PsoPlus: An Integrated Practice Unit for Psoriasis
Hilhorst, Niels Deprez, Elfie Roman, Erin Borzée, Joke De Beule, Dirk Dullaers, Christel Hoorens, Isabelle
Hilhorst, Niels
Deprez, Elfie
Roman, Erin
Borzée, Joke
De Beule, Dirk
Dullaers, Christel
Hoorens, Isabelle
Publication Type
Journal article with impact factor
Editor
Supervisor
Publication Year
2023
Journal
Dermatology
Book
Publication Volume
239
Publication Issue
3
Publication Begin page
334
Publication End page
344
Publication Number of pages
Collections
Abstract
There is a need to revise the current healthcare organization due to the ever-rising costs and variation in quality of delivered care. Over the past decades there have been several strategic frameworks attempting to tackle this problem. Value-based healthcare (VBHC) is one of those frameworks which has gained increasing popularity the last years. The framework is formulated on the premise that the healthcare sector should deliver integrated care, using integrated practice units (IPUs), and strive to maximize the value created. Value in this context is defined as the health outcomes achieved per costs made. We have designed a lean IPU called PsoPlus in which psoriasis patients are managed by a multidisciplinary team which has all the expertise and skill to manage psoriasis and its associated conditions. In addition, we have developed and implemented guidelines for the management of psoriasis-associated comorbidities, enabling us to deliver integrated care in the Belgian healthcare setting. Finally, we have designed a supporting information technology platform, called PsoSmart, which brings data from patients and healthcare providers together and provides actionable insights for clinical decision making. The created value is documented and captured using a value-based outcome set. Cost assessments at the individual patient level are also performed. To conclude, we describe here a comprehensive IPU setting for psoriasis which incorporates the VBHC principles. This IPU goes further and delivers a higher level of integrated care than other multidisciplinary psoriasis clinics. Monitoring outcomes and costs provides us with further insights to optimize psoriasis care. In addition, a software program designed to enhance psoriasis care is being developed further; however, advances in healthcare technology are needed.
Research Projects
Organizational Units
Journal Issue
Keywords
32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, Minority Health, Health Services, Clinical Research, Autoimmune Disease, Psoriasis, 8.1 Organisation and delivery of services, 3 Good Health and Well Being, Humans, Delivery of Health Care, Psoriasis