What Is Value in Health Care?

In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 363; no. 26; pp. 2477 - 2481
Main Author Porter, Michael E
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 23.12.2010
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Summary:In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. Lack of clarity about goals has led to divergent approaches, gaming of the system, and slow progress in performance improvement. Achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes achieved per dollar spent. 1 This goal is what matters for patients and unites . . .
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMp1011024