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

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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.

Item Type: Article
Additional Information: Publiziert mit Hilfe des DFG-geförderten Open Access-Publikationsfonds der Carl von Ossietzky Universität Oldenburg.
Subjects: Technology, medicine, applied sciences > Medicine and health
Divisions: Faculty of Medicine and Health Sciences > Department of Public Health and Medical Education
Date Deposited: 11 Sep 2019 09:56
Last Modified: 11 Sep 2019 09:56
URN: urn:nbn:de:gbv:715-oops-42182
DOI: doi:10.1136/bmjopen-2018-022635

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