for further education toward implementation of VBC in Germany. Methods: For evidence generation, we performed a literature search and conducted an online survey among HCPs at 89 hospitals across Germany. The questionnaire was based on published evidence and co-developed with an expert panel using a mixed methods approach. Results: We found HCPs to believe that VBC is more applicable in surgery than internal medicine and that well-defined cycles of care are essential for its application. HCPs believe that VBC can reduce health care costs significantly. However, they also assume that implementing VBC will be challenging. Conclusions: The concept in general is well perceived, however, HCPs do not want to participate in any financial risk sharing. Installing an authority/independent agency that measures achieved value, digital transformation, and that improves the transition between the inpatient and the outpatient sectors are top interests of HCPs.

Keywords: value-based care; cycle of care; value-based reimbursement; health reform (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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