DOI: 10.5061/dryad.rr4xgxdgf
title: Value-based healthcare from a military health system perspective: a systematic review

description: The aim of this systematic review was to provide an overview of
 value-based healthcare (VBHC) strategies and/or components within military
 medicine. For this purpose, the extent to which VBHC has been applied
 within a military health system (MHS), with emphasis on military trauma
 care was assessed. This systematic review followed the Preferred
 Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)
 guidelines. Data sources include Medline, Embase, Web of Science
 CC, and the Cochrane CRCT databases were searched from 1946 to the present
 for VBHC strategies and/or components and military settings, including
 associated keywords. We included observational and trial studies
 focused on the presence of VBHC components and/or systems, and the
 presence of acute/trauma operational care or definitive post-operational
 care regarding combat-injured service members. The included articles were
 classified into injury-related and system-level studies. Two independent
 reviewers used standardised methods to search, screen and code included
 studies. For quality assessment the mixed methods appraisal tool (MMAT)
 Version 2018 was used. A total of 3241 publications were
 screened, and 18 were included for data extraction. 15 studies focused on
 (military) medical trauma-related conditions (injury groups), and 3
 studies focused on an MHS approach. Four articles contained the two VBHC
 components (‘creating an integrated practice unit (IPU)’ and ‘measuring
 outcomes and costs for every patient’) considered the basis for successful
 implementation. The “outcomes and costs” and “patient-centred care”
 components were most prevalent as respectively mentioned in 17 and 8
 included studies. The systematic review showed the application of VBHC
 components in military medicine, although the use of standard VBHC
 terminology is not consistently applied. This study suggests that
 implementing VBHC as a concept in military healthcare could enhance
 benchmarking to provide insight into health outcomes (both clinically- and
 patient-reported) and overall quality of care.
description: This systematic review followed the Preferred Reporting Items for
 Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
description: # Value-based healthcare from a military health system perspective: a
 systematic review
 [https://doi.org/10.5061/dryad.rr4xgxdgf](https://doi.org/10.5061/dryad.rr4xgxdgf) ## Description of the data and file structure File list: * S1 Prisma 2020 checklist dd 27-02-2024 * S2 Prisma 2020 abstract checklist dd 27-02-2024 * S3 Databases and search strings dd 27-02-2024 * S4 Screening matrix dd 27-02-2024 * S5 Data set dd 15-07-2024 in CSV format * S5 Data set dd 15-07-2024 in XLSX format * S6 MMAT Screening, using Tool version 2018 dd 20-10-2024 * S7 Overview of score matrix of data set dd 27-02-2024 * S8 Overview used PROMs 18 incl studies dd 27-02-2024 in CSV format * S8 Overview used PROMs 18 incl studies dd 27-02-2024 in XLSX format Relationship between files & description: * S4 provides the screening matrix used for the results of the database searchers (S3). * S7 provides the score matrix in relation to the S5 data set. Additional information file S5 Data set dd 15-07-2024 in XLSX format The S5 data set in XLSX format is primarily to be used as a readable version of the gathered data. The accompanying CSV format file can be used for analysis, etc. Note that this CSV file is semi-colon-delimited. ## Sharing/Access information N/A ## Code/Software * Microsoft Excel was used to store tabulated information. * Endnote was used to conduct the collection of the search results and for the title/abstract and full-text screening.