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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...

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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
first_indexed 2025-05-29T15:15:20Z
last_indexed 2025-05-30T06:10:18Z
id cronfa69588
recordtype RisThesis
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spelling 2025-05-29T16:39:33.5043814 v2 69588 2025-05-29 To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare ad68c6ccb5b9ae158e04f2f417464423 MARC PENNY MARC PENNY true false 2025-05-29 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. E-Thesis Swansea, Wales, UK Value Based Healthcare, VBHC, Healthcare, Change, Socio-Technical System Theory, STS, NHS 7 5 2025 2025-05-07 10.23889/SUthesis.69588 COLLEGE NANME COLLEGE CODE Swansea University Rich, Nick ; Brooks, Simon Doctoral Professional Doctorate Welsh Government Welsh Government 2025-05-29T16:39:33.5043814 2025-05-29T15:47:24.5916054 Faculty of Humanities and Social Sciences School of Management - Business Management MARC PENNY 1 69588__34357__4a03b5da65064d08ba0deded4678ebd1.pdf Penny_Marc_A_M_DBA_Thesis_Final_Cronfa.pdf 2025-05-29T16:36:51.5379344 Output 12866650 application/pdf E-Thesis – open access true Copyright: The Author, Marc A. M. Penny, 2025. true eng
title To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
spellingShingle To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
MARC PENNY
title_short To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
title_full To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
title_fullStr To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
title_full_unstemmed To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
title_sort To what extent does professional value and engagement play a role in the sustainable delivery of value based healthcare
author_id_str_mv ad68c6ccb5b9ae158e04f2f417464423
author_id_fullname_str_mv ad68c6ccb5b9ae158e04f2f417464423_***_MARC PENNY
author MARC PENNY
author2 MARC PENNY
format E-Thesis
publishDate 2025
institution Swansea University
doi_str_mv 10.23889/SUthesis.69588
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
document_store_str 1
active_str 0
description 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.
published_date 2025-05-07T05:25:05Z
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score 11.089594

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