Health Care System Performance Evaluation for Value-Based Health Care: Latvia Approach
Scientific Conference on Economics and Entrepreneurship (SCEE’2020) 2020
Māra Pētersone, Kārlis Ketners, Ingars Eriņš

In the world, particularly in the European Union, efforts are increasingly being made to improve the healthcare systems by increasing additional value from the resources already available for the healthcare funding and by increasing the efficiency of the healthcare systems. To measure their healthcare systems, countries shall develop the Health Care System Performance Assessment (HSPA). In Latvia, HSPA has created as a set of indicators that describe four health care dimensions – resources, process, short-term results, long-term results. The HSPA approach provides possibilities for benchmarking of indicators at international, national, regional, local and health service providers level. However, only the indicator benchmarks do not create a mechanism to improve the functioning of the health system, particularly at the level of Clinical University hospitals. At the same time, the European Union Member States are introducing Value-based health care (VBHC) to improve individual health conditions. VBHC Outcome Measures Hierarchy provides three assessment levels for the system: Tier 1 is the health status that is achieved or, for patients with some degenerative conditions, retained; Tier 2 outcomes are related to the recovery process. Tier 3 is the sustainability of health. For evaluation of the patient’s view of them provided health services - Tier 4 is proposed. Also, HSPA is proposed to structure VBHC Outcome Measures Hierarchy and to add the necessary indicators.

Atslēgas vārdi
Assessment of the functioning of the healthcare system, Health policy, Value-based health care, Outcome Measures Hierarchy

Pētersone, M., Ketners, K., Eriņš, I. Health Care System Performance Evaluation for Value-Based Health Care: Latvia Approach. No: Scientific Conference on Economics and Entrepreneurship (SCEE’2020), Latvija, Riga, 16.-16. oktobris, 2020. Riga: RTU Press, 2020, 37.-37.lpp. ISBN 978-9934-22-510-9.

Publikācijas valoda
English (en)
RTU Zinātniskā bibliotēka.
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