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Which core practices contribute to the sustained effectiveness of value-based healthcare?
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This thesis explores the sustainable implementation of Value-Based Health Care (VBHC) by
developing a self-guiding, adaptive framework tailored to global healthcare contexts. Existing
linear approaches have resulted in fragmented adoption due to systemic barriers and lack of
sustainable integration. The proposed 'hammer-throw model' addresses these challenges with a
flexible, evolving strategy that emphasizes iterative processes, including contracting, financial
incentives, communication and cultural change. Based on a literature review and 12 high-level
expert interviews, this model offers hospitals as well as health care organisations a roadmap
for transitioning from volume-based to value-based care, with a focus on sustainability and
patient-centred outcomes.
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Value based health care Implementation Change management Patient centered care