Development of Criteria for the Effectiveness of Implementation of Value- Based Approach Using the Concept of Quality of Life
https://doi.org/10.47619/2713-2617.zm.2025.v.6i1;42-54
Abstract
Background. The results of the implementation of value-based healthcare principles are evaluated directly based on a set of indicators that aim to measure this effectiveness. However, the objectivity of such evaluations is often compromised due to the necessity of employing assessment scales that may reflect inconsistent perspectives among various stakeholders who organize and provide medical care. In order to optimally balance subjective and objective characteristics of effectiveness, it is crucial to incorporate the indicators of patient's quality of life and health—as one of the most important components—and the indicators of volume of financial costs to achieve good health, that fully reflect the outcomes of value-based healthcare measures.
Purpose. The study offers a possible list of criteria for evaluating the effectiveness of implementation of value-based healthcare as well as a justification for criteria selection.
Methods and materials. A content-analysis of key regulations governing the organization and provision of primary medical care to the adult population was carried out. Electronic science databases were used to search for scientific literature.
About the Author
E. V. Smirnova
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Elena V. Smirnova – Senior Researcher
9, Sharikopodshipnikovskaya ul., 115088, Moscow
References
1. Musina N.Z., Omelyanovskiy V.V., Gostischev R.V., Sukhorukikh O.A., Fedyaeva V.K., Sisigina N.N., Shchurov D.G. Concept of value-based healthcare. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):438-451.https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.042 (In Russ.)
2. Zuenkova YuA. Value-based healthcare: analysis of European Institute of innovation and technology health guidelines. Medical Technologies. Assessment and Choice. 2021;43(1):28-35. https://doi.org/10.17116/medtech20214301128 (In Russ.)
3. Gushcha A.O., Yusupova A.R. Evaluation of outcomes of surgical treatment for degenerative diseases of the spine. Russian Journal of Spine Surgery. 2017;14(4):85-94. https://doi.org/10.14531/ss2017.4.85-94 (In Russ.)
4. Leonova M.V. Patient-reported outcomes in clinical studies. Kachestvennaya Klinicheskaya Praktika. 2016;2:38-45. (In Russ.)
5. Shlyakhto E.V., Konradi A.O. Value-based medicine as a new paradigm in healthcare. Remedium Privolzhye. 2018;3(163):4-8. (In Russ.)
6. Mukhina S.M., Orlova E.V. Patient-reported outcomes: an overview of applications. Real-World Data & Evidence. 2022;2(2):1-7. (In Russ.)
7. Lobanov Yu.F., Skydarnov E.V., Strozenko L.A., Prokudina M.P., Karakasekova M.K., Pechkina K.G. Quali- ty of life as a problem in health care: current trends. International Journal of Applied and Fundamental Research. 2018;5(1):235-239. (In Russ.)
8. Polozova E.I., Trokhina I.E. Quality of life as criterion of efficiency of treatment of peptic ulcer of the duodenum in conditions comorbid pathology. Health and Education Millennium. 2019;21(2):38-42. https://doi.org/10.26787/nydha-2226-7425-2019-21-2 (In Russ.)
9. Shikhmetov A.N., Lebedev N.N. Quality of life as a modern integral criterion for evaluating the effective- ness of surgical treatment of patients with hernias of the anterior abdominal wall in outpatient department. Bulletin of Pirogov National Medical & Surgical Center. 2019;14(1):72-76. https://doi.org/10.25881/BPNMSC.2019.49.27.015 (In Russ.)
10. Novoseletskaya A.I. Assessment of quality of life scores as criterion of treatment efficiency in patients with eczema. Journal of the Grodno State Medical University. 2010;2(30):165-167. (In Russ.)
11. Lazareva E.Yu. Health-related quality of life in cardiovascular patients. The Bulletin of Chuvash Psychiatry and Psychology. 2016;12(2):54-64. (In Russ.)
12. Aukhadiev E.I. International classification of functioning, disability and health recommended by WHO – a new stage in the development of rehabilitology. Kazan Medical Journal. 2007;88(1):5-9. (In Russ.)
