Medical Students’ Awareness About Value-Based Health Care in Brazil: A Cross Sectional Study




Delivery of Health Care, Health Care Costs, Medical Students, Brazil


Background: Rising healthcare costs demand a transition from the current fee-for-service to a Value-Based Health Care (VBHC) Model. This requires that all future doctors to understand the VBHC Model. We aimed to evaluate the VBHC awareness among Brazilian medical students and to identify it’s associated intrinsic/extrinsic factors through a survey-based, cross-sectional study.

Methods: An online survey was sent to students from Brazilian medical schools. A descriptive analysis based on participants' level of awareness about VBHC was performed. The categorical variables included were absolute and relative frequencies using chi-square tests. A multivariate binary logistic regression analysis was performed by calculating the odds ratio (OR) and 95% confidence intervals (95%CI) to compare each response according to VBHC awareness.

Results: We collected 3030 responses from 148 Medical Schools across all Brazilian states. Medical students were compared into 2 groups; 1 was familiar with VBHC (14%; 426); 2 were not (86%; 2575). The univariate analysis showed that group 1 was more willing to share clinical outcomes/costs data related to their practice (57.04%) compared to 2 (48.12%), p<0.01. The multivariate analysis showed that internship experience was the most relevant factor associated with VBHC exposure (OR 4.32 [CI 95% 1.82 - 10.24]).

Conclusion: We found that few medical students understand VBHC concepts, and that exposure was due to self-education efforts. Our results suggest that medical schools have the potential to reinforce both intrinsic and extrinsic factors related to students with regards to VBHC knowledge in order to prepare future doctors to practice in a value-driven context.


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2022-04-25 — Updated on 2022-07