Razi Journal of Medical Sciences

  Background: Results improvement of Patients treatment results and reduction of costs to achieve results are one of major challenges to healthcare systems. Recently, these themes are developed into value in health care theme, and some models for the value measurement are provided. Value increase in these models is based on care delivery value chain. Increasing share of diabetes in health care expenditure and death rate clarifies necessity for focusing on diabetes. How to construct a care delivery value chain for diabetes is the question of this study.

  Methods: Through a case study in Hamedan Beheshti hospital a care delivery value chain for diabetes was constructed. The case data were collected using an internal medicine text book and interviewing internists. Reliability and validity of the care delivery value chain were improved by different sources, questionnaires and personal interviews.

  Results: A care delivery value chain for diabetes was constructed.

  Discussion: although the care delivery value chain constructed for diabetes is restricted to certain conditions, it addressees treatment activities in great detail. This value chain can relate results and costs to treatment activities. Identifying costs and results measures of treatment these activities can lay the ground for value measurement of health care provided. This measurement is the first step toward value improvement through comparison.