BACKGROUND Value-based healthcare is being extensively piloted, scaled and implemented by healthcare providers and systems around the world. However, the ability of the healthcare supply chain function to strategically contribute to the improvement of value has been held back by a lack of practical tools for turning value-based procurement from concept into action. Two recently developed conceptual models - the American CQO Movement and the European MEAT VBP Framework - have been developed to support the implementation of value-based procurement in healthcare. We demonstrate how the latter of these models can be adapted and applied pragmatically to generate insights into the value of a specific medical device, technology or consumable. METHODS We undertook an explanatory, qualitative, single-case study focused on a specific consumable - surgical gloves - that provide a critical example of a type of medical device usually procured in high volumes but at risk of commoditisation due to a widespread lack of understanding of their value. Since the global Covid-19 pandemic prevented fieldwork, structured interviews were conducted via Zoom and corroborated by a literature review. RESULTS We identified ten cost criteria and eight outcome criteria with which the value of surgical gloves can be analysed and understood. For each of these criteria we propose definitions and value impact metrics that decision-makers can use during a procurement exercise to describe, quantify and compare glove value. CONCLUSION The MEAT VBP Framework provides a highly practical and adaptable means of imposing both structure and rigour on a value analysis process and of qualitatively describing the potential value impact of surgical gloves for patients, professionals, providers and health systems.

中文翻译：

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使用 MEAT VBP 框架分析和理解手术手套的价值：一个解释性案例研究。

背景技术基于价值的医疗保健正在被世界各地的医疗保健提供者和系统广泛地试点、扩展和实施。然而，由于缺乏将基于价值的采购从概念转化为行动的实用工具，医疗保健供应链功能对价值提高做出战略性贡献的能力受到阻碍。最近开发的两个概念模型——美国 CQO 运动和欧洲 MEAT VBP 框架——已被开发用于支持在医疗保健领域实施基于价值的采购。我们展示了这些模型中的后一个如何可以实际地进行调整和应用，以深入了解特定医疗设备、技术或消耗品的价值。方法 我们进行了解释性的、定性的、单一案例研究侧重于特定的耗材 - 手术手套 - 提供了一种通常大量采购但由于广泛缺乏对其价值的了解而面临商品化风险的医疗设备的关键示例。由于全球 Covid-19 大流行阻止了实地考察，因此通过 Zoom 进行了结构化访谈，并通过文献综述予以证实。结果 我们确定了十项成本标准和八项结果标准，可以通过这些标准来分析和理解手术手套的价值。对于这些标准中的每一个，我们都提出了定义和价值影响指标，决策者可以在采购活动中使用这些指标来描述、量化和比较手套价值。