A Health Care Value Framework for Physical Therapy Primary Health Care Organizations. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: IJntema, Rutger Friso; Barten, Di-Janne; Duits, Hans B.; Tjemkes, Brian V.; Veenhof, Cindy
• Is Part Of: Quality management in health care. Volume 30:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: finance/economics -- organizational change -- physical therapy -- primary health care organization -- quality health care -- value-based health care; Medical care -- Quality control -- Periodicals; Total quality management -- Periodicals; Health services administration -- Periodicals; 362.1068
• DOI: 10.1097/QMH.0000000000000289
• Languages: English
• ISSNs: 1063-8628

Abstract

Abstract : Background and Objective: To develop a health care value framework for physical therapy primary health care organizations including a definition. Method: A scoping review was performed. First, relevant studies were identified in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition was explored by physical therapy primary health care organization experts. Results: Numerical and thematic data on health care quality and context-specific performance resulted in a health care value framework for physical therapy primary health care organizations—including a definition of health care value, namely "to continuously attain physical therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered outcomes, leveraged by an organization's capacity for change." Conclusion: Prior literature mainly discussed health care quality and context-specific performance for primary health care organizations separately. The current study met the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous health care quality and context-specific performance. Future research is recommended on longitudinal exploration of the HV (health care value) framework. Abstract : Supplemental Digital Content is Available in the Text.