Implementing value-based healthcare using a digital health exchange platform to improve pregnancy and childbirth outcomes in urban and rural Kenya
Dados Bibliográficos
| ID | 22072282 |
|---|---|
| Autores | Peter Dohmen (0000-0002-1306-253X, Erasmus University Rotterdam, autor correspondente), Teresa De Sanctis (0000-0002-6352-6195, PharmAccess Group), Emma Waiyaiya, Wendy Janssens (0000-0002-2085-8608, Amsterdam Institute for Global Health and Development), Tobias Rinke de Wit (PharmAccess Group), Nicole Spieker (PharmAccess Group), Mark Van der Graaf (PharmAccess Group), Erik M Van Raaij (0000-0002-3758-5431, Erasmus University Rotterdam) |
| Ano | 2022 |
| Volume | 10 |
| Páginas | 1040094-1040094 |
| Data de publicação | 2022-11-17 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Frontiers in Public Health (JOURNAL) |
| Identificadores do periódico | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Editora | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.1040094 |
| PMID | 36466488 |
| OpenAlex | W4309603950 |
| Idioma | EN |
| Citações recebidas | 4 |
| Referências citadas | 44 |
Maternal and neonatal mortality rates in many low- and middle-income countries (LMICs) are still far above the targets of the United Nations Sustainable Development Goal 3. Value-based healthcare (VBHC) has the potential to outperform traditional supply-driven approaches in changing this dismal situation, and significantly improve maternal, neonatal and child health (MNCH) outcomes. We developed a theory of change and used a cohort-based implementation approach to create short and long learning cycles along which different components of the VBHC framework were introduced and evaluated in Kenya. At the core of the approach was a value-based care bundle for maternity care, with predefined cost and quality of care using WHO guidelines and adjusted to the risk profile of the pregnancy. The care bundle was implemented using a digital exchange platform that connects pregnant women, clinics and payers. The platform manages financial transactions, enables bi-directional communication with pregnant women via SMS, collects data from clinics and shares enriched information via dashboards with payers and clinics. While the evaluation of health outcomes is ongoing, first results show improved adherence to evidence-based care pathways at a predictable cost per enrolled person. This community case study shows that implementation of the VBHC framework in an LMIC setting is possible for MNCH. The incremental, cohort-based approach enabled iterative learning processes. This can support the restructuring of health systems in low resource settings from an output-driven model to a value based financing-driven model
Business · Childbirth · Economic growth · Economics · Health care · Pregnancy · Global Health and Surgery · Global Maternal and Child Health · Healthcare Policy and Management · Medicine
How women are treated during facility-based childbirth in four countries
The Triple Aim
Health Care Systems in Low- and Middle-Income Countries
Countdown to 2030
Using theory of change to design and evaluate public health interventions
High-quality health systems in the Sustainable Development Goals era
Use of mobile phones for behavior change communication to improve maternal, newborn and child health
The role of evaluation in iterative learning and implementation of quality of care interventions
Advancing Towards Value-Based Integrated Care for Individuals and Populations
The effects of performance incentives on the utilization and quality of maternal and child care in Burundi
| Obras citantes distintas | 4 |
|---|---|
| Citações por ano | 4 |
| Intervalo de citações | 2025 - 2025 (1) |
| Velocidade de citação | recent |
| Altamente citado | Não |
| Tipos de citação | Neutras: 4 |