A Health Care Value Framework for Physical Therapy Primary Health Care Organizations

Background and Objective: To develop a health care value framework for physical therapy primary health care
organizations including a definition. Method: A scoping review was performed. First, relevant studies were identified
in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were
performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition
was explored by physical therapy primary health care organization experts. Results: Numerical and thematic data on
health care quality and context-specific performance resulted in a health care value framework for physical therapy
primary health care organizations—including a definition of health care value, namely “to continuously attain physical
therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered
outcomes, leveraged by an organization’s capacity for change.” Conclusion: Prior literature mainly discussed health
care quality and context-specific performance for primary health care organizations separately. The current study met
the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a
large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous
health care quality and context-specific performance. Future research is recommended on longitudinal exploration of
the HV (health care value) framework.