A Health Care Value Framework for Physical Therapy Primary Health Care Organizations

Qual Manag Health Care. 2021 Jan/Mar 01;30(1):27-35. doi: 10.1097/QMH.0000000000000289.

Abstract

Background and objective: To develop a health care value framework for physical therapy primary health care organizations including a definition.

Method: A scoping review was performed. First, relevant studies were identified in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition was explored by physical therapy primary health care organization experts.

Results: Numerical and thematic data on health care quality and context-specific performance resulted in a health care value framework for physical therapy primary health care organizations-including a definition of health care value, namely "to continuously attain physical therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered outcomes, leveraged by an organization's capacity for change."

Conclusion: Prior literature mainly discussed health care quality and context-specific performance for primary health care organizations separately. The current study met the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous health care quality and context-specific performance. Future research is recommended on longitudinal exploration of the HV (health care value) framework.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care*
  • Health Facilities
  • Humans
  • Physical Therapy Modalities
  • Primary Health Care*
  • Quality of Health Care