Carter, Alexander W. 
ORCID: 0000-0003-3793-407X, Main, Caitlin, Cherla, Avinash, Anderson, Michael ORCID: 0000-0002-8454-4640 and Van Kessel, Robin ORCID: 0000-0001-6309-6343
(2025)
Building blocks of value creation within value-based health systems: a Delphi study.
Value in Health.
ISSN 1098-3015
(In Press)
Abstract
Objectives Health technologies can provide significant value to health systems, but identifying and structuring the factors that drive this value is crucial for informed resource allocation. This study aims to develop a consensus-driven framework that defines the key factors influencing value creation in health technologies and identifies system-level barriers that may limit their potential impact. Methods A mixed-method approach was employed, starting with a targeted review resulting in 21 frameworks that informed an initial framework draft. A three-round web-based Delphi exercise was conducted with 22 experts from academia, industry, patient representation, policymaking, and healthcare regulation. In Round 1, participants contributed value statements—specific characteristics influencing value creation—within the initial framework. Thematic analysis using NVivo consolidated these into a comprehensive framework. Rounds 2 and 3 involved participants rating the importance of these co-created statements on a 5-point Likert scale. Results The scoping review yielded eight value domains (politics, health system organisation, governance, financing, resource generation, providers, private industry, and technology features) with 44 sub-domains. The Delphi exercise ultimately generated 61 value statements for these 44-sub domains, with 17 achieving consensus and stability. Conclusions The resulting value framework offers an evidence-based, system-centred approach to value assessment, incorporating diverse stakeholder perspectives and system factors. This approach addresses gaps in current value capture . Future research should focus on validating the domains and sub-domains identified in this framework across different healthcare settings.
| Item Type: | Article |
|---|---|
| Additional Information: | © 2025, International Society for Pharmacoeconomics and Outcomes Research, Inc. |
| Divisions: | Health Policy LSE Health |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Date Deposited: | 07 Jul 2025 10:36 |
| Last Modified: | 10 Jul 2025 08:12 |
| URI: | http://eprints.lse.ac.uk/id/eprint/128650 |
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