{"id":"https://openalex.org/W7220674792","doi":"https://doi.org/10.67995/jiemed.v1i1.11","title":"Value-Based Medicine and Its Implementation in Indonesia: A Literature Review","display_name":"Value-Based Medicine and Its Implementation in Indonesia: A Literature Review","publication_year":2026,"publication_date":"2026-01-23","ids":{"openalex":"https://openalex.org/W7220674792","doi":"https://doi.org/10.67995/jiemed.v1i1.11"},"language":"en","primary_location":{"id":"doi:10.67995/jiemed.v1i1.11","doi":"https://doi.org/10.67995/jiemed.v1i1.11","is_oa":true,"landing_page_url":"https://doi.org/10.67995/jiemed.v1i1.11","pdf_url":"https://jiemed.co.id/index.php/Jiemed/article/download/11/10","source":{"id":"https://openalex.org/S7407063895","display_name":"Journal of Indonesian Essential Medicines","issn_l":"3163-9798","issn":["3163-9798"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Indonesian Essential Medicines","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7220674792"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://jiemed.co.id/index.php/Jiemed/article/download/11/10","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114598007","display_name":"William Ricardo","orcid":"https://orcid.org/0009-0005-7165-2588","observed_orcids":["https://orcid.org/0009-0005-7165-2588"]},"institutions":[{"id":"https://openalex.org/I11855966","display_name":"Diponegoro University","ror":"https://ror.org/056bjta22","country_code":"ID","type":"education","lineage":["https://openalex.org/I11855966"]},{"id":"https://openalex.org/I2802302920","display_name":"Dr. Kariadi Hospital","ror":"https://ror.org/040f86t49","country_code":"ID","type":"healthcare","lineage":["https://openalex.org/I2802302920"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"William Ricardo","raw_affiliation_strings":["Psychosomatic and Palliative Division, Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Kariadi General Hospital, Semarang Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychosomatic and Palliative Division, Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Kariadi General Hospital, Semarang Indonesia","institution_ids":["https://openalex.org/I11855966","https://openalex.org/I2802302920"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047835626","display_name":"Yanuar Ardani","orcid":"https://orcid.org/0000-0001-6487-2009","observed_orcids":["https://orcid.org/0000-0001-6487-2009"]},"institutions":[{"id":"https://openalex.org/I11855966","display_name":"Diponegoro University","ror":"https://ror.org/056bjta22","country_code":"ID","type":"education","lineage":["https://openalex.org/I11855966"]},{"id":"https://openalex.org/I2802302920","display_name":"Dr. Kariadi Hospital","ror":"https://ror.org/040f86t49","country_code":"ID","type":"healthcare","lineage":["https://openalex.org/I2802302920"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Yanuar Ardani","raw_affiliation_strings":["Psychosomatic and Palliative Division, Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Kariadi General Hospital, Semarang Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychosomatic and Palliative Division, Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Kariadi General Hospital, Semarang Indonesia","institution_ids":["https://openalex.org/I11855966","https://openalex.org/I2802302920"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085107426","display_name":"Hamzah Shatri","orcid":"https://orcid.org/0000-0003-1393-9669","observed_orcids":["https://orcid.org/0000-0003-1393-9669"]},"institutions":[{"id":"https://openalex.org/I29617571","display_name":"University of Indonesia","ror":"https://ror.org/0116zj450","country_code":"ID","type":"education","lineage":["https://openalex.org/I29617571"]},{"id":"https://openalex.org/I4210155152","display_name":"Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo","ror":"https://ror.org/05am7x020","country_code":"ID","type":"healthcare","lineage":["https://openalex.org/I4210155152"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Hamzah Shatri","raw_affiliation_strings":["Psychosomatic and Palliative Divison, Departement of Internal Medicine, Faculty of Medicine University of Indonesia- Cipto Mangunkusumo National Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Psychosomatic and Palliative Divison, Departement of Internal Medicine, Faculty of Medicine University of Indonesia- Cipto Mangunkusumo National Hospital","institution_ids":["https://openalex.org/I29617571","https://openalex.org/I4210155152"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157710903","display_name":"Inna Fitriana Zain","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Inna Fitriana","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"1","issue":"1","first_page":"32","last_page":"37"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9179999828338623,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9179999828338623,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.06319999694824219,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.003100000089034438,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/value-based-medicine","display_name":"value-based medicine","score":1.0},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.9710000157356262},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.7889999747276306},{"id":"https://openalex.org/keywords/quality-adjusted-life-years","display_name":"quality-adjusted life years","score":0.996999979019165},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8259999752044678},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.7260000109672546},{"id":"https://openalex.org/keywords/value-based-payment","display_name":"value-based payment","score":0.7710000276565552},{"id":"https://openalex.org/keywords/bpjs-kesehatan","display_name":"BPJS Kesehatan","score":0.9150000214576721},{"id":"https://openalex.org/keywords/community-based-palliative-care","display_name":"community-based palliative care","score":0.9290000200271606},{"id":"https://openalex.org/keywords/home-based-palliative-care","display_name":"home-based palliative care","score":0.9440000057220459},{"id":"https://openalex.org/keywords/health-information-systems","display_name":"health information