Towards a process framework to guide the development of outcome-based models in a healthcare context

Africa is challenged with impoverished and ineffective healthcare systems, and despite rampantly increasing healthcare costs, patient outcomes are often unsatisfactory. Outcome-based models (OBMs) improve healthcare spending and outcomes by ensuring that only products and services that perform well and achieve the desired outcomes are paid for with a focus on value rather than volume. However, the implementation of OBMs is complex, and without a comprehensive framework to guide the development of OBMs, the implementation of OBMs becomes constrained. This study builds on five key OBM concepts towards a conceptual framework that is meant to aid the development of OBMs.