Guidelines for the introduction of value-based medical treatment in Slovenia, prepared by an expert group, were presented at the Medical Chamber. The document envisages measuring the effect of treatment on the patient’s health and quality of life.
In Slovenia, there are many indicators that measure errors in treatment processes, but indicators that would measure the effect of treatment on the health of the population are practically not used, a member of the expert group emphasized at the press conference Dorjan Marušič. Thus, we do not know which procedures, medicines and other medical technologies have any effect on the health status of the population. The results of medical treatment cannot be compared with the costs of treatment, Marušič emphasized.
Value-based medical treatment (NaVTeZ) is a concept where patients and all other stakeholders jointly and in a coordinated manner define the success of medical treatment outcomes that are important to the patient, at the lowest costs. “Through which we achieve that the performed medical services have the highest possible value for the patient,” said the president of the expert group Valentina Prevolnik Rupel.
“Involving the patient in the treatment process is becoming a new challenge and added value,” pointed out the president of the medical association Bojana Beović. NaVTeZ is a health care delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. “Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic diseases, and help them live healthier lives in an evidence-based way.” she said.
The introduction of NaVTeZ is also supported by the Institute for Health Insurance of Slovenia (ZZZS), as the most favorable outcome of treatment for patients and improvement of their quality of life is important to them. “In parallel, we also monitor this goal financially, namely in the sense that the treatment method is also cost-effective in the long term, as it is necessary to follow the maximum efficiency of the use of purposefully collected public funds.” wrote the general director of ZZZS in the introduction to the guidelines Tatjana Mlakar.
The expert group also conducted a survey among stakeholders, which showed that 81 percent of those surveyed support the introduction of NaVTeZ, and they see the biggest obstacles in the fact that contractors do not have sufficient resources for data analysis and in insufficient information support.