Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot180510.32687/0869-866X-2024-32-s2-1079-1084Научная статьяEXPERIENCE IN IMPLEMENTING PROJECTS ON THE INTRODUCTION OF VALUE-BASED HEALTHCARE IN FOREIGN COUNTRIESBudarinS. S.DerbenevD. P.ElbekYu. V.Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department, 115088, Moscow, Russia08112024321079108402072025Copyright © 1970,1970The introduction of value-based healthcare is considered as the most promising area of healthcare system reform in different countries, regardless of the level of their socio-economic development. The definition of value-based in healthcare is defined by M. Porter and E. Tysberg, which is formulated as the ratio of the results that are important to patients to the costs incurred to achieve these results. The purpose of this study is to study the experience of foreign medical organizations in the implementation of value-based healthcare and generalize the main stages and factors influencing its implementation.CROMPROMPREMvalue-based healthcarestandard set of indicatorsCROMPROMPREMpatient valuescostsprojectimplementationmedical organizationsценностно-ориентированное здравоохранениестандартный набор показателейценности для пациентазатратыпроектвнедрениемедицинские организации1.Зуенкова Ю. А. Ценностно-ориентированный подход: анализ руководства Европейского института инноваций и технологий // Медицинские технологии. Оценка и выбор. 2021. Т. 1, №43. С. 28—35.2.Varela-Rodríguez C., García-Casanovas A., Baselga-Penalva B., Ruiz-López P. M. Value-based healthcare project implementation in a hierarchical tertiary hospital: lessons learned // Front. Public Health. 2022. Vol. 9. P. 755166.3.Putera I. Redefining health: implication for value-based healthcare reform // Cureus. 2017. Vol. 9, N 3. P. e1067.4.Thomas T. L., Goh G. S., Tosti R., Beredjiklian P. K. Identifying high direct variable costs of open carpal tunnel release patients using time-driven activity-based costing // J. Hand Surg. Am. 2023. Vol. 48, N 5. P. 427—434.5.Steinmann G., van de Bovenkamp H., de Bont A. et al. Redefining value: a discourse analysis on value-based health care // BMC Health Serv. Res. 2020. Vol. 20, N 1. P. 862.6.Daniels K., Rouppe van der Voort M. B.V., Biesma D. H. et al. Five years’ experience with value-based quality improvement teams: the key factors to a successful implementation in hospital care // BMC Health Serv. Res. 2022. Vol. 22, N 1. P. 1271.7.van Egdom L. S.E., Hazelzet J. A., Koppert L. B. Reply to: Moving forward with value-based healthcare: the need for a scientific approach // Eur. J. Surg. Oncol. 2019. Vol. 45, N 7. P. 1300.8.Zipfel N., van der Nat P. B., Rensing B. J.W.M., Daeter E. J. et al. The implementation of change model adds value to value-based healthcare: a qualitative study // BMC Health Serv. Res. 2019. Vol. 19, N 1. P. 643.9.Heijsters F. A.C.J., van Breda F. G.F., van Nassau F. et al. A pragmatic approach for implementation of value-based healthcare in Amsterdam UMC, the Netherlands // BMC Health Serv. Res. 2022. Vol. 22, N 1. P. 550.10.Cossio-Gil Y., Omara M., Watson C. et al. The roadmap for implementing value-based healthcare in European university hospitals — Consensus report and recommendations // Value Health. 2022. Vol. 25, N 7. P. 1148—1156.