Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology
Abstract Aims The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients’ wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of c...
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| Veröffentlicht in: | Europace (London, England) England), 2024-08, Vol.26 (9) |
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| creator | Osoro, Lucia Zylla, Maura M Braunschweig, Frieder Leyva, Francisco Figueras, Josep Pürerfellner, Helmut Merino, Josè Luis Casado-Arroyo, Ruben Boriani, Giuseppe |
| description | Abstract
Aims
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients’ wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
Methods and results
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
Conclusion
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
Graphical Abstract
Graphical abstract |
| doi_str_mv | 10.1093/europace/euae210 |
| format | Article |
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Aims
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients’ wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
Methods and results
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
Conclusion
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
Graphical Abstract
Graphical abstract</description><identifier>ISSN: 1099-5129</identifier><identifier>ISSN: 1532-2092</identifier><identifier>EISSN: 1532-2092</identifier><identifier>DOI: 10.1093/europace/euae210</identifier><identifier>PMID: 39158601</identifier><language>eng</language><publisher>UK: Oxford University Press</publisher><subject>Cardiac Electrophysiology - organization & administration ; Cardiology ; Cost-Benefit Analysis ; Electrophysiology ; Health care ; Health Care Costs ; Humans ; Meta-analysis ; Patient satisfaction ; Quality of life</subject><ispartof>Europace (London, England), 2024-08, Vol.26 (9)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-336a022217dcac3a75223f5d312cf94be12d95be4701329e1250ff2de05cc1f03</cites><orcidid>0000-0001-9373-8132 ; 0000-0002-9820-4815 ; 0000-0002-8965-8495 ; 0000-0002-4966-1315 ; 0009-0000-9576-3067 ; 0000-0002-1737-1903 ; 0000-0002-3876-6074 ; 0009-0006-0787-7237 ; 0000-0002-2176-0223</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,550,776,780,881,1598,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39158601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:159587462$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Osoro, Lucia</creatorcontrib><creatorcontrib>Zylla, Maura M</creatorcontrib><creatorcontrib>Braunschweig, Frieder</creatorcontrib><creatorcontrib>Leyva, Francisco</creatorcontrib><creatorcontrib>Figueras, Josep</creatorcontrib><creatorcontrib>Pürerfellner, Helmut</creatorcontrib><creatorcontrib>Merino, Josè Luis</creatorcontrib><creatorcontrib>Casado-Arroyo, Ruben</creatorcontrib><creatorcontrib>Boriani, Giuseppe</creatorcontrib><title>Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology</title><title>Europace (London, England)</title><addtitle>Europace</addtitle><description>Abstract
Aims
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients’ wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
Methods and results
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
Conclusion
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
Graphical Abstract
Graphical abstract</description><subject>Cardiac Electrophysiology - organization & administration</subject><subject>Cardiology</subject><subject>Cost-Benefit Analysis</subject><subject>Electrophysiology</subject><subject>Health care</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Patient satisfaction</subject><subject>Quality of life</subject><issn>1099-5129</issn><issn>1532-2092</issn><issn>1532-2092</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqFkUFP3DAQhS1EVSjtnROyxAUJpR3b8WbNDa2grYTUS3u2HHuyG_DGwY5B--_rVRYOvfTkN-NvRm_0CDln8JWBEt8wxzAai0UY5AyOyCmTglccFD8uGpSqJOPqhHxK6REAGq7kR3IiFJPLBbBT8rTaGO9xWPfDmk4bpGkyU070OYcbamiyYdz_RHzp8ZWGjr4Yn7FqTUJHrYlIt8GhT7Qf9qXrgw_rHTWDo-jRTsXfZpfm7mfyoTM-4ZfDe0b-3N_9Xv2oHn59_7m6fais4IupEmJhgHPOGmeNFaaRnItOOsG47VTdIuNOyRbrBpjgqpQSuo47BGkt60CckWrem15xzK0eY781caeD6fWh9VQU6uUSpFKFv5r5MYbnjGnS2z5Z9N4MGHLSAlRdN4ILUdDLf9DHkONQrtHFXl2LpWKsUDBTNoaUInbvFhjofXD6LTh9CK6MXBwW53aL7n3gLakCXM9AyOP_1_0FUdqnLw</recordid><startdate>20240830</startdate><enddate>20240830</enddate><creator>Osoro, Lucia</creator><creator>Zylla, Maura M</creator><creator>Braunschweig, Frieder</creator><creator>Leyva, Francisco</creator><creator>Figueras, Josep</creator><creator>Pürerfellner, Helmut</creator><creator>Merino, Josè Luis</creator><creator>Casado-Arroyo, Ruben</creator><creator>Boriani, Giuseppe</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0001-9373-8132</orcidid><orcidid>https://orcid.org/0000-0002-9820-4815</orcidid><orcidid>https://orcid.org/0000-0002-8965-8495</orcidid><orcidid>https://orcid.org/0000-0002-4966-1315</orcidid><orcidid>https://orcid.org/0009-0000-9576-3067</orcidid><orcidid>https://orcid.org/0000-0002-1737-1903</orcidid><orcidid>https://orcid.org/0000-0002-3876-6074</orcidid><orcidid>https://orcid.org/0009-0006-0787-7237</orcidid><orcidid>https://orcid.org/0000-0002-2176-0223</orcidid></search><sort><creationdate>20240830</creationdate><title>Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology</title><author>Osoro, Lucia ; Zylla, Maura M ; Braunschweig, Frieder ; Leyva, Francisco ; Figueras, Josep ; Pürerfellner, Helmut ; Merino, Josè Luis ; Casado-Arroyo, Ruben ; Boriani, Giuseppe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-336a022217dcac3a75223f5d312cf94be12d95be4701329e1250ff2de05cc1f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cardiac Electrophysiology - organization & administration</topic><topic>Cardiology</topic><topic>Cost-Benefit Analysis</topic><topic>Electrophysiology</topic><topic>Health care</topic><topic>Health Care Costs</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Patient satisfaction</topic><topic>Quality of life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osoro, Lucia</creatorcontrib><creatorcontrib>Zylla, Maura M</creatorcontrib><creatorcontrib>Braunschweig, Frieder</creatorcontrib><creatorcontrib>Leyva, Francisco</creatorcontrib><creatorcontrib>Figueras, Josep</creatorcontrib><creatorcontrib>Pürerfellner, Helmut</creatorcontrib><creatorcontrib>Merino, Josè Luis</creatorcontrib><creatorcontrib>Casado-Arroyo, Ruben</creatorcontrib><creatorcontrib>Boriani, Giuseppe</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Europace (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osoro, Lucia</au><au>Zylla, Maura M</au><au>Braunschweig, Frieder</au><au>Leyva, Francisco</au><au>Figueras, Josep</au><au>Pürerfellner, Helmut</au><au>Merino, Josè Luis</au><au>Casado-Arroyo, Ruben</au><au>Boriani, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology</atitle><jtitle>Europace (London, England)</jtitle><addtitle>Europace</addtitle><date>2024-08-30</date><risdate>2024</risdate><volume>26</volume><issue>9</issue><issn>1099-5129</issn><issn>1532-2092</issn><eissn>1532-2092</eissn><abstract>Abstract
Aims
The accomplishment of value-based healthcare (VBHC) models could save up to $1 trillion per year for healthcare systems worldwide while improving patients’ wellbeing and experience. Nevertheless, its adoption and development are challenging. This review aims to provide an overview of current literature pertaining to the implementation of VBHC models used in cardiology, with a focus on cardiac electrophysiology.
Methods and results
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews. The records included in this publication were relevant documents published in PubMed, Mendeley, and ScienceDirect. The search criteria were publications about VBHC in the field of cardiology and electrophysiology published between 2006 and 2023. The implementation of VBHC models in cardiology and electrophysiology is still in its infant stages. There is a clear need to modify the current organizational structure in order to establish cross-functional teams with the patient at the centre of care. The adoption of new reimbursement schemes is crucial to moving this process forward. The implementation of technologies for data analysis and patient management, among others, poses challenges to the change process.
Conclusion
New VBHC models have the potential to improve the care process and patient experience while optimizing the costs. The implementation of this model has been insufficient mainly because it requires substantial changes in the existing infrastructures and local organization, the need to track adherence to guidelines, and the evaluation of the quality of life improvement and patient satisfaction, among others.
Graphical Abstract
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| ispartof | Europace (London, England), 2024-08, Vol.26 (9) |
| issn | 1099-5129 1532-2092 1532-2092 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_880599 |
| source | Oxford Journals Open Access Collection; MEDLINE; PubMed Central; Alma/SFX Local Collection; SWEPUB Freely available online |
| subjects | Cardiac Electrophysiology - organization & administration Cardiology Cost-Benefit Analysis Electrophysiology Health care Health Care Costs Humans Meta-analysis Patient satisfaction Quality of life |
| title | Challenging the status quo: a scoping review of value-based care models in cardiology and electrophysiology |
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