E-Thesis 318 views 1352 downloads
To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare / MARC PENNY
Swansea University Author: MARC PENNY
DOI (Published version): 10.23889/SUthesis.69588
Abstract
This research critically examines the role of professional value and engagement in sustaining Value Based Healthcare in publicly funded healthcare organisations. Originally conceptualised in the United States of America to enhance healthcare efficiency and effectiveness, Value Based Healthcare is ga...
| Published: |
Swansea, Wales, UK
2025
|
|---|---|
| Institution: | Swansea University |
| Degree level: | Doctoral |
| Degree name: | Professional Doctorate |
| Supervisor: | Rich, Nick ; Brooks, Simon |
| URI: | https://cronfa.swan.ac.uk/Record/cronfa69588 |
| Abstract: |
This research critically examines the role of professional value and engagement in sustaining Value Based Healthcare in publicly funded healthcare organisations. Originally conceptualised in the United States of America to enhance healthcare efficiency and effectiveness, Value Based Healthcare is gaining global traction. However, its implementation in publicly funded systems like the NHS presents challenges, particularly in organisational change, professional engagement and culture. Using a socio-technical systems perspective, this study recognises healthcare as a complex system requiring alignment between social and technical components. It explores how professionals perceive value in Value Based Healthcare initiatives and the factors influencing their engagement. A mixed-methods approach, combining qualitative interviews and quantitative survey data, provides a comprehensive understanding of professional value within Value Based Healthcare frameworks. Key findings reveal that successful Value Based Healthcare implementation depends on core themes underpinning professional value: Engagement, Individual Consequence, Shared Aims, Ownership and Skills Development. Addressing change management challenges — such as resistance, cultural adaptation and organisational readiness — is essential for sustainability. The study highlights the direct and ensuring professionals also derive value. It proposes adding ‘Professional Value’ as a core domain within Value Based Healthcare, alongside existing Personal, Societal, Allocative and Technical values. This research contributes to academic discourse and healthcare management by integrating professional value into Value Based Healthcare sustainability strategies. The findings offer valuable insights for policymakers, healthcare leaders and practitioners seeking to enhance Value Based Healthcare’s long-term effectiveness. Ultimately, it advances understanding of how professional engagement is a critical enabler in realising Value Based Healthcare’s full potential, ensuring better patient outcomes and system-wide improvements. |
|---|---|
| Keywords: |
Value Based Healthcare, VBHC, Healthcare, Change, Socio-Technical System Theory, STS, NHS |
| College: |
Faculty of Humanities and Social Sciences |
| Funders: |
Welsh Government |