Assessing National Healthcare System Readiness for Value-Based Healthcare Models Implementation
- Authors: Omelyanovsky V.V., Agafonova Y.A., Khayrullin I.I., Khailova Z.V., Komarov Y.I., Kirgizov K.I., Ivanov S.A., Kaprin A.D.
- Issue: Vol 71, No 6 (2025)
- Pages: 1227-1237
- Section: EDITORIALS
- URL: https://ogarev-online.ru/0507-3758/article/view/380458
- ID: 380458
Cite item
Abstract
The oncology care system served as a case study to evaluate the Russian healthcare system’s preparedness for transitioning to value-based healthcare (VBHC) models. In 2024, a working group of leading oncologists and healthcare policy experts conducted a series of meetings focused on implementing VBHC projects within Russian oncology practice. Analysis of international experience and ICHOM consortium outcomes revealed consensus on the importance of incorporating patient-reported outcomes and experiences to enhance care quality. The experts comprehensively reviewed the criteria proposed by the ICHOM Participants reviewed ICHOM’s VBHC research criteria, discussing key metrics, their clinical relevance, and implementation feasibility within Russia’s healthcare context.
The meetings concluded with agreement on developing standardized VBHC methodologies for oncology and expanding educational initiatives for healthcare professionals and patients.
Proposals were made for further educational and organizational initiatives to raise awareness of VBHC principles among healthcare professionals and patients. Particular attention was given to identifying system-specific challenges in adopting value-based approaches in Russian oncology.
Keywords
About the authors
V. Vю Omelyanovsky
Email: agafonova@rosmedex.ru
Yu. A. Agafonova
Email: agafonova@rosmedex.ru
I. I. Khayrullin
Email: agafonova@rosmedex.ru
Zh. V. Khailova
Email: agafonova@rosmedex.ru
Yu. I. Komarov
Email: agafonova@rosmedex.ru
K. I. Kirgizov
Email: agafonova@rosmedex.ru
S. A. Ivanov
Email: agafonova@rosmedex.ru
A. D. Kaprin
Author for correspondence.
Email: agafonova@rosmedex.ru
References
- Консорциум ценностно-ориентированного здравоохране ния. Ценностно-ориентированное здравоохранение.-URL: https://vbhc-consortium.ru/. [Consortium for Value-Based Healthcare. Value-based healthcare.-URL: https://vbhc consortium.ru/ (in Rus)].
- Хатьков И.Е., Минаева О.А., Домрачев С.А., et al. PROM — современный подход к оценке качества жизни пациентов с онкологическими заболеваниями. Терапев тический архив. 2022; 94(1): 122-128.-DOI: https://doi.org/10.26442/00403660.2022.01.201343. [Khatkov I.E.,
- Minaeva O.A., Domrachev S.A., et al. PROM a contemporary approach to assessing the quality of life of patients with cancer. Terapevticheskii Arkhiv (Ter Arkh). 2022; 94(1): 122-128.-DOI: https://doi.org/10.26442/00403660.2022.01.201343 (In Rus)].
- Мусина Н.З., Омельяновский В.В., Гостищев Р.В., et al. Концепция ценностноориентированного здравоохране ния. Фармакоэкономика. Современная фармакоэкономи ка и фармакоэпидемиология. 2020; 13(4): 438-451.-DOI: https://doi.org/10.17749/2070-4909/farmakoekonomi ka.2020.042. [Musina N.Z., Omelyanovskiy V.V., Gos tischev R.V., et al. Concept of value-based healthcare. Farmakoekonomika. Sovremennaya farmakoekonomika i farmakoepidemiologiya. Farmakoekonomika. Modern Phar macoeconomics and Pharmacoepidemiology. 2020; 13(4): 438-451.-DOI: https://doi.org/10.17749/2070-4909/far makoekonomika.2020.042 (in Rus)].
- International Consortium for Health Outcomes Measurement, ICHOM. ICHOM accreditation.-URL: https://www.ichom.org/.
- Morgans A.K., van Bommel A.C.M., Stowell C., et al. Devel opment of a standardized set of patient-centered outcomes for advanced prostate cancer: An international effort for a unified approach. Eur Urol. 2015; 68(5): 891-898.-DOI: https://doi.org/10.1016/j.eururo.2015.06.007.
- Zerillo J.A., Schouwenburg M.G., van Bommel A.C.M, et al. An international collaborative standardizing a comprehen sive patient-centered outcomes measurement set for colorectal cancer. JAMA Oncol. 2017; 3(5): 686-694.-DOI: https://doi.org/10.1001/jamaoncol.2017.0417.
- Martin N.E., Massey L., Stowell C., et al. Defining a standard set of patient-centered outcomes for men with localized pros tate cancer. Eur Urol. 2015; 67(3): 460-467.-DOI: https://doi.org/10.1016/j.eururo.2014.08.075.
- Mak K.S., van Bommel A.C.M., Stowell C., et al. Defin ing a standard set of patient-centred outcomes for lung can cer. Eur Respir J. 2016; 48(3): 852-860.-DOI: https://doi.org/10.1183/13993003.02049-2015.1236 ВОПРОСЫ ОНКОЛОГИИ. 2025;71(6)doi: 10.37469/0507-3758-2025-71-6-OF-2469
- Ong W.L., Schouwenburg M.G., van Bommel A.C.M., et al. A standard set of value-based patient-centered outcomes for breast cancer: The international consortium for health outcomes measurement (ICHOM) initiative. JAMA Oncol. 2017; 3(5): 677-685.-DOI: https://doi.org/10.1001/jamao ncol.2016.4851.
- de Ligt K.M., de Rooij B.H., Hedayati E., et al. Interna tional development of a patient-centered core outcome set for assessing health-related quality of life in metastatic breast cancer patients. Breast Cancer Res Treat. 2023; 198(2): 265-281.-DOI: https://doi.org/10.1007/s10549-022-06827-6.
- Shrestha A., Martin C., Burton M., et al. Quality of life versus length of life considerations in cancer patients: A systematic literature review. Psycho-oncology. 2019; 28(7):1367-1380.-DOI: https://doi.org/10.1002/pon.5054.
- Williams C.P., Miller-Sonet E., Nipp R.D., et al. Importance of quality-of-life priorities and preferences surrounding treat ment decision making in patients with cancer and oncology clinicians. Cancer. 2020; 126(15): 3534-3541.-DOI: https://doi.org/10.1002/cncr.32961.
- Sherry A.D., Miller A.M., Parlapalli J.P., et al. Overall Sur vival and Quality-of-Life Superiority in Modern Phase 3 Oncology Trials: A Meta-Epidemiological Analysis. JAMAOncol. Published online June 1, 2025.-DOI: https://doi.org/10.1001/jamaoncol.2025.1002.
- Young R.C. Value-based cancer care. N Engl J Med. 2015; 373(27): 2593-2595.-DOI: https://doi.org/10.1056/NE JMp1508387.
- Mathew A, Benny SJ, Boby JM, Sirohi B. Value-based care in systemic therapy: The Way forward. Curr Oncol (Toronto, Ont). 2022; 29(8): 5792-5799.-DOI: https://doi.org/10.3390/curroncol29080456.
- Российское общество клинической онкологии (RUSSCO). Критерии оценки клинической значимости применения противоопухолевой терапии.-URL: https://www.roson coweb.ru/standarts/criteria_evaluating_clinical_signif icance_therapy/. [Russian Society of Clinical Oncology (RUSSCO). Criteria for evaluating the clinical significanceof anticancer therapy.-URL: https://www.rosoncoweb.ru/standarts/criteria_evaluating_clinical_significance_ther apy/ (in Rus)].
- Value-Based Radiation Oncology (VBRO). The European So cieTy for Radiotherapy and Oncology.-URL: https://www.estro.org/Advocacy/ECF/Value-Based-HealthCare-(VBHC).
- Lievens Y., Borras J.M., Grau C., Aggarwal A. Value-based radiotherapy: A new chapter of the ESTRO-HERO project. Radiother Oncol. 2021; 160: 236-239.-DOI: https://doi.org/10.1016/j.radonc.2021.05.007.
- Borras J.M., Corral J., Aggarwal A., et al. Innovation, value and reimbursement in radiation and complex surgical oncol ogy: Time to rethink. Radiother Oncol. 2022; 169: 114-123.-DOI:https://doi.org/10.1016/j.radonc.2021.08.002.
- Allen C.J., Johnson F.M., In H., et al. Shifting the focus: Value-based care in surgical oncology. Ann Surg Onco. 2023; 30(7): 3871-3874.-DOI: https://doi.org/10.1245/s10434-023-13369-8.
- Sabet C.J., Jain B., Fayanju O.M. Implementing value-based health care in surgical oncology: A pathway to improved outcomes and efficiency. JCO Oncol Pract. Published online June 2025.-DOI: https://doi.org/10.1200/OP-25-00125.
- Cox J.V., Sprandio J.D., Barkley R. Understanding and surviving the transition to value-based oncology. American Society of Clinical Oncology Educational Book. Published online 2013.-DOI: https://doi.org/10.14694/EdBook_AM.2013.33.e361.
- de Vasconcelos Silva A.C.P., Araujo B.M., Spiegel T., da Cunha Reis A. May value-based healthcare practices contrib ute to comprehensive care for cancer patients? A systematic literature review. J Cancer Policy. 2022; 34: 100350.-DOI: https://doi.org/10.1016/j.jcpo.2022.100350.
- García-Lorenzo B., Subijana A.G.L. de, Alayo I., Fullaon do-Zabala A. Health and economic outcomes for founding medicine on a comparable value: experiences from the VOICE Community in breast and lung cancer. Int J Inte gr Care. 2023; 23(S1).-DOI: https://doi.org/10.5334/ijic.ICIC23149.
- García-Lorenzo B., Gorostiza A., Alayo I., et al. European value-based healthcare benchmarking: moving from theory to practice. Eur J Public Health. 2024; 34(1): 44-51.-DOI: https://doi.org/10.1093/eurpub/ckad181.
- Pramesh C.S., Badwe R.A., Bhoo-Pathy N., et al. Priorities for cancer research in low- and middle-income countries: a global perspective. Nat Med. 2022; 28(4): 649-657.-DOI: https://doi.org/10.1038/s41591-022-01738-x.
- Johansen N.J., Saunders C.M. Value-based care in the world wide battle against cancer. Cureus. 2017; 9(2): e1039.-DOI: https://doi.org/10.7759/cureus.1039.
- Hales S., Chiu A., Husain A., et al. The quality of dy ing and death in cancer and its relationship to palliative care and place of death. J Pain Symptom Manage. 2014; 48(5): 839-851.-DOI: https://doi.org/10.1016/j.jpainsym man.2013.12.240.
- Gutiérrez-Sánchez D., Gómez-García R., Roselló M.L.M., Cuesta-Vargas A.I. The quality of dying and death of ad vanced cancer patients in palliative care and its association with place of death and quality of care. J Hosp Palliat Nurs. 2021; 23(3): 264-270.-DOI: https://doi.org/10.1097/NJH.0000000000000752.
- Pinto S., Lopes S., de Sousa A.B., et al. Patient and fam ily preferences about place of end-of-life care and death: An umbrella review. J Pain Symptom Manage. 2024; 67(5): e439-e452.-DOI: https://doi.org/10.1016/j.jpainsym man.2024.01.014.
- Фадеева Е.В. Паллиативная помощь в России: состояние и проблемы. Социологическая наука и социальная прак тика. 2019; 7(3): 109-119.-DOI: https://doi.org/10.19181/snsp.2019.7.3.6692. [Fadeeva E.V. Palliative care in Rus sia: condition and problems. Sociologicheskaja Nauka i So cial’naja Praktika = Sociological Science and Social Prac tice. 2019; 7(3): 109-119.-DOI: https://doi.org/10.19181/snsp.2019.7.3.6692 (in Rus)].
- Cossio-Gil Y., Omara M., Watson C., et al. The Roadmap for implementing value-based healthcare in european univer sity hospitals-consensus report and recommendations. ISPOR. 2022; 25(7): 1148-1156.-DOI: https://doi.org/10.1016/j.jval.2021.11.1355.
- He W., Li M., Cao L., et al. Introducing value-based health care perspectives into hospital performance assessment: A scoping review. J Evid-Based Med. 2023; 16(2): 200-215.-DOI: https://doi.org/10.1111/jebm.12534.
- Massa I., Ghignone F., Ugolini G., et al. Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer. Int J Colorectal Dis. 2022; 37(7): 1727-1738.-DOI:https://doi.org/10.1007/s00384-022-04203-w.
- Pajewska M., Partyka O., Czerw A. Value based health care — principles and recommendations for organiza-tional solutions in Poland. Przeglad Epidemiologiczny. 2020; 74(4): 707-715.-DOI: https://doi.org/10.32394/pe.74.62.
- Makdisse M., Ramos P., Malheiro D., et al. Value-based healthcare in Latin America: a survey of 70 healthcare pro vider organisations from Argentina, Brazil, Chile, Colombia and Mexico. BMJ Open. 2022; 12(6): e058198.-DOI: https://doi.org/10.1136/bmjopen-2021-058198.
- Kokko P., Kork A.A. Value-based healthcare logics and their implications for Nordic health policies. Health Serv Manag Res. 2021; 34(1): 3-12.-DOI:https://doi.org/10.1177/0951484820971457
Supplementary files
