Moving from Principles to Practice: A scoping Review of Value-Based Healthcare (VBHC) Implementation Strategies

The principles of value-based Healthcare (VBHC) have received widespread endorsement, lead-ing healthcare organizations worldwide to shift their strategies towards them. However, despite growing recognition and acceptance, the actual implementation of value-based approaches varies widely. This research aims to identify studies that address the implementation of VBHC at dif-ferent levels (healthcare policymakers, hospital administrators, and healthcare providers), fo-cusing on each level’s relative strategies; Methods: To this end, a scoping review was conducted in accordance with the PRISMA extension for Scoping Reviews checklist. The electronic databases of Web of Science, PubMed, MEDLINE and Scopus were searched to identify relevant publica-tions in English from January 2006 to 31 July 2023; Results: We identified 30 eligible studies. Findings are organized into four main macro strategic levels, each comprising specific dimen-sions and operational approaches. Fourteen articles analyzed the role of government commitment in VBHC implementation, while six articles focused on regional integrated care systems. The role of hospitals was described in sixteen records; Conclusions: Our study suggests that a compre-hensive approach is necessary for the successful implementation of VBHC. Hospitals emerge as pivotal in this shift, requiring organizational and attitudinal changes among healthcare profes-sionals. However, a complete transition towards VBHC that ensures a seamless patient manage-ment throughout the entire care delivery value chain, necessitates government involvement in terms of state legislation, reimbursement methods, and hospital networking.