Fighting healthcare rocketing costs with value-based medicine: the case of stroke management Our analysis of value-based medicine (VBM) led us to two key considerations: i) VBM is a key factor to make healthcare systems sustainable in the long-term, since it tackles the crucial productivity issue of the healthcare industry. ii) By establishing networks among stakeholders and by materializing the medical and social benefits for patients, payors and society, VBM can be the sought-after redistributive mechanism that compensates patients for the exploitation of their personal medical data. The very quantitative-oriented approach to healthcare proposed by VBM is subject to some criticisms. According to some scholars, VBM’s approach disregards the value of the caring act and replaces trust in professionals with accountability, undermining solidarity as an essential aspect of medical acts [93]. Despite the argument deserves deep consideration, scientification of medicine, already started with evidence-based medicine, is in our opinion an essential ingredient of sustainability. The ongoing introduction of VBM in healthcare systems rests upon two pillars: the generation of data-permeable networks, which keep value in circulation, and a value-based management of procurement, which ties healthcare service providers, and their resources, to the networks.In this very moment, the ball is in the court of world-leading healthcare providers, which have the unique chance to define what value exactly is for each pathology. In the upcoming gold rush generated by this new economy, being the first in defining what the accepted data-of-interest and PROMS are for a disease will be a massive competitive advantage.
#science #chiropractor #chiropractic #research #education #evidence based #patient centered #interprofessional #collaborative #rehabilitation #public health #spinal health #musculoskeletal health #ethics #pain #function #disability #QOL #knowledgetranslation
