AUTHOR=Pitkänen Laura J. , Leskelä Riikka-Leena , Tolkki Helena , Torkki Paulus TITLE=A Value-Based Steering Model for Healthcare JOURNAL=Frontiers in Health Services VOLUME=1 YEAR=2021 URL=https://www.frontiersin.org/journals/health-services/articles/10.3389/frhs.2021.709271 DOI=10.3389/frhs.2021.709271 ISSN=2813-0146 ABSTRACT=

This article aims to answer how a commissioning body can steer health services based on value in an environment where the commissioner is responsible for the health services of a population with varying health service needs. In this design science study, we constructed a value-based steering model consisting of three parts: (1) the principles of steering; (2) the steering process; and (3) Value Steering Canvas, a concrete tool for steering. The study is based on Finland, a tax-funded healthcare system, where healthcare is a public service. The results can be applied in any system where there is a commissioner and a service provider, whether they are two separate organizations or not. We conclude that steering can be done based on value. The commissioning body can start using value-based steering without changes in legislation or in the present service system. Further research is needed to test the model in practice.