J Korean Med Sci.  2022 Apr;37(15):e111. 10.3346/jkms.2022.37.e111.

Hospice-Palliative Medicine as a Model of Value-Based Healthcare

• Heo DS
• Yoo SH
• Keam B
• Yoo K
• Choi I
• Kim MJ

• KMID: 2528171
• DOI: http://doi.org/10.3346/jkms.2022.37.e111

Abstract

Advances in medical technology have increased people’s lifespans, and evidence-based medicine that utilizes health technology assessments has contributed significantly to medical development. Owing to the ever-increasing costs of medical services, cost-effectiveness analysis has been adopted to ensure the efficient use of limited healthcare resources. However, problems that cannot be solved through medical technology alone have emerged because of the aging of the global population. When faced with a choice providing lifesustaining treatment to a terminally ill patient or offering them comfortable end-of-life care in a hospice, value-based choice takes precedence over technical judgment. In addition to cost, various values must be considered when making medical decisions. The World Health Organization (WHO) and the Organization for Economic Cooperation and Development (OECD) expect “value-based healthcare” (VBHC) to play a major role in solving these problems. 1 However, the concept itself remains vague and has not attracted significant attention in the field of medicine.