What Is Value in Health Care?

Porter, Michael E.

doi:10.1056/nejmp1011024

Cited by 5,084Healthcare cost, quality, practicesHealthcare Quality and ManagementHealthcare Policy and Management

What Is Value in Health Care?

Porter, Michael E.·2010·New England Journal of Medicine

DOI 10.1056/nejmp1011024

Open this paper in CoChat — free account

Abstract

In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. Lack of clarity about goals has led to divergent approaches, gaming of the system, and slow progress in performance improvement.Achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes achieved per dollar spent.1 This goal is what matters for patients and unites . . .

Integrity signals

Registry

Crossref · 10.1056/nejmp1011024

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Quality is achieved by improving outcomes and patient satisfaction while decreasing adverse events.
“Quality is achieved by improving outcomes and patient satisfaction while decreasing adverse events [2].”
From Outpatient visits versus telephone interviews for postoperative care: a randomized controlled trial (2019) · cites this paper as [2]
The value of any new therapeutic strategy or treatment is determined by the magnitude of its clinical benefit balanced against its cost.
“The value of any new therapeutic strategy or treatment is determined by the magnitude of its clinical benefit balanced against its cost [1].”
From A standardised, generic, validated approach to stratify the magnitude of clinical benefit that can be anticipated from anti-cancer therapies: the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS) (2015) · cites this paper as [1]
Healthcare value is defined as the health outcome achieved per dollar spent and is a critical metric for informed healthcare investments.
“Healthcare value is defined as the health outcome achieved per dollar spent (214) and is a critical metric for making informed healthcare investments.”
From Artificial Intelligence in Oncology: Current Landscape, Challenges, and Future Directions (2024) · cites this paper as [214]

Redefining Health Care: Creating Value-based Competition on Results
Porter, M. E., & Teisberg, E. O. (2006) · Cited by 1,201 · see citing works
Self-citation
The UCLA Medical Center: Kidney Transplantation (TN)
Porter, M. E., Baron, J. F., Chacko, J. M., et al. (2010) · Cited by 6 · see citing works
Self-citation

