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Translating value-based health care

An Experiment Into Healthcare Governance and Dialogical Accountability

Datos Bibliográficos

ID2249404
AutoresMorten Bonde (Department of Communication and Culture Aarhus University Aarhus Denmark, autor de correspondencia), C Bossen (0000-0002-3698-0675, Aarhus University), Peter Danholt (0000-0002-4330-1239, Department of Communication and Culture Aarhus University Aarhus Denmark)
Año2018
Volumen40
Número7
Páginas1113-1126
Fecha de publicación2018-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12745
PMID29675960
OpenAlexW2800720580
IdiomaEN
Citas recibidas12
Referencias citadas17

This article analyses an experiment into healthcare governance in Denmark inspired by principles of value-based health care and intended to re-orient the focus of healthcare governance from 'productivity' to 'value for the patient'. The region in charge of the experiment exempted nine hospital departments from activity-based financing and accountability based on diagnosis-related groups, which allegedly incentivised hospitals in 'perverse' and counterproductive ways. Instead, the departments were to develop new indicators from their local practices to support and account for quality and value for the patient. Drawing on the actor-network theory concept of 'translation', this article analyses how the experiment was received and put into practice in the nine departments, and how it established new kinds of accountability relations. We argue that the experiment provides fruitful inspiration for future governance schemes in healthcare to embrace the local complexities of clinical practices. In particular, we argue that the locally developed indicators facilitated what we call 'dialogical accountability', and we discuss whether this represents a feasible way forward for value-based health care

Accountability · Business · Corporate governance · Dialogical self · Health care · Political science · Value (mathematics · Computer Science · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare Quality and Management · Interprofessional Education and Collaboration · Medicine · Psychology · Social Psychology

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Obras citantes distintas12
Citas por año1,71
Intervalo de citas2019 - 2026 (8)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 12
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