Value-based healthcare programs have been found to mostly be adopted in wealthy countries and in smaller parts of health systems, according to new data published in J AMA Health Forum .

Health systems around the world are facing growing pressure from rising costs, aging populations, staffing shortages and long-standing health inequities.

At the same time, patients and communities are demanding more accountable, affordable and effective care, study authors said.

In response to these challenges, health systems have turned to value-based health care (VBHC) as a promising way to improve outcomes while controlling costs.

Introduced in the U.S. in 2006, the VBHC model focuses on improving care by aligning payments with results, measuring outcomes and costs and organizing services around

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