13. Chapman J.R., Norvell D.C., Hermsmeyer J.T., Bransford R.J., DeVine J., McGirt M.J., Lee M.J. Evaluating common outcomes for measuring treatment success for chronic low back pain. Spine. 2011;36(21 Sup- pl):54-68. https://doi.org/10.1097/BRS.0b013e31822ef74d
14. Namazova-Baranova L.S., Vishneva E.A., Dobrynina E.A., Vinyarskaya I.V., Alexeeva A.A., Chernikov V.V., Selimzianova L.R. Assessing the quality of life using the Health Utilities Index questionnaire in children with severe persistent asthma during the treatment with omalizumab. Pediatricheskaya farmakologiya. 2017;14(5):356-365. https://doi.org/10.15690/pf.v14i5.1783 (In Russ.)
15. Podkmenniy V.A., Likhandi D.I., Gordeienok S.F., et al. Life quality evaluation after off-pump coronary artery bypass surgery using SF-36. Siberian Scientific Medical Journal. 2010;97(6):227-229. (In Russ.)
16. Aramisova R.M., Kambachokova Z.A., Dzueva S.S., Ahkubekova Z.A., Zhamborova F.A. Evaluation of quality of life in patients with cardiovascular diseases. J Trudnyj Patsient. 2018;16(10):6-9. https://doi.org/10.24411/2074-1995-2018-10013 (In Russ.)
17. Yagudina R.I. QALY: history, methodology and prospects. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2010;3(1):7-11. (In Russ.)
18. Russia plans to implement QALY as a criterion for the effectiveness of treatment. Medvestnik. 2021 Mar 18. Available from: https://medvestnik.ru/content/news/V-Rossii-sobirautsya-vnedrit-kriterii-ocenki-effektivnosti-lecheniya-QALY.html. Accessed September 19, 2024. (In Russ.)
19. Kalinina A.M., Kontsevaya A.V., Deev A.D. Long-term economic effectiveness of the multifactorial car- diovascular prevention programme in the context of primary health care. Cardiovascular Therapy and Prevention. 2013;12(1):60-66. https://doi.org/10.15829/1728-8800-2013-1-60-66 (In Russ.)
20. Musina N.Z., Fedyaeva V.K. The use of QALY as an integral measure of effectiveness in the evaluation of medical technologies. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2017;10(1):66-71. https://doi.org/10.17749/2070-4909.2017.10.1.066-071 (In Russ.)
21. Ivanova A.A., Zavaleva E.V., Vladzimirskyy A.V., et al. Electronic benchmarking as a tool for assessing the performance of medical organizations. Russian Journal of Telemedicine and E-Health. 2022;8(2):42-49. https://doi.org/10.29188/2712-9217-2022-8-2-42-49 (In Russ.)
22. Abdullaev M.A., Kantemirova B.I., Chernysheva E.N., Romanova A.N. Cost-utility analysis of personalized antiplatelet therapy. Caspian Journal of Medicine and Pharmacy. 2023;4(1):17-26. (In Russ.)
23. Bessonova T.O., Gorkavenko F.V., Shchurov D.G., et al. Cost-effectiveness and budget impact analyses of using implantable cardioverter-defibrillators in the Russian Federation. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2022;15(1):5-22. https://doi.org/10.17749/2070-4909/farmakoekonomika.2022.130 (In Russ.)
24. Smirnova E.V. Key approaches to evaluating the outcomes of medical care delivery. In: Scientific Papers of the Research Institute for Healthcare Organization and Medical Management: Collection of Scientific Papers. Moscow: The Research Institute for Healthcare Organization and Medical Management; 2024. p. 211-222. (In Russ.)
25. Palevskaya S.A., Veretennikova N.A., Blashentsev M.K. Modern approaches to the formation of criteria for assessment of the professional activities of a doctor. Bulletin of Semashko National Research Institute of Public Health. 2019;2:62-69. https://doi.org/10.25742/NRIPH.2019.02.009 (In Russ.)
Review
For citations:
Smirnova E.V. Development of Criteria for the Effectiveness of Implementation of Value- Based Approach Using the Concept of Quality of Life. City Healthcare. 2025;6(1):42-54. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2025.v.6i1;42-54
Views:
166
Email this article 