Person-Centred Value-Based Health Care: Enabling people accessing care and their clinicians to collaborate in a shared goal-setting and decision making process to align care to personal values, goals and preferences

24 May 2024

The second report from the Global Centre of Excellence in Person-Centred Value-Based Health Care (PCVBHC), which focuses on enabling individuals accessing care and their clinicians to collaborate in a shared goal-setting and decision-making process, aligning care with personal values, goals, and preferences. 

The challenges facing health care systems around the world are well understood – in summary: growing demand, constrained financial resources and a workforce crisis. If high quality health care that supports people to live the lives they want to live is to be provided, we need to rethink the relationship between people and the services that provide their care.

Value-Based Health Care (VBHC) aims to sustainably improve the outcomes that matter to people by organising care around individuals with a specific condition, standardising outcome and cost measurement, and then using this data to monitor and compare performance within and between organisations, with the aim of stimulating learning and improvement. In VBHC, value is defined as the achievement of the best possible outcomes for individuals at the lowest possible cost.

Person-Centred Health Care (PeCHC) is about focusing on the needs of individuals. Dimensions of person-centredness that have been described in the literature include:

  1. Shared decision making
  2. Acknowledging each person as a unique individual
  3. Care professionals developing a holistic view, considering all aspects of life of the person
  4. Respectful communication and building a therapeutic alliance
  5. Coordinated and integrated care
  6. Qualities of clinicians such as empathy and self-awareness.

PeCHC principles also encourage meaningful involvement of the individual in the design of care delivery. Its essence is to link personal values, goals and preferences, with the principle of standardised measurement and benchmarking in VBHC, underpinned by the equitable allocation of finite resources.
This report seeks to provide a comprehensive roadmap for PeCHC, that organisations and clinicians can follow to effectively integrate personalised care into their practices.

Read the full report here.

This report was created with the invaluable support of a Community of Experts and Industry Advisory Panel.

Author:

Srur A, Kelley T, Bos WJ, Edwards A, Jakab I, Joseph-Williams N, Kidanemariam M, Lander C, Lehman R, McCaffery K, Montori V, Redding D, Rogan E, Sanderson J, Slade S, South K, Tinetti M, Weel A, Allvin T, Saunders C.