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Table 1 Four discourses on VBHC

From: Redefining value: a discourse analysis on value-based health care

  PEMP GOV PROF CRI
VBHC Framework for improving patients’ position regarding medical choices Toolkit to steer and incentivize providers Methodology for optimizing healthcare delivery Dogma of manufacturability
Assumption Patients in disadvantaged position, inequality in patient doctor relation Incentives can improve behavior of medical professionals Professionals intrinsically motivated to serve patients interest and deliver value Health care is too complex for standardized value
Main use of outcome info Choice information (for patients) To stimulate professionals Professional learning and improving Learning and within patient-doctor relation
SDM End goal: would require and demonstrate empowered patients. Way to enable patients to act upon outcome information. Way to improve care delivery and create value for individual patient. Great: addressing individual needs in cooperative relation.