Article Text

Download PDFPDF

Characteristics of value-based health and social care from organisations’ perspectives (OrgValue): a mixed-methods study protocol
  1. Lena Ansmann1,
  2. Hendrik Ansgar Hillen2,
  3. Ludwig Kuntz2,
  4. Stephanie Stock3,
  5. Vera Vennedey3,
  6. Kira Isabelle Hower4
  7. Cologne Research and Development Network (CoRe-Net)
  1. 1 Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
  2. 2 Department of Business Administration and Health Care Management, University of Cologne, Cologne, Germany
  3. 3 Institute for Health Economics and Clinical Epidemiology, University Hospital Cologne, Cologne, Germany
  4. 4 Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany
  1. Correspondence to Professor Lena Ansmann; lena.ansmann{at}


Introduction Health and social care systems are under pressure to organise care around patients’ needs with constrained resources. Several studies reveal that care is constantly challenged by balancing economic requirements against individual patients’ preferences and needs. Therefore, value-based health and social care aims to facilitate patient-centredness while taking the resources spent into consideration. The OrgValue project examines the implementation of patient-centredness while considering the health and social care organisations’ resource orientation in the model region of the city of Cologne, Germany.

Methods and analysis First, the implementation status of patient-centredness as well as its facilitators and barriers—also in terms of resource orientation—will be assessed through face-to-face interviews with decision-makers (at least n=18) from health and social care organisations (HSCOs) in Cologne. Second, patients’ understanding of patient-centredness and their preferences and needs will be revealed by conducting face-to-face interviews (at least n=15). Third, the qualitative results will provide the basis for a quantitative survey of decision-makers from all HSCOs in Cologne, which will include questions on patient-centredness, resource orientation and determinants of implementation. Fourth, qualitative interviews with decision-makers from different types of HSCOs will be conducted to develop a uniform measurement instrument on the cost and service structure of HSCOs.

Ethics and dissemination For all collected data, the relevant data protection regulations will be adhered to. Consultation and a positive vote from the ethics committee of the Medical Faculty of the University of Cologne have been obtained. All personal identifiers (eg, name, date of birth) will be pseudonymised. Dissemination strategies include a feedback report as well as research and development workshops for the organisations with the aim of initiating organisational learning and organisational development, presenting results in publications and at conferences, and public relations.

Trial registration number DRKS00011925.

  • patient-centredness
  • organizations
  • implementation
  • decision-maker
  • resources

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors All members designed the study. LA drafted and revised all sections of the paper and is guarantor. SS and LK revised the paper. LA, KIH, HH and VV designed data collection tools, defined the sampling criteria and revised the paper.

  • Funding This work was supported by the German Federal Ministry of Education and Research (grant no. 01GY1606).

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval Ethics committee of the Medical Faculty of the University of Cologne.

  • Provenance and peer review Not commissioned; peer reviewed for ethical and funding approval prior to submission.