Redefining Health: Implication for Value-Based Healthcare Reform

Abstract

Health definition consists three domains, namely physicial, mental and social health, that should be prioritized in delivering healthcare. The emergence of chronic diseases in the aging populations has been a barrier to the realization of healthier society. The value-based healthcare concept seems in line with the true health objectives: increasing value. Value is created from health outcomes which matter to patient relative to cost of achieving those outcomes. The health outcomes should include all domain of health in a full cycle of care. To implement value-based healthcare, transformations need to be done by both health providers and patients: establishing true health outcomes, strenghtening primary care, buidling integrated health system, implementing appropriate health payment scheme that promote value and reduce moral hazards, enabling health information technology, and policy that fits well with community.