Purpose

This study aims to explore the institutionalization of value-based health care (VBHC) in the public healthcare system in the state of Victoria, Australia.

Design/methodology/approach

The empirical part of this paper is based on a content analysis of 34 policy and industry-commissioned reports that have guided the development of health-care strategy in Victoria from 1988 to 2020.

Findings

This study sheds light on how VBHC in Victoria has been institutionalized over time, through three key phases (centralization, transitioning and digitalization), how the conceptualization of best value has changed in each phase and the implications each phase has presented for other actors in the health-care system.

Practical implications

This study highlights the key opportunities and challenges for organizational actors that emerge when a health-care system transitions toward VBHC, and derives implications for vendors, health-care procurement, policymakers and governmental agencies.

Originality/value

This study develops a longitudinal analysis that describes the evolution and institutionalization of a VBHC approach in a complex societal system over three decades and highlights the key implications for other organizational stakeholders.

中文翻译：

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在服务系统中将基于价值的医疗保健制度化：三十年来的政策和文件分析

目的

这项研究旨在探讨澳大利亚维多利亚州公共保健系统中基于价值的保健（VBHC）的制度化。

设计/方法/方法

本文的经验部分基于对34份政策和行业委托报告的内容分析，这些报告指导了1988年至2020年维多利亚州医疗保健战略的发展。

发现

这项研究揭示了维多利亚州VBHC如何通过三个关键阶段（集中化，过渡和数字化）随着时间的推移而制度化，最佳价值的概念在每个阶段如何变化以及每个阶段对市场中其他参与者的影响医疗系统。

实际影响

这项研究突出了当卫生保健系统向VBHC过渡时出现的组织参与者的关键机遇和挑战，并对供应商，卫生保健采购，政策制定者和政府机构产生了影响。

创意/价值

这项研究进行了纵向分析，描述了VBHC方法在复杂的社会系统中三十年来的演变和制度化，并强调了对其他组织利益相关者的关键意义。