Ansmann, Lena and Hillen, Hendrik Ansgar and Kuntz, Ludwig and Stock, Stephanie and Vennedey, Vera and Hower, Kira Isabelle
(2018)
Characteristics of value-based health and social care from organisations’ perspectives (OrgValue): a mixed-methods study protocol.
BMJ Open, 8 (4).
e022635.
ISSN 2044-6055
Abstract
Introduction Health and social care systems are under
pressure to organise care around patients’ needs with
constrained resources. Several studies reveal that
care is constantly challenged by balancing economic
requirements against individual patients’ preferences
and needs. Therefore, value-based health and social
care aims to facilitate patient-centredness while taking
the resources spent into consideration. The OrgValue
project examines the implementation of patientcentredness
while considering the health and social care
organisations’ resource orientation in the model region
of the city of Cologne, Germany.
Methods and analysis First, the implementation
status of patient-centredness as well as its facilitators
and barriers—also in terms of resource orientation—
will be assessed through face-to-face interviews
with decision-makers (at least n=18) from health and
social care organisations (HSCOs) in Cologne. Second,
patients’ understanding of patient-centredness and
their preferences and needs will be revealed by
conducting face-to-face interviews (at least n=15).
Third, the qualitative results will provide the basis
for a quantitative survey of decision-makers from
all HSCOs in Cologne, which will include questions
on patient-centredness, resource orientation and
determinants of implementation. Fourth, qualitative
interviews with decision-makers from different types
of HSCOs will be conducted to develop a uniform
measurement instrument on the cost and service
structure of HSCOs.
Ethics and dissemination For all collected data, the
relevant data protection regulations will be adhered
to. Consultation and a positive vote from the ethics
committee of the Medical Faculty of the University of
Cologne have been obtained. All personal identifiers
(eg, name, date of birth) will be pseudonymised.
Dissemination strategies include a feedback report as
well as research and development workshops for the
organisations with the aim of initiating organisational
learning and organisational development, presenting
results in publications and at conferences, and public
relations.
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