Collaborating to deliver value in health care: exploring conditions required for successful healthcare and life science sector collaboration

Purpose: The UK Government-funded National Health Service (NHS) is experiencing significant pressures owing to the complexity of challenges to, and demands of, healthcare provision. This situation has driven government policy level support for transformational change initiatives, such as Value-Based Health Care (VBHC), through closer alignment and collaboration across the healthcare system-life science sector nexus. The purpose of this paper is to evaluate the necessary antecedents to collaboration in VBHC through a critical exploration of the existing literature, with a view to establishing the foundations for further development of policy, practice and theory in this fieldDesign/methodology/approach: A literature review was conducted via searches on Scopus and Google Scholar between 2009-2019 for peer-reviewed articles containing keywords and phrases ‘Value-based healthcare industry’ and ‘healthcare industry collaboration’. Refinement of the results led to the identification of ‘guiding conditions’ for collaboration in VBHC.Findings: Five literature-derived guiding conditions (GCs) were identified as necessary for the successful implementation of initiatives such as VBHC through system-sector collaboration. These are: a multi-disciplinarity; use of appropriate technological infrastructure; capturing meaningful metrics; understanding the total cycle-of-care; financial flexibility. The paper outlines research opportunities to empirically test the relevance of the five GCs with regard to improving system-sector collaboration on VBHC

A feasibility study of the Redesigning Daily Occupations (ReDOTM-10) programme in an Irish context

Despite high demand, mental health services in primary care in Ireland are underdeveloped. People with mild/moderate anxiety, depression and unspecified psychological distress are frequently seen in primary care settings, mostly by general practitioners (GPs). Occupational therapists have the potential to contribute to service-provision with interventions specially designed for the targeted group e.g. the Redesigning Daily Occupations programme (ReDO-10). This study aimed to explore the feasibility of a future RCT of the ReDO-10 programme in Ireland and the contextual factors that would influence future implementation. Using a multi-phase, mixed-method design, qualitative and quantitative data were gathered from key stakeholders: ReDO-10 participants (n¿=¿10), GPs (n¿=¿9) and occupational therapists (n¿=¿2). Acceptability, satisfaction, cultural fit and demand were explored, as well as methodological issues such as appropriateness of recruitment methods, outcome measures and randomization. ReDO-10 was acceptable to participants who reported improvements in their occupational patterns and valued the group-based format. GPs and occupational therapists welcomed the intervention, but acknowledged the limitations of time and resources in the Irish primary care context. ReDO-10 is feasible to explore in a future RCT in Ireland and this study provides important context for future implementation and/or research.This study was supported by the Further Education Fund and the Millennium Research Fund at the National University of Ireland, Galway. Lund University, Sweden, provided funding for the ReDO training to be delivered to occupational therapists in Ireland for the purposes of this study.2022-02-0