Ανασκόπηση του τελευταίων εξελίξεων και εφαρμογών στην υγειονομική περίθαλψη με βάση την αξία ( value based health care) και πρόταση εφαρμογής case study) ενός πρότυπου νευροχειρουργικού κέντρου στην Ελλάδα

Abstract

Value-based health care is a transformative approach that aims to revolutionize the healthcare system by putting the focus squarely on patient outcomes, cost-effectiveness, and patient experience. While the transition to value-based health care has been met with enthusiasm and support, it also presents challenges and complexities. Implementation of value-based health care requires significant organizational and cultural changes, as well as alignment of incentives among various stakeholders, including healthcare providers, payers, policymakers, and patients. In the context of neurosurgery, a complex, resource-intensive, and costly specialty that deals with a variety of life-altering conditions affecting the brain, spine, and peripheral nerves, the application of value-based health care principles is vital to improve quality, efficiency, and appropriateness of care, and ensure optimal patient outcomes. To date, neurosurgical implementations of value-based health care are scarce, as highlighted in the literature review section of this study, especially in Europe. Even in the USA, a paradigm of a fully implemented action is rare to find, since health care providers do not usually adopt value-based health care as a comprehensive strategy. In Greece, there has been no attempt to date to establish a value-based health care neurosurgical pathway, even partially. This study attempts to promote the implementation of a value-based health care agenda in the Greek neurosurgical landscape. We designed a pilot case study, with a focus on patients with low back pain, trying to navigate around the nuances of the Greek health sector. This pilot is expected to become a blueprint for actual implementation of the model and serve as a strategic tool and guidance for pioneers. It provides valuable lessons and insights for expanding in more clinical conditions and pathways, scaling up value-based health care neurosurgery locally or across other hospitals or regions.