It takes two to dance the VBHC tango
A multiple case study of the adoption of value-based strategies in Sweden and Brazil
Bibliographic Data
| ID | 4601332 |
|---|---|
| Authors | P Ramos (0000-0002-6825-6577, Hospital Israelita Albert Einstein, corresponding author), Catherine Savage (0000-0003-2836-903X, Karolinska Institutet), Carl Savage, Johan Thor (0000-0003-1814-4478, Karolinska Institutet), Rifat Atun (0000-0002-1531-5983, Harvard Global Health Institute), Karin Solberg Carlsson (Karolinska Institutet), Marcia Makdisse (0000-0001-7522-9430, Hospital Israelita Albert Einstein), Miguel Cendoroglo Neto (0000-0002-8163-4392, Hospital Israelita Albert Einstein), Sidney Klajner (0000-0003-4120-1047, Hospital Israelita Albert Einstein), Paolo Parini (0000-0002-6541-8542, Karolinska Institutet), Pamela Mazzocato (0000-0001-9283-6451, Karolinska Institutet) |
| Year | 2021 |
| Volume | 282 |
| Pages | 114145 |
| Publication date | 2021-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2021.114145 |
| PMID | 34192620 |
| OpenAlex | W3176536056 |
| Language | EN |
| Citations received | 2 |
| References cited | 17 |
Although Value-Based Health Care (VBHC) is widely debated and cited, there are few empirical studies focused on how its concepts are understood and applied in real-world contexts. This comparative case study of two prominent adopters in Brazil and Sweden, situated at either end of the spectrum in terms of contextual prerequisites, provides insights into the complex interactions involved in the adoption of value-based strategies. We found that the adoption of VBHC emphasized either health outcomes or costs - not both as suggested by the value equation. This may be linked to broader health system and societal contexts. Implementation can generate tensions with traditional business models, suggesting that providers should first analyze how these strategies align with their internal context. Adoption by a single provider organization is challenging, if not impossible. An effective VBHC transformation seems to require a systematic and systemic approach where all stakeholders need to clearly define the purpose and the scope of the transformation, and together steer their actions and decisions accordingly
Business · Context (archaeology · Economic growth · Economics · Health care · Knowledge management · Political science · Public relations · Scope (computer science · Situated · Sociology · Value (mathematics · Computer Science · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Pharmaceutical industry and healthcare · Marketing
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |