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How To Calculate HealthCare Value

By Gabrielle Lambert


Achieving the best HealthCare Value for every patient must be the target driving health care delivery system. Value is correctly defined by the health results gained per dollar spent in the cost of acquiring a health service. It means therefore that outcomes are what the patient is interested in while seeking services and is should be the uniting factor of all players in a health system. Improvement of value in care is of benefit to both patients and service providers as well as to the system itself through obtaining economic stability.

It usually defines the framework for which performance is measured and therefore improvement in health care delivery. It however still remains not well measured and understood. Value must always be defined while considering the customer and if a system is to run properly, the rewarding system should be based on how much value is created.

Since it is dependent on the outcomes or outputs of the services and not entirely on the input amounts or volume of work done, in the health system therefore attention should be focused on what results the services yield. The process of care and all other intermediary volumes of work that come in the process of delivering the service are not of great importance. So it is concerned on the efficiency of process to achieve desirable outcomes but not cheap costs of processes while disregarding the results.

In the medicine, there is no single outcome considered to be the standard to which all process must end up in. It is because some condition may lack a definite cure while other do have a known treatment. The issue of calculating coast is also challenging because every step in the cycle of treatment must be considered and the costs cumulatively added. The best way to decrease costs is not only making the services cheap but to spend more in the services decreasing need of them.

The care of a patient or condition in medicine is a multiple disciplines task. There are physician of different specialties, lab investigations and other interventions that should be carried out. In measuring, the cost must include the expenses at each level of service provider in the care cycle. The benefits of any one single intervention within the cycle of treatment will depend on the other steps of the treatment.

In accounting for this factor, all the service providers involved in any one of the process of management must be held responsible. There is therefore need of integrating the different provider groups in the system of delivery. Only when the units are integrated will the organization then be able to be accountable for the total care.

Dealing with patients who have medical conditions like diabetes which usually come with other medical conditions as complications such as kidney failure or hypertension is a challenge. This factor is measured through calculating each disease differently. This also helps access the ability of the system to handle different medical conditions.

The current structure and information of delivery of health care make the measuring of HealthCare Value. Most providers are not able to accurately establish this factor their patients. Most providers will only measure what they have direct control of in an intervention which is easy to measure but is misleading. Faulty system structures are the reason most physicians refuse to own-up joint responsibility done by other providers.




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