The Patient Priority in a Policy Maker’s World: A Critique of Person-Centred and Value-Based Health Care as the
Health System Model of the Future
Nina Roxburgh1, Monash University Clayton 1Monash University, Clayton, VIC, Australia
Abstract
A person-centred and value-based model of health care argues for reorganising health care around systematic measurement of health experiences and outcomes, coupled with innovative digital solutions, reimagined payment systems and a focus on delivering care that ‘matters to patients’. It is evident, both internationally and in Australia, that policy makers are trending towards person-centred and value-based approaches to health care. In this presentation, I offer three critiques of this approach: (1) the challenge of managing competing or opposing health goals and preferences of diverse stakeholders; (2) the issue of reliance on outsourcing responsibility of care; and (3) the bi-directional burden of disclosure on patients and clinicians.
Ultimately, I argue that person-centred and value-based health care appears to promote increased responsibility for one’s own health, and this raises significant ethical questions on the grounds of equity and justice. Thus, we must proceed with caution when policy makers co-opt these terms in public discourse.
Biography
Bio to come