On-Site PhD conferral mrs. Lorette A. Stammen
Supervisors: prof.dr. L.P. Stassen, prof.dr. E. Driessen, prof.dr. F. Scheele, VUA
Co-supervisor: dr. R. Stalmeijer
Key words: medical education, value-based medicine
"Pursuing High-Value, Cost-Conscious Care. The Role of Medical Education"
It is estimated that 30% of healthcare costs could be avoided, and eliminating these costs would not negatively affect quality of care. High-value, cost-conscious care (HV3C) refers to care aimed at balancing the benefit, harm, and cost of interventions, and focused on delivering care that adds value. HV3C is essential to keep our healthcare system affordable and accessible to all. This research was conducted with the goal of understanding of how future physicians are trained to deliver HV3C and how medical education can support this training.
This research revealed the important role of the environment in which future physicians are trained. Besides important elements of training such as knowledge transfer (healthcare costs, patients preferences) and reflective practice (feedback, reflective questions), we should focus on the norms and beliefs of the workplace. Individual approaches, of both residents and supervisors, strongly influence if and how HV3C is taught. The final chapter contains 12 tips for training physicians in the delivery of high-value, cost-conscious care.