Broadening the concept of patient safety culture through value-based healthcare

被引:9
作者
Dombradi, Viktor [1 ]
Biro, Klara [1 ]
Jonitz, Guenther [2 ]
Gray, Muir [3 ]
Jani, Anant [4 ]
机构
[1] Univ Debrecen, Dept Hlth Syst Management & Qual Management Hlth, Debrecen, Hungary
[2] Berlin Chamber Phys, Berlin, Germany
[3] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Med Sci Div, Oxford, England
[4] Univ Oxford, Oxford Martin Sch, Oxford, England
关键词
Patient safety; Culture; Value; Healthcare; Patients; Resource utilisation; PARTICIPATION; AUSTERITY; IMPACT;
D O I
10.1108/JHOM-07-2020-0287
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose Decision-makers are looking for innovative approaches to improve patient experience and outcomes with the finite resources available in healthcare. The concept of value-based healthcare has been proposed as one such approach. Since unsafe care hinders patient experience and contributes to waste, the purpose of this paper is to investigate how the value-based approach can help broaden the existing concept of patient safety culture and thus, improve patient safety and healthcare value. Design/methodology/approach In the arguments, the authors use the triple value model which consists of personal, technical and allocative value. These three aspects together promote healthcare in which the experience of care is improved through the involvement of patients, while also considering the optimal utilisation and allocation of finite healthcare resources. Findings While the idea that patient involvement should be integrated into patient safety culture has already been suggested, there is a lack of emphasis that economic considerations can play an important role as well. Patient safety should be perceived as an investment, thus, relevant questions need to be addressed such as how much resources should be invested into patient safety, how the finite resources should be allocated to maximise health benefits at a population level and how resources should be utilised to get the best cost-benefit ratio. Originality/value Thus far, both the importance of patient safety culture and value-based healthcare have been advocated; this paper emphasizes the need to consider these two approaches together.
引用
收藏
页码:541 / 549
页数:9
相关论文
共 44 条
  • [1] Falls and Fractures: A systematic approach to screening and prevention
    Ambrose, Anne Felicia
    Cruz, Lisanne
    Paul, Geet
    [J]. MATURITAS, 2015, 82 (01) : 85 - 93
  • [2] Australian Commission on Safety and Quality, 2014, Health Literacy: Taking Action to Improve Safety and Quality
  • [3] Australian Commission on Safety and Quality in Health Care, 2013, HLTH POL AN 2013 AN
  • [4] Systematic reviews and meta-analytic techniques
    Baird, Robert
    [J]. SEMINARS IN PEDIATRIC SURGERY, 2018, 27 (06) : 338 - 344
  • [5] Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence
    Bergs, Jochen
    Lambrechts, Frank
    Simons, Pascale
    Vlayen, Annemie
    Marneffe, Wim
    Hellings, Johan
    Cleemput, Irina
    Vandijck, Dominique
    [J]. BMJ QUALITY & SAFETY, 2015, 24 (12) : 776 - 786
  • [6] The Triple Aim: Care, health, and cost
    Berwick, Donald M.
    Nolan, Thomas W.
    Whittington, John
    [J]. HEALTH AFFAIRS, 2008, 27 (03) : 759 - 769
  • [7] Beveridge R N, 1997, J Oncol Manag, V6, P19
  • [8] Prevalence of pressure ulcer and associated risk factors in middle- and older-aged medical inpatients in Norway
    Borsting, Tove E.
    Tvedt, Christine R.
    Skogestad, Ingrid J.
    Granheim, Tove I.
    Gay, Caryl L.
    Lerdal, Anners
    [J]. JOURNAL OF CLINICAL NURSING, 2018, 27 (3-4) : e535 - e543
  • [9] Association between organisational and workplace cultures, and patient outcomes: systematic review protocol
    Braithwaite, J.
    Herkes, J.
    Ludlow, K.
    Lamprell, G.
    Testa, L.
    [J]. BMJ OPEN, 2016, 6 (12):
  • [10] Technology Growth and Expenditure Growth in Health Care
    Chandra, Amitabh
    Skinner, Jonathan
    [J]. JOURNAL OF ECONOMIC LITERATURE, 2012, 50 (03) : 645 - 680