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Perceived Applicability of Value-Based Healthcare in Military Health Systems: Results From a Pilot Survey Study.

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Title: Perceived Applicability of Value-Based Healthcare in Military Health Systems: Results From a Pilot Survey Study.
Authors: van der Wal, Henk1,2 (AUTHOR) h.vanderwal.1@erasmusmc.nl, Sedivcova, Veronika3 (AUTHOR), Maas, Fleur1,2 (AUTHOR), Nishikawa, Brett4 (AUTHOR), Lamb, Diane5 (AUTHOR), Dijksma, Iris2 (AUTHOR), Frassini, Jacopo6 (AUTHOR), Ivan, Marián7 (AUTHOR), Hoencamp, Rigo1,2 (AUTHOR), Schvach, Hynek3 (AUTHOR)
Source: Inquiry (00469580). 3/8/2026, Vol. 63, p1-9. 9p.
Subject Terms: *Adult education workshops, Cross-sectional method, Research funding, Value-based healthcare, Pilot projects, Statistical sampling, Fisher exact test, Leadership, Descriptive statistics, Inferential statistics, Military medicine, Stakeholder analysis, Data analysis software, Patient care conferences, Health care teams
Geographic Terms: Poland, Hungary, Czech Republic, Slovakia
Abstract: Value-Based Healthcare (VBHC) is gaining traction in civilian systems, but its relevance and feasibility for Military Health Systems (MHSs) in Central and Eastern Europe (CEE) remain unclear. This pilot study explored familiarity, perceived applicability and desirability of VBHC among military healthcare stakeholders. A pilot cross-sectional perception study was conducted during the 2024 VIMIMED Military Medicine Conference, combining a brief expert introduction with a structured survey. The survey assessed baseline familiarity, perceived applicability in home-base and operational care, and desirability of VBHC implementation. Descriptive statistics were used. The association between familiarity and desirability was explored using Fisher's exact test. Among 65 workshop participants, 37 completed the survey. Over half of respondents reported low baseline familiarity with VBHC (51.4%). Despite this, VBHC was widely perceived as desirable (89.1%). No statistically significant association was found between familiarity and desirability (Fisher's exact test, P =.672). Thirty-five respondents considered VBHC applicable in at least one domain and were included in component-level analyses. The components "multidisciplinary team," "educate, innovate & improve," and "IT & data" were most frequently endorsed as applicable. Respondents who perceived VBHC as applicable in both home-base and operational care tended to endorse more components than those who perceived applicability in home-base care only. Despite limited baseline familiarity, VBHC was widely perceived as desirable and contextually applicable within CEE MHSs. These exploratory findings suggest potential for targeted, phased integration of selected VBHC components. Larger and, more representative studies are needed to assess implementation feasibility, pathways, and sustainability of VBHC in MHSs. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Perceived Applicability of Value-Based Healthcare in Military Health Systems: Results From a Pilot Survey Study.
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  Data: <searchLink fieldCode="AR" term="%22van+der+Wal%2C+Henk%22">van der Wal, Henk</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> h.vanderwal.1@erasmusmc.nl</i><br /><searchLink fieldCode="AR" term="%22Sedivcova%2C+Veronika%22">Sedivcova, Veronika</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maas%2C+Fleur%22">Maas, Fleur</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nishikawa%2C+Brett%22">Nishikawa, Brett</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lamb%2C+Diane%22">Lamb, Diane</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dijksma%2C+Iris%22">Dijksma, Iris</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frassini%2C+Jacopo%22">Frassini, Jacopo</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ivan%2C+Marián%22">Ivan, Marián</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hoencamp%2C+Rigo%22">Hoencamp, Rigo</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schvach%2C+Hynek%22">Schvach, Hynek</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 3/8/2026, Vol. 63, p1-9. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Value-based+healthcare%22">Value-based healthcare</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Leadership%22">Leadership</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Inferential+statistics%22">Inferential statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Military+medicine%22">Military medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Stakeholder+analysis%22">Stakeholder analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+care+conferences%22">Patient care conferences</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Poland%22">Poland</searchLink><br /><searchLink fieldCode="DE" term="%22Hungary%22">Hungary</searchLink><br /><searchLink fieldCode="DE" term="%22Czech+Republic%22">Czech Republic</searchLink><br /><searchLink fieldCode="DE" term="%22Slovakia%22">Slovakia</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Value-Based Healthcare (VBHC) is gaining traction in civilian systems, but its relevance and feasibility for Military Health Systems (MHSs) in Central and Eastern Europe (CEE) remain unclear. This pilot study explored familiarity, perceived applicability and desirability of VBHC among military healthcare stakeholders. A pilot cross-sectional perception study was conducted during the 2024 VIMIMED Military Medicine Conference, combining a brief expert introduction with a structured survey. The survey assessed baseline familiarity, perceived applicability in home-base and operational care, and desirability of VBHC implementation. Descriptive statistics were used. The association between familiarity and desirability was explored using Fisher's exact test. Among 65 workshop participants, 37 completed the survey. Over half of respondents reported low baseline familiarity with VBHC (51.4%). Despite this, VBHC was widely perceived as desirable (89.1%). No statistically significant association was found between familiarity and desirability (Fisher's exact test, P =.672). Thirty-five respondents considered VBHC applicable in at least one domain and were included in component-level analyses. The components "multidisciplinary team," "educate, innovate & improve," and "IT & data" were most frequently endorsed as applicable. Respondents who perceived VBHC as applicable in both home-base and operational care tended to endorse more components than those who perceived applicability in home-base care only. Despite limited baseline familiarity, VBHC was widely perceived as desirable and contextually applicable within CEE MHSs. These exploratory findings suggest potential for targeted, phased integration of selected VBHC components. Larger and, more representative studies are needed to assess implementation feasibility, pathways, and sustainability of VBHC in MHSs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00469580261427434
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        Text: English
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        Type: general
      – SubjectFull: Cross-sectional method
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      – SubjectFull: Research funding
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      – SubjectFull: Inferential statistics
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      – SubjectFull: Military medicine
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              Text: 3/8/2026
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