Flagged first, then by citations

Sorted by citations

High-quality health systems in the Sustainable Development Goals era: time for a revolution
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., et al. (2018) · The Lancet Global Health · doi:10.1016/s2214-109x(18)30386-3 · Cited by 4,057 · see citing works
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report
Knaul, F. M., Farmer, P. E., Krakauer, E. L., De Lima, L., Bhadelia, A., Jiang Kwete, X., Arreola-Ornelas, H., Gómez-Dantés, O., Rodriguez, N. M., Alleyne, G. A. O., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(17)32513-8 · Cited by 1,456 · see citing works
Big Data In Health Care: Using Analytics To Identify And Manage High-Risk And High-Cost Patients
Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014) · Health Affairs · doi:10.1377/hlthaff.2014.0041 · Cited by 1,235 · see citing works
A standardised, generic, validated approach to stratify the magnitude of clinical benefit that can be anticipated from anti-cancer therapies: the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS)
Cherny, N. I., Sullivan, R., Dafni, U., Kerst, J. M., Sobrero, A., Zielinski, C., de Vries, E. G. E., & Piccart, M. J. (2015) · Annals of Oncology · doi:10.1093/annonc/mdv249 · Cited by 818 · see citing works
Standardizing Patient Outcomes Measurement
Porter, M. E., Larsson, S., & Lee, T. H. (2016) · New England Journal of Medicine · doi:10.1056/nejmp1511701 · Cited by 626 · see citing works
Self-citation
Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status: A Scientific Statement From the American Heart Association
Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Graham, M. M., Ho, P. M., Masoudi, F. A., Moser, D. K., Roger, V. L., Slaughter, M. S., Smolderen, K. G., et al. (2013) · Circulation · doi:10.1161/cir.0b013e3182949a2e · Cited by 540 · see citing works
Sustainability in quality improvement: redefining value
Mortimer, F., Isherwood, J., Wilkinson, A., & Vaux, E. (2018) · Future Healthcare Journal · doi:10.7861/futurehosp.5-2-88 · Cited by 373 · see citing works
Redefining global health-care delivery
Kim, J. Y., Farmer, P., & Porter, M. E. (2013) · The Lancet · doi:10.1016/s0140-6736(13)61047-8 · Cited by 323 · see citing works
Self-citation
Value Co-Creation through Patient Engagement in Health Care: A micro-level approach and research agenda
Hardyman, W., Daunt, K. L., & Kitchener, M. (2015) · Public Management Review · doi:10.1080/14719037.2014.881539 · Cited by 312 · see citing works
The Value of In Vitro Diagnostic Testing in Medical Practice: A Status Report
Rohr, U.-P., Binder, C., Dieterle, T., Giusti, F., Messina, C. G. M., Toerien, E., Moch, H., & Schäfer, H. H. (2016) · PLOS ONE · doi:10.1371/journal.pone.0149856 · Cited by 229 · see citing works
How does artificial intelligence in radiology improve efficiency and health outcomes?
van Leeuwen, K. G., de Rooij, M., Schalekamp, S., van Ginneken, B., & Rutten, M. J. C. M. (2022) · Pediatric Radiology · doi:10.1007/s00247-021-05114-8 · Cited by 236 · see citing works
Current best practice for disease activity assessment in IBD
Walsh, A. J., Bryant, R. V., & Travis, S. P. L. (2016) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2016.128 · Cited by 223 · see citing works
From biomarkers to medical tests: the changing landscape of test evaluation
Horvath, A. R., Lord, S. J., StJohn, A., Sandberg, S., Cobbaert, C. M., Lorenz, S., Monaghan, P. J., Verhagen-Kamerbeek, W. D. J., Ebert, C., & Bossuyt, P. M. M. (2014) · Clinica Chimica Acta · doi:10.1016/j.cca.2013.09.018 · Cited by 203 · see citing works
Infectious diseases specialty intervention is associated with decreased mortality and lower healthcare costs.
Schmitt, S., McQuillen, D. P., Nahass, R., Martinelli, L., Rubin, M., Schwebke, K., Petrak, R., Ritter, J. T., Chansolme, D., Slama, T., et al. (2014) · Clinical Infectious Diseases · doi:10.1093/cid/cit610 · Cited by 195 · see citing works
Artificial Intelligence in Oncology: Current Landscape, Challenges, and Future Directions
Lotter, W., Hassett, M. J., Schultz, N., Kehl, K. L., Van Allen, E. M., & Cerami, E. (2024) · Cancer Discovery · doi:10.1158/2159-8290.cd-23-1199 · Cited by 196 · see citing works
International consensus on a standard set of outcome measures for child and youth anxiety, depression, obsessive-compulsive disorder, and post-traumatic stress disorder
