Value-based healthcare: a new dawn in colorectal cancer treatment
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2025-06-23
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en
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The Dutch healthcare is under increasing financial pressure due to an aging population. One of the most common diseases under the elderly, and with one of the highest yearly hospital costs, is colorectal cancer. This study aims to investigate whether Dutch hospital decision-makers should opt for the traditional fee-for-service model or the bundled payment model from the value-based healthcare framework in colorectal cancer treatment. A Markov model, grounded in Expected Utility Theory, was made to simulate the disease progression of CRC patients between 55-75 years old. This model showed that the bundled payment model is cost-effective, and cost-saving compared to the fee-for-service model with a difference in cost per patient per year of €387.42, a difference in quality adjusted life-year of 1.19 and an incremental cost-effectiveness ratio of €-3,905.43, all favouring the bundled payment model. However, this analysis is not enough to make a decision on for hospitals as other factors such as attitudes towards financial risk, market dynamics, and institutional utilities also play a role in the decision-making. Future research should be expanded to include these other factors, and hospital decision-makers and policymakers should further prepare hospitals to move towards more value-based healthcare.
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Faculteit der Managementwetenschappen