Value-based health care in translation: from global popularity to primary care for Dutch elderly patients

Gijs Steinmann*, Hester van de Bovenkamp, Antoinette de Bont, Diana Delnoij

*Corresponding author for this work

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In this article we examine the fragmented interpretation and implementation of a remarkably popular concept, value-based health care (VBHC). By building on a case study of a project team working on the development of value-based primary care services for elderly patients, we shed new light on the way in which VBHC transitions from theory to practice. The concept of ‘translation’ is used to theoretically frame our analysis. Between June 2021 and May 2022, we gathered data through participant observation (50 h), semi-structured interviews (n = 20) and document analysis (n = 16).
Our findings show how VBHC inspired new ways of working, and that, in line with previous studies, parts of the original concept have been neglected, while others have been modified. We identified three reasons for VBHC’s locally varied applications: VBHC transforms to enable a growing support base, the originally radical idea is applied conservatively and the concept tends to get mixed up with other policy objectives. In all, VBHC appears to be successful in catalysing cross-disciplinary interaction aimed at improving value for patients.
Original languageEnglish
Pages (from-to)683-701
Number of pages19
JournalSociology of Health and Illness
Issue number4
Early online date15 Nov 2023
Publication statusPublished - May 2024

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.


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