Assessment of Readiness of Latvian Healthcare System for Implementation of Value-Based Healthcare Approach

Description

To evaluate readiness of Latvian Health Care (HC) system for the implementation of VBHC approach.. Expert focus group method was applied to evaluate the readiness of the HC system for the requirements of VBHC by applying the set of indicators (The Economist Intelligence Unit, 2015) within four dimensions: (1) Enabling political context; (2) Measuring outcomes and costs; (3) Integrated and patient-focused care; and (4) Outcome-based payment approach. The participants of three focus groups representing patients and HC providers assigned a performance level in points (0-1-2-3) to each indicator, where 0 was assigned if the indicator is not implemented at all, and 3- if the process has been established, the results are listed and monitored. . The overall readiness of the HC system for VBHC implementation was assessed at the level of 0,75 from 3,0, or 25%. The lowest scores 0,67 (22%) were assigned to the dimensions the Outcome-based payment system and Measuring outcomes and costs. Slightly higher values - 0,83 (28%) were assigned to the Enabling political context and Integrated and patient-centered care. . The study reveals low readiness of the Latvian HC system for the implementation of VBHC approach and the main obstacles for the implementation of VBHC: absence of the comprehensive health care quality and patient safety system, limited support for evidence-based health system research, absence of standardized patient outcome and treatment cost measurement, fragmentation in patient health data collecting and storage.

Period	29 Mar 2023
Event title	RSU Research week 2023: Society. Health. Welfare
Event type	Conference
Conference number	9
Organiser	Rīga Stradiņš University
Location	Riga, LatviaShow on map
Degree of Recognition	International