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European value-based healthcare benchmarking: moving from theory to practice

2023; Oxford University Press; Volume: 34; Issue: 1 Linguagem: Inglês

10.1093/eurpub/ckad181

1464-360X

Borja García‐Lorenzo, Ania Gorostiza, Itxaso Alayo, Susana Castelo Zas, Patricia Cobos Baena, Inés Gallego Camiña, Begoña Izaguirre Narbaiza, Gaizka Mallabiabarrena, Iker Ustarroz-Aguirre, Alina Rigabert, William Balzi, Roberta Maltoni, Ilaria Massa, Isabel Álvarez, Sara Arévalo Lobera, Mónica Esteban, Marta Fernández Calleja, Jenifer Gómez Mediavilla, Manuela Fernández, Manuel del Oro Hitar, María del Carmen Ortega Torres, M.C. Sanz Ferrández, Luis Sánchez, Pablo Serrano Balazote, Carolina Varela Rodríguez, Mario Campone, Sophie Le Lann, Piet Vercauter, Kurt G. Tournoy, Marina Borges, Ana Sofía Oliveira, Marta Soares, Ane Fullaondo, Nerea González, Iratxe Vázquez Lerma, Izaskun Artola Irazabal, Aitor Fernandez de Larrinoa Santamaría, Andere Frias Capanaga, Jon Cacicedo, Eduardo Vicario Elorduy, Teresa Acaiturri-Ayesta, Elisa Gómez-Inhiesto, Valentina Danesi, Nicola Gentili, Andrea Roncadori, Fátima Hermoso Alarz, Karmele Imaz Iraola, Valerie Adam, Helene De Rijck, Ellen Everaert, Esmeralda Barreira, Pedro Róbinson Fernandes de Medeiros, Emanuel Barros,

Delphi Technique in Research

Abstract Background Value-based healthcare (VBHC) is a conceptual framework to improve the value of healthcare by health, care-process and economic outcomes. Benchmarking should provide useful information to identify best practices and therefore a good instrument to improve quality across healthcare organizations. This paper aims to provide a proof-of-concept of the feasibility of an international VBHC benchmarking in breast cancer, with the ultimate aim of being used to share best practices with a data-driven approach among healthcare organizations from different health systems. Methods In the VOICE community—a European healthcare centre cluster intending to address VBHC from theory to practice—information on patient-reported, clinical-related, care-process-related and economic-related outcomes were collected. Patient archetypes were identified using clustering techniques and an indicator set following a modified Delphi was defined. Benchmarking was performed using regression models controlling for patient archetypes and socio-demographic characteristics. Results Six hundred and ninety patients from six healthcare centres were included. A set of 50 health, care-process and economic indicators was distilled for benchmarking. Statistically significant differences across sites have been found in most health outcomes, half of the care-process indicators, and all economic indicators, allowing for identifying the best and worst performers. Conclusions To the best of our knowledge, this is the first international experience providing evidence to be used with VBHC benchmarking intention. Differences in indicators across healthcare centres should be used to identify best practices and improve healthcare quality following further research. Applied methods might help to move forward with VBHC benchmarking in other medical conditions.