SIDIKA KAYA

and 1 more

Objective: In the healthcare system, it is discussed worldwide in the evaluation of appropriate payment. To improve productivity, economic efficiency and quality of care, patient-centered repayment models need to be improved. Value-based payment reforms are designed to reduce healthcare spending, promote high-quality care, and ensure that healthcare is paid for quality rather than quantity. In this study, it is aimed to get the opinions of the participants about this method, to determine what the value means, with which parameters it can be measured. Methods: Grounded theory approach and delphi technique, one of the qualitative study methods, are used in the study. In accordance with the purpose of the thesis, 28 participants among the health system stakeholders are determined through purposeful sampling. Analysis of the data is done through Maxquda 2020. The value parameters obtained because of the qualitative analysis are graded by the participants according to their importance with the delphi study. Results: At the end of the study, the value in health is defined as “a quality service”. Although there are some deficiencies, the participants think that the value-based repayment method should be applied. In the study, 15 parameters that can be used in the calculation of the value are determined. It is recommended to take measures against those who will oppose the transition and the groups that do not want to innovate. As a result, it is thought that Turkey will be successful by making the necessary revisions in the value-based payment method.