Programme no. 546-OP
Values-based medicine, EBM and money
1Swedish Society of Medicin,Stockholm,Sweden
* = Presenting author
Objectives: To highlight the importance of values-based medicine and patient-centeredness to ensure exercising true EBM
Background: There is an ongoing controversy over how tax revenues are distributed in health care systems and how the authorities' control systems must be designed to ensure that the professionals use resources appropriately. Since the 1990s, the concept of New Public Management, NPM, has been introduced in health care systems in many Western countries. Over time, more and more negative effects associated with NPM have been identified, particularly in health care.In recent years another concept to direct health care professionals, Value-Based Health Care, has been widely suggested. There seems to be a an essential misunderstanding and violation ofthe original idea of ”values-based medicine”. In value-based healthcare, value equals money. In values-based medicin, value means the patient's personal values. Patient-centeredness is a prerequisite clarifying the patient’s personal values.
Results: A contributionton to clarify the importance of the patient’s values relatively to purely medical and economic value in the ongoing controversy over the governance of health care
Material/Methods: Conclusions from a working group within The Swedish Society of Medicin
Conclusion: Patient-centeredness is a method that requires individual skills that can be taught and trained and it aims to identify the patient's values. To a proper application of EBM, values-based medicin is required. When value in medicine is defined as economic value, it infringes on fundamental ethical values, democratic priorities and shared decision-making.
Points for discussion: Strategies for general practice at all levels to contribute to a patient-centered, values-based medicine. How can general practioners take responsibility for cost effectiveness at the same time