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What Is Value in Health Care?
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2010
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Health AdministrationValue TheoryHealth Care FinanceHealth Care ManagementHealth OutcomesHospital MedicineSustainable HealthcarePrimary CareSlow ProgressPublic HealthHealth Services ResearchDollar Spent.1Health PolicyOutcomes ResearchHealthcare ValueQuality ImprovementNursingHealthcare QualityHealth ManagementHealth EconomicsPatient SafetyPatient-centered OutcomeMedicinePatient Satisfaction
Health‑care performance depends on a shared goal, yet stakeholders pursue conflicting aims—access, profitability, quality, cost containment, safety, convenience, patient‑centeredness, and satisfaction—leading to divergent approaches, gaming, and slow progress. The authors argue that high value, defined as health outcomes per dollar spent, must become the overarching goal of health‑care delivery. No additional information.
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 . . .