{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:53:14Z","timestamp":1777852394192,"version":"3.51.4"},"reference-count":48,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Health Management"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>The concept of value-based healthcare (VBH) emerges as a response to traditional models of healthcare system management. More specifically, in radiology, the transition from volume to value has been discussed by its main associations, having as the main concern regarding the role of the specialty in a more integrated healthcare context.<\/jats:p>\n                  <jats:p>Through a qualitative study, this work aims to analyse and evaluate how this new concept can be implemented in radiology by identifying obstacles and mapping the technical and procedural improvements necessary for its correct implementation in the national context of healthcare provision. Through interviews with different elements of the healthcare sector (from doctors to industry partners and researchers), it was possible to draw a set of metrics for measuring the value of radiology, alongside the implementation of a VBH strategy.<\/jats:p>\n                  <jats:p>As the main conclusion, the implementation of a strategic agenda for the creation of value in radiology at the national level should be based on the reduction of variability and the identification of best practices in terms of adequacy, quality, safety and efficiency, aiming to satisfy the needs of requesting doctors and patients.<\/jats:p>","DOI":"10.1177\/09720634221128075","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T02:42:52Z","timestamp":1665196972000},"page":"556-565","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Value-Based Healthcare and Radiology: How can Value be Measured?"],"prefix":"10.1177","volume":"24","author":[{"given":"Filipe Manuel Teixeira Ferreira","family":"Nuno","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"}]},{"given":"Adriana Coutinho","family":"Gradim","sequence":"additional","affiliation":[{"name":"Department of Economics, Management, Industrial Engineering and Tourism, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"}]},{"given":"Ana Alexandra","family":"da Costa Dias","sequence":"additional","affiliation":[{"name":"Department of Economics, Management, Industrial Engineering and Tourism, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"},{"name":"GovCOPP (Governance, Competitiveness and Public Policies) Research Group, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"}]},{"given":"Daniel Ferreira","family":"Pol\u00f3nia","sequence":"additional","affiliation":[{"name":"Department of Economics, Management, Industrial Engineering and Tourism, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"},{"name":"GovCOPP (Governance, Competitiveness and Public Policies) Research Group, Campus Universit\u00e1rio de Santiago, Aveiro, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"bibr1-09720634221128075","author":"APAH","year":"2018","journal-title":"3F \u2013 Financiamento, F\u00f3rmula para o Futuro"},{"key":"bibr2-09720634221128075","author":"APAH, ROCHE, &amp; IQVIA","year":"2018","journal-title":"3F \u2013 Financiamento, F\u00f3rmula para o Futuro"},{"key":"bibr3-09720634221128075","unstructured":"Banco De Portugal. (2020).\n                      Programa de Assist\u00eancia Econ\u00f3mica E Financeira\n                      [Em Linha], Atual. [Consult February 20, 2020]. https:\/\/www.bportugal.pt\/Page\/Programa-De-Assistencia-Economica-E-Financeira."},{"key":"bibr4-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1108\/00251741011041382"},{"key":"bibr5-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2016.08.031"},{"key":"bibr6-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.10.003"},{"key":"bibr7-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.08.023"},{"key":"bibr8-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2015.10.006"},{"key":"bibr9-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1177\/0972063413486025"},{"key":"bibr10-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.12110227"},{"key":"bibr11-09720634221128075","author":"ERS","year":"2019","journal-title":"Sistema Nacional De Avalia\u00e7\u00e3o Em Sa\u00fade"},{"key":"bibr12-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-014-0345-1"},{"key":"bibr13-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-015-0434-9"},{"key":"bibr14-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-017-0566-1"},{"key":"bibr15-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-017-0588-8"},{"key":"bibr16-09720634221128075","first-page":"125","author":"Gefen R.","year":"2017","journal-title":"In Radiology noninterpretive skills: The requisites"},{"key":"bibr17-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2015151169"},{"key":"bibr18-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.03.023"},{"key":"bibr19-09720634221128075","first-page":"35","volume-title":"Pesquisa qualitativa e an\u00e1lise de conte\u00fado - Sentidos e formas de uso","author":"Guerra I. C.","year":"2006","edition":"1"},{"key":"bibr20-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2015.07.014"},{"key":"bibr21-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2018.04.006"},{"key":"bibr22-09720634221128075","unstructured":"International Consortium For Health Outcome Measurements. (2018). Atual."},{"key":"bibr23-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2015.10.004"},{"key":"bibr24-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1787\/18152015"},{"key":"bibr25-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.11.017"},{"key":"bibr26-09720634221128075","volume-title":"Primary care P4p in Portugal country background note","author":"Louren\u00e7o A.","year":"2016"},{"key":"bibr27-09720634221128075","author":"Louren\u00e7o A.","year":"2016","journal-title":"Bundled payment in Portugal: Country background note"},{"key":"bibr28-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2018.07.002"},{"key":"bibr29-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.09.010"},{"key":"bibr30-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2013.07.006"},{"issue":"37","key":"bibr31-09720634221128075","first-page":"7","volume":"22","author":"Moraes R.","year":"1999","journal-title":"Revista Educa\u00e7\u00e3o"},{"key":"bibr32-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2006.06.002"},{"key":"bibr33-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2013.08.009"},{"key":"bibr34-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.05.022"},{"key":"bibr35-09720634221128075","author":"OECD\/European Observatory on Health Systems and Policies","year":"2017","journal-title":"Portugal: Perfil De Sa\u00fade Do Pa\u00eds 2017. [S.L.]"},{"key":"bibr36-09720634221128075","first-page":"89","author":"Organisation for Economic Co-Operation and Development","year":"2017","journal-title":"Recommendations to OECD ministers of health from the high level reflection group on the future of health statistics"},{"key":"bibr37-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.07.036"},{"key":"bibr38-09720634221128075","author":"Pordata","year":"2018","journal-title":"Despesa corrente em cuidados de sa\u00fade em % Do Pib"},{"key":"bibr39-09720634221128075","author":"Porter M. E.","year":"2006","journal-title":"Redefining health care: Creating value-based competition on results. [S.L.]"},{"key":"bibr40-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2012.06.018"},{"key":"bibr41-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s10278-007-9073-0"},{"key":"bibr42-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1007\/s10278-016-9940-7"},{"key":"bibr43-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1148\/rg.351140064"},{"key":"bibr44-09720634221128075","first-page":"29","volume-title":"Retrato Pol\u00edtico Da Sa\u00fade - Depend\u00eancia Do Percurso E Inova\u00e7\u00e3o Em Sa\u00fade: Da Ideologia Ao Desempenho","author":"Sim\u00f5es J.","year":"2009","edition":"11"},{"key":"bibr45-09720634221128075","first-page":"157","author":"Stackelberg O.","year":"2018","journal-title":"Hospital Healthcare Europe"},{"key":"bibr46-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2014.09.014"},{"key":"bibr47-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1177\/0972063417699665"},{"key":"bibr48-09720634221128075","doi-asserted-by":"publisher","DOI":"10.1177\/0972063415625508"}],"container-title":["Journal of Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634221128075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09720634221128075","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634221128075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:35:43Z","timestamp":1777502143000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09720634221128075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,7]]},"references-count":48,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1177\/09720634221128075"],"URL":"https:\/\/doi.org\/10.1177\/09720634221128075","relation":{},"ISSN":["0972-0634","0973-0729"],"issn-type":[{"value":"0972-0634","type":"print"},{"value":"0973-0729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,7]]}}}