International Journal of Health Policy and Management

International Journal of Health Policy and Management

Choosing to Implement Value-Based Healthcare Initiatives: A Strategic Decision for Achieving Better Performance in Improving Population Health; Comment on “Reflections on Managing the Performance of Value-Based Healthcare: A Scoping Review”

Document Type : Commentary

Author
Ana Paula Beck da Silva Etges 1, 2, 3
1 National Institute of Science and Technology for Health Technology Assessment (IATS), Porto Alegre, Brazil
2 PEV Healthcare Consulting, Porto Alegre, Brazil
3 Programa de Pós-graduação em Epidemiologia da Escola de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
10.34172/ijhpm.9050
Abstract
Operational effectiveness is about improving what is being done, reducing errors and harms, and improving efficiency, while strategy involves making decisions and choices. Implementing value-based healthcare (VBHC) also means matching previous strategies and performance literature to guide building sustainable organizations in healthcare businesses. This commentary paper explores answers for: What does it mean to have a high-performance, sustainable, and impactful health organization? By describing frameworks about leadership and social capital, this piece argues that the healthcare system’s sustainability involves making choices that set as a strategy implementing VBHC principles, cause implications on regulatory, organizational, and individual levels, and result in structuring systems that contribute to achieving high performance on improving population health. The argumentation suggests that achieving a high-performance, sustainable, and impactful health organization can be translated into positively impacting population health with financial accountability, and systems internal processes may serve as roads to achieve that impact on society.
Keywords
Value-Based Healthcare
Strategy
Operational Management
Value in Health
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International Journal of Health Policy and Management
Volume 14, Issue 1
2025
Pages 1-3

  • Received Date 22 February 2025
  • Revised Date 16 March 2025
  • Accepted Date 05 April 2025
  • First Published Date 07 April 2025
  • Published Date 01 December 2025