Healthcare expenditures currently account for 18% of the United States Gross Domestic Product (GDP). Some experts have suggested that an emphasis on value may be an effective strategy to evaluate healthcare costs. In a recent article published in the inaugural issue of JBJS Reviews, authors Benedict U. Nwachukwu, MD, MBA; Kamran S. Hamid, MD, MPH; and Kevin J. Bozic, MD, MBA, argue that understanding value necessitates measuring outcome and cost at the patient level, and that the focus should be on results from validated disease-specific patient-reported outcome measures and health-related quality-of-life measures, measured across the continuum of a patient's care cycle.
"As the United States healthcare system shifts from one that rewards and incentives volume and intensity of services delivered to a more value-conscious payment and delivery system, orthopedic surgeons will increasingly need to understand and implement the principles of value-based healthcare, " said Dr. Bozic, orthopedic surgeon, health policy researcher, and senior author of the study. "Our manuscript outlines some of the key principles and strategies that will enable orthopedic surgeons to collaborate with other healthcare stakeholders to improve the value of musculoskeletal care."
"Medical practice around the world is changing rapidly. Aspects of patient care that historically have been costly in terms of dollars spent and adverse events incurred are coming under much greater scrutiny," explained Thomas A. Einhorn, MD, Editor of JBJS Reviews. "While many have suggested that an emphasis on value may be an effective way to control costs in health care, the value framework is poorly understood. This article clarifies many of these concepts and provides a basis on which orthopedic surgeons and trainees can understand important issues for the future of orthopedic practice as the rapidly changing environment surrounding us continues to take hold."
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