20.500.12556/RUL-148141 Is value-based health care just the latest fad or can it transform the Slovenian health care system? Je na vrednosti temelječa zdravstvena obravnava modna muha ali lahko omogoči transformacijo slovenskega zdravstvenega sistema? You get what you pay for is a very old saying, originating from England in the mid-to late 1800s. However, despite being in use for more than two centuries, its meaning is still not fully grasped in Slovenian healthcare. While we claim that the healthcare system serves the patient and that the care provided is patient-centred, we do not even measure the treatment outcomes that matter to patients. Without measuring these, we do not know whether the treatment provided value to the patients, i.e. what were the benefits of the treatment relative to the costs. Slovenian payment models do not reimburse the providers for created patient-relevant value, but rather for the planned number of services or cases based on average incurred costs. It is thus time to digitalise the system, and start collecting, curating and analysing the relevant data to ensure that all stakeholders within the healthcare system co-deliver value to patients. While relevant stakeholders highlight notable challenges of implementing value-based healthcare in Slovenia, these are far from insurmountable. »Dobiš tisto, za kar plačaš,« je star angleški izrek iz druge polovice 19. stoletja. Po več kot dveh stoletjih uporabe se njegovega pravega pomena v slovenskem zdravstvu še vedno ne zavedamo dovolj. Trdimo, da zdravstveni sistem služi pacientu in da je oskrba osredotočena nanj, a ne merimo niti izidov zdravljenja, ki se zdijo pacientom pomembni. Odsotnost tovrstnega merjenja vodi v pomanjkanje podatkov o tem, kakšno vrednost je imelo zdravljenje za bolnike, kakšne so bile torej koristi zdravljenja glede na nastale stroške. Slovenski plačilni modeli izvajalcem ne zagotavljajo prihodkov glede na ustvarjeno vrednost za paciente, temveč po načrtovanem številu storitev oziroma primerov glede na nastale povprečne stroške. Skrajni čas je, da digitaliziramo sistem ter začnemo zbirati, urejati in analizirati relevantne podatke, s katerimi bomo zagotovili, da bodo vsi deležniki v zdravstvenem sistemu s svojim delovanjem soustvarjali vrednost za bolnike. Čeprav relevantni deležniki izpostavljajo pomembne izzive pri uvajanju na vrednosti temelječe zdravstvene obravnave v Sloveniji, pa ti še zdaleč niso nepremostljivi. health care health system payment mechanisms financial incentives digitalization data analysis benchmarking Slovenia value-based healthcare data analysis zdravstvena oskrba zdravstveni sistem plačilni mehanizmi finančne spodbude digitalizacija podatki analiza primerjave Slovenija na vrednosti temelječa zdravstvena obravnava analiza podatkov true false true Angleški jezik Slovenski jezik V članku navedeno: " © National Institute of Public Health, Slovenia." Na pristajalni strani članka navedeno: © 2023 Valentina PREVOLNIK RUPEL et al., published by Sciendo. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. Članek v reviji 2023-07-27 15:02:52 2023-07-27 15:34:20 2023-07-28 04:03:47 0000-00-00 00:00:00 2023 0 0 Str. 55-58 št. 2 Letn. 62 2023 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614:336(497.4) 0351-0026 10.2478/sjph-2023-0008 145730051 Is_Value-Based_Health_Care_Just_the_Latest_Fad_or_can_it_Transform_the_Slovenian_Health_Care_System.pdf Is_Value-Based_Health_Care_Just_the_Latest_Fad_or_can_it_Transform_the_Slovenian_Health_Care_System.pdf 1 270DB5D25C0F4A53AE27546DBFE8BCFE 76617455aace72f55db93c44f7c82cf2898b3152a02c91716f59ec14c9695ad7 823d749d-2c7e-11ee-aeaf-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=172132 https://sciendo.com/article/10.2478/sjph-2023-0008 0 886556b3-2c7e-11ee-aeaf-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=172133 Ekonomska fakulteta 0 0 0