Revisiting value in health care: A holistic extension of Michael Porter’s framework via a systematic review
Value in health care remains a complex concept, with various definitions depending on the stakeholders involved. Most of these definitions focus on the economic aspect of value. A particularly influential definition is Michael Porter’s 2010 approach, which considers value as the outcomes achieved pe...
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| Auteurs principaux: | , |
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| Format: | Article ou chapitre numérique |
| Langue: | Français |
| Publié: |
2024
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| Sujets: | |
| Accès en ligne: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
| Résumé: | Value in health care remains a complex concept, with various definitions depending on the stakeholders involved. Most of these definitions focus on the economic aspect of value. A particularly influential definition is Michael Porter’s 2010 approach, which considers value as the outcomes achieved per dollar spent. However, this economic perspective is limited, as value in health care should also encompass dimensions such as quality, efficiency, and ethical considerations. Therefore, there is a need to develop a comprehensive framework that models value in health care. The main objective of this paper is to clarify the concept of value, trace its evolution over time, and examine and categorize its specific dimensions. To achieve this, we conducted a systematic literature review on value in health care using the PRISMA 2020 methodology. Initially, we identified 1,209 articles from the Scopus and Web of Science Core Collection databases. After applying inclusion and exclusion criteria, we narrowed this down to 330 articles. Subsequently, we performed text mining and content analysis using VOSviewer software. The results revealed twenty-nine types of value in health care. These types have enabled us to build a holistic framework to model value in this field. This framework, considered an extension of Porter’s, encompasses three main categories of value in health care: organizational; financial and economic; and social. This paper aims to provide hospital and clinical managers, as well as health policymakers, with variables liable to motivate them to assess value within their own organizations. |
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