Table_2_A Value-Based Steering Model for Healthcare.DOCX

This article aims to answer how a commissioning body can steer health services based on value in an environment where the commissioner is responsible for the health services of a population with varying health service needs. In this design science study, we constructed a value-based steering model consisting of three parts: (1) the principles of steering; (2) the steering process; and (3) Value Steering Canvas, a concrete tool for steering. The study is based on Finland, a tax-funded healthcare system, where healthcare is a public service. The results can be applied in any system where there is a commissioner and a service provider, whether they are two separate organizations or not. We conclude that steering can be done based on value. The commissioning body can start using value-based steering without changes in legislation or in the present service system. Further research is needed to test the model in practice.

本文旨在解答如下问题：在医疗委托方（commissioning body）需为健康服务需求各异的人群负责其健康服务的场景中，委托方如何基于价值导向管控健康服务。本研究属于设计科学研究范畴，我们构建了一套由三部分组成的价值导向管控模型：(1) 管控原则；(2) 管控流程；(3) 价值管控画布（Value Steering Canvas）——一款用于实施管控的具象化工具。本研究以芬兰税收资助型医疗体系为研究背景，该体系下医疗服务属于公共服务范畴。本研究成果可推广至任何存在委托方与服务提供方的体系，无论二者是否为相互独立的组织。本研究得出结论：可基于价值导向实施健康服务管控，且医疗委托方无需修改立法或现有服务体系即可启用价值导向管控模式。未来仍需开展进一步研究，以在实践中验证该模型的有效性。