systems","score":0.6850000023841858},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.8289999961853027},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.8510000109672546},{"id":"https://openalex.org/keywords/indonesia","display_name":"Indonesia","score":0.7689999938011169}],"concepts":[{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.7141000032424927},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.6852999925613403},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6207000017166138},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5860999822616577},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.5821999907493591},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5121999979019165},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4722000062465668},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.43130001425743103},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.39250001311302185},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.39169999957084656},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3562000095844269},{"id":"https://openalex.org/C136197465","wikidata":"https://www.wikidata.org/wiki/Q1729295","display_name":"Variety (cybernetics)","level":2,"score":0.3517000079154968},{"id":"https://openalex.org/C64332521","wikidata":"https://www.wikidata.org/wiki/Q614165","display_name":"Quality-adjusted life year","level":3,"score":0.31299999356269836},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.3109999895095825},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3025999963283539},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.30090001225471497},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.26759999990463257},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2556000053882599},{"id":"https://openalex.org/C21333345","wikidata":"https://www.wikidata.org/wiki/Q1519843","display_name":"Health technology","level":3,"score":0.25040000677108765},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.25}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.67995/jiemed.v1i1.11","doi":"https://doi.org/10.67995/jiemed.v1i1.11","is_oa":true,"landing_page_url":"https://doi.org/10.67995/jiemed.v1i1.11","pdf_url":"https://jiemed.co.id/index.php/Jiemed/article/download/11/10","source":{"id":"https://openalex.org/S7407063895","display_name":"Journal of Indonesian Essential Medicines","issn_l":"3163-9798","issn":["3163-9798"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Indonesian Essential Medicines","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.67995/jiemed.v1i1.11","doi":"https://doi.org/10.67995/jiemed.v1i1.11","is_oa":true,"landing_page_url":"https://doi.org/10.67995/jiemed.v1i1.11","pdf_url":"https://jiemed.co.id/index.php/Jiemed/article/download/11/10","source":{"id":"https://openalex.org/S7407063895","display_name":"Journal of Indonesian Essential Medicines","issn_l":"3163-9798","issn":["3163-9798"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Indonesian Essential Medicines","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220674792.pdf","grobid_xml":"https://content.openalex.org/works/W7220674792.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2965182199","https://openalex.org/W7204665282","https://openalex.org/W4392756493","https://openalex.org/W4409344442","https://openalex.org/W4312946501","https://openalex.org/W2560957471","https://openalex.org/W4416745685","https://openalex.org/W777876392","https://openalex.org/W4414132245"],"abstract_inverted_index":{"Background:":[0],"Evidence-Based":[1],"Medicine":[2,27],"(EBM)":[3],"has":[4],"long":[5],"been":[6],"the":[7,48,67,137,145,205,236],"standard":[8],"in":[9,52,56,60,166,209,225],"clinical":[10,195],"decision-making;":[11],"however,":[12],"its":[13],"emphasis":[14],"on":[15,201],"research":[16],"evidence":[17],"often":[18],"neglects":[19],"patients\u2019":[20],"values":[21],"and":[22,40,84,113,126,162,186,192,197,221,230],"quality":[23,104,232],"of":[24,33,50,69,74,81,105,139,149,207,233,238],"life.":[25,239],"Value-Based":[26],"(VBM)":[28],"emerges":[29],"as":[30,78],"an":[31,213],"extension":[32],"EBM,":[34],"integrating":[35,190],"scientific":[36],"evidence,":[37],"patient":[38,75,228],"preferences,":[39],"cost-effectiveness":[41],"into":[42,194],"healthcare":[43,223],"practice.":[44],"This":[45],"paper":[46],"discusses":[47],"role":[49],"VBM":[51,65,119,140,202,208],"palliative":[53,117,156,188,210],"care,":[54,118,157],"particularly":[55],"Indonesia,":[57,136,226],"where":[58],"challenges":[59],"implementation":[61,206],"remain":[62],"significant.":[63],"Result:":[64],"combines":[66],"principles":[68],"EBM":[70],"with":[71],"quantifiable":[72],"measures":[73],"values,":[76],"such":[77],"Health-Related":[79],"Quality":[80],"Life":[82,86],"(HRQoL)":[83],"Quality-Adjusted":[85],"Years":[87],"(QALY),":[88],"to":[89,179,215],"guide":[90],"treatment":[91],"decisions.":[92],"Its":[93],"primary":[94],"aim":[95],"is":[96],"not":[97],"merely":[98],"prolonging":[99],"survival":[100],"but":[101],"ensuring":[102],"optimal":[103],"life":[106,234],"through":[107,235],"interventions":[108],"that":[109],"are":[110,175],"both":[111],"effective":[112],"economically":[114],"efficient.":[115],"In":[116,135],"helps":[120],"reduce":[121],"overtreatment,":[122],"improve":[123],"symptom":[124],"management,":[125],"promote":[127],"psychosocial":[128],"support,":[129],"while":[130],"also":[131],"optimizing":[132],"resource":[133],"allocation.":[134],"adoption":[138],"faces":[141],"systemic":[142],"barriers,":[143],"including":[144,177],"fee-for-service":[146],"reimbursement":[147],"model":[148],"BPJS":[150],"Kesehatan,":[151],"limited":[152],"coverage":[153],"for":[154,184],"community-based":[155],"fragmented":[158],"health":[159],"information":[160],"systems,":[161],"insufficient":[163],"professional":[164],"training":[165],"patient-centered":[167],"approaches.":[168],"To":[169],"address":[170],"these":[171],"issues,":[172],"policy":[173],"reforms":[174],"recommended,":[176],"transitioning":[178],"value-based":[180],"reimbursement,":[181],"expanding":[182],"funding":[183],"home-based":[185],"community":[187],"services,":[189],"HRQoL":[191],"QALY":[193],"evaluations,":[196],"enhancing":[198],"medical":[199],"education":[200],"principles.":[203],"Conclusion:":[204],"care":[211],"offers":[212],"opportunity":[214],"create":[216],"a":[217],"more":[218],"humane,":[219],"efficient,":[220],"sustainable":[222],"system":[224],"prioritizing":[227],"well-being":[229],"meaningful":[231],"end":[237]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-10-07T00:00:00"}
