Medical Students’ Awareness About Value-Based Health Care in Brazil: A Cross Sectional Study

• DOI: 10.5195/ijms.2022.1253
• Publication Date: 2022-04-04T14:30:41Z
• Authors: Gustavo Hirt; Fernanda Gushken; Guilherme Borges ...; Daniel Lacerda He...; Luciano Castro Go...; Daniel Tavares Ma...; Marcia Makdisse
• Keywords: Cross-sectional study; Univariate

Background: The rising healthcare costs demand a transition from the current fee-for-service to Value-Based Health Care (VBHC) Model. This requires all future doctors understand VBHC. We aimed evaluate VBHC awareness-level among Brazilian medical students and identify associated intrinsic/extrinsic factors. Methods: was survey based, cross-sectional study, conducted through an online applied schools. A descriptive analysis based on participants' level of awareness about performed. categorical variables included were absolute relative frequencies using chi square tests. multivariate binary logistic regression performed by calculating odds ratio (OR) 95% confidence intervals (95%CI), compare each response according awareness. Results: collected 3030 responses, 148 Medical Schools across states. compared in 2 groups; 1 familiar with (14%; 426); not (86%; 2575). univariate showed that group more willing share clinical outcomes/costs data related their practice (57.04%) (48.12%). internship experience most relevant factor exposure (OR 4.32 [CI 1.82 - 10.24]). Conclusion: found few concepts, due self-education efforts. Our results suggest schools have potential reinforce both intrinsic extrinsic factors knowledge prepare value-driven context.