Krause, K. R., Chung, S., Adewuya, A. O., Albano, A. M., Babins-Wagner, R., Birkinshaw, L., Brann, P., Creswell, C., Delaney, K., Falissard, B., et al. (2021) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30356-4 · Cited by 162 · see citing works
The 5 R's: An Emerging Bold Standard for Conducting Relevant Research in a Changing World
Peek, C. J., Glasgow, R. E., Stange, K. C., Klesges, L. M., Purcell, E. P., & Kessler, R. S. (2014) · The Annals of Family Medicine · doi:10.1370/afm.1688 · Cited by 108 · see citing works
Standardization of health outcomes assessment for depression and anxiety: recommendations from the ICHOM Depression and Anxiety Working Group
Obbarius, A., van Maasakkers, L., Baer, L., Clark, D. M., Crocker, A. G., de Beurs, E., Emmelkamp, P. M. G., Furukawa, T. A., Hedman-Lagerlöf, E., Kangas, M., et al. (2017) · Quality of Life Research · doi:10.1007/s11136-017-1659-5 · Cited by 116 · see citing works
Outpatient visits versus telephone interviews for postoperative care: a randomized controlled trial
Thompson, J. C., Cichowski, S. B., Rogers, R. G., Qeadan, F., Zambrano, J., Wenzl, C., Jeppson, P. C., Dunivan, G. C., & Komesu, Y. M. (2019) · International Urogynecology Journal · doi:10.1007/s00192-019-03895-z · Cited by 82 · see citing works
The “physician on call patient engagement trial” (POPET): measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients
Cingi, C., Yorgancioglu, A., Cingi, C. C., Oguzulgen, K., Muluk, N. B., Ulusoy, S., Orhon, N., Yumru, C., Gokdag, D., Karakaya, G., et al. (2015) · International Forum of Allergy & Rhinology · doi:10.1002/alr.21468 · Cited by 83 · see citing works
Guiding principles for the responsible development of artificial intelligence tools for healthcare
Badal, K., Lee, C. M., & Esserman, L. J. (2023) · Communications Medicine · doi:10.1038/s43856-023-00279-9 · Cited by 77 · see citing works
Alternative payment and care‐delivery models in oncology: A systematic review
Aviki, E. M., Schleicher, S. M., Mullangi, S., Matsoukas, K., & Korenstein, D. (2018) · Cancer · doi:10.1002/cncr.31367 · Cited by 60 · see citing works
Payment systems and incentives in dentistry
Grytten, J. (2017) · Community Dentistry and Oral Epidemiology · doi:10.1111/cdoe.12267 · Cited by 60 · see citing works
From Code to Bedside: Implementing Artificial Intelligence Using Quality Improvement Methods
Smith, M., Sattler, A., Hong, G., & Lin, S. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06394-w · Cited by 51 · see citing works
Can we decide which outcomes should be measured in every clinical trial? A scoping review of the existing conceptual frameworks and processes to develop core outcome sets
Idzerda, L., Rader, T., Tugwell, P., & Boers, M. (2014) · The Journal of Rheumatology · doi:10.3899/jrheum.131308 · Cited by 47 · see citing works
Toward the Design of Evidence-Based Mental Health Information Systems for People With Depression: A Systematic Literature Review and Meta-Analysis
Wahle, F., Bollhalder, L., Kowatsch, T., & Fleisch, E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7381 · Cited by 48 · see citing works
A multi-stakeholder approach to eHealth development: Promoting sustained healthy living among cardiovascular patients
Breeman, L. D., Keesman, M., Atsma, D. E., Chavannes, N. H., Janssen, V., van Gemert-Pijnen, L., Kemps, H., Kraaij, W., Rauwers, F., Reijnders, T., et al. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2020.104364 · Cited by 37 · see citing works
Health-related quality of life of patients with inflammatory bowel disease in Singapore
Min Ho, P. Y., Hu, W., Lee, Y. Y., Gao, C., Tan, Y. Z., Cheen, H. H., Wee, H. L., Lim, T. G., & Ong, W. C. (2019) · Intestinal Research · doi:10.5217/ir.2018.00099 · Cited by 39 · see citing works
Management of endometriosis: Toward value-based, cost-effective, affordable care
Vercellini, P., Facchin, F., Buggio, L., Barbara, G., Berlanda, N., Frattaruolo, M. P., & Somigliana, E. (2018) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2017.07.011 · Cited by 36 · see citing works
Stakeholder perspectives on costs and resource expenditures: tools for addressing economic issues most relevant to patients, providers, and clinics
Jones Rhodes, W. C., Ritzwoller, D. P., & Glasgow, R. E. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/ibx003 · Cited by 31 · see citing works
Differentiating between detrimental and beneficial interruptions: a mixed-methods study
Myers, R. A., McCarthy, M. C., Whitlatch, A., & Parikh, P. J. (2016) · BMJ Quality & Safety · doi:10.1136/bmjqs-2015-004401 · Cited by 30 · see citing works
Value Co-creation in the Health Service Ecosystems: The Enabling Role of Institutional Arrangements
Ciasullo, M. V., Cosimato, S., Palumbo, R., & Storlazzi, A. (2017) · International Business Research · doi:10.5539/ibr.v10n12p222 · Cited by 24 · see citing works
The Digital Outcome Measure
Cohen, A. B., & Mathews, S. C. (2018) · Digital Biomarkers · doi:10.1159/000492396 · Cited by 24 · see citing works
Exploring the role of psychosocial care in value-based oncology: Results from a survey of 3000 cancer patients and survivors
Doherty, M., Miller-Sonet, E., Gardner, D., & Epstein, I. (2019) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2018.1504851 · Cited by 22 · see citing works
Quantifying Unmet Need in Statin-Treated Hyperlipidemia Patients and the Potential Benefit of Further LDL-C Reduction Through an EHR-Based Retrospective Cohort Study
Schleyer, T., Hui, S., Wang, J., Zhang, Z., Knapp, K., Baker, J., Chase, M., Boggs, R., & Simpson, R. J. (2019) · Journal of Managed Care & Specialty Pharmacy · doi:10.18553/jmcp.2019.25.5.544 · Cited by 19 · see citing works
Cognitive Biases Cloud Our Clinical Decisions and Patient Expectations: A Narrative Review to Help Bridge the Gap between Evidence-Based and Personalized Medicine
Gojanovic, B., Fourchet, F., & Gremeaux, V. (2022) · Annals of Physical and Rehabilitation Medicine · doi:10.1016/j.rehab.2021.101551 · Cited by 15 · see citing works
Inpatient silver sulphadiazine versus outpatient nanocrystalline silver models of care for pediatric scald burns: a value analysis.
Malic, C., Verchere, C., & Arneja, J. S. (2014) · Plastic Surgery · doi:10.1177/229255031402200209 · Cited by 14 · see citing works
Oral rehabilitation outcomes Network-ORONet
Bassi, F., Carr, A. B., Chang, T.-L., Estafanous, E., Garrett, N. R., Happonen, R.-P., Koka, S., Laine, J., Osswald, M., Reintsema, H., et al. (2013) · The International Journal of Prosthodontics · doi:10.11607/ijp.3400 · Cited by 11 · see citing works
Self-managing postoperative pain with the use of a novel, interactive device: a proof of concept study
Mordecai, L., Leung, F. H. L., Carvalho, C. Y. M., Reddi, D., Lees, M., Cone, S., Fox, Z., Williams, A. C. D. C., & Brandner, B. (2016) · Pain Research and Management · doi:10.1155/2016/9704185 · Cited by 10 · see citing works
Medical AI and AI for Medical Sciences
(2025) · JMA Journal · doi:10.31662/jmaj.2024-0185 · Cited by 6 · see citing works
Enabling patient-centred policy for electronic consultations: A qualitative analysis of discussions from a stakeholder meeting
Liddy, C., Hauteclocque, J., Moroz, I., Oppenheimer, L., Sturge, D., Burns, K. K., Horsley, T., Tuot, D., & Keely, E. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x20926779 · Cited by 6 · see citing works
Quality matters: examining the impact of nurse staffing challenges on clinical outcomes.
Polancich, S., Miltner, R., Montgomery, A., Dick, T., Poe, T., Brown, D., & Patrician, P. A. (2023) · Journal of Healthcare Management · doi:10.1097/jhm-d-22-00170 · Cited by 5 · see citing works

Authors: Porter, M. E.
Affiliations: Harvard University (US)
Corresponding author: Porter, Michael E.
ORCID: Porter, Michael E.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 2010-12-23
Volume: 363
Issue: 26
Pages: 2477-2481
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejmp1011024
OpenAlex: W1983651981
Cited by: 5,084
References: 2
Citations by year: 2026: 365 · 2025: 294 · 2024: 312 · 2023: 348 · 2022: 406 · 2021: 429 · 2020: 459 · 2019: 459 · 2018: 426 · 2017: 442 · 2016: 383 · 2015: 241 · 2014: 217 · 2013: 143 · 2012: 95
FWCI: 168.12
Type: journal article
Language: en
Open access: closed
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: health care value, health care delivery, stakeholder goals, performance improvement, cost containment, patient-centered care, patient satisfaction, accountability, quality of care
MeSH terms: Breast Neoplasms, Delivery of Health Care, Female, Health Status, Humans, Quality of Health Care, Health Care Costs, Outcome Assessment, Health Care, Efficiency, Organizational, Osteoarthritis, Knee

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

What Is Value in Health Care?

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks