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Outcomes based healthcare systems

At the Value Based Healthcare Programme (VBHP) we work on Healthcare Systems, Networks and Pathways, whose relationship is shown in the diagram above.

The networks and pathways/services are the variables that can be modified to affect the system.  We focus on systems because differences in demography, local politics, and resources preclude the ability to have a one-size fits all solution for the “who/how” of care delivery but we can still have one system specification that all networks and pathways/services can adhere to; the system can be seen as a normalising factor because all patients for a given condition will need the same outcomes, how those outcomes are delivered and who delivers them can certainly be different.

The VBHP design methodology relies on working with multi-stakeholder groups that include the key stakeholders in the care pathway (i.e. patients, GPs, specialists, nurses, para-health professionals, IT, commissioners, etc.) to design ideal population-based systems of care that deliver value to patients. 

The current Outcomes-based Healthcare Systems we are working on include:

 -         Preventing stroke in patients with Atrial Fibrillation

-          Preventing Falls and Fragility Fractures in people aged over 65

-          Pelvic Pain

-          Children with Hearing Loss

-          Early Intervention in Psychosis

-          End of Life and Palliative Care

To learn more about this work or to get involved please contact: anant.jani@phc.ox.ac.uk.

Download:

Evaluation of PHE and VBHC Population Healthcare Programme Approach (.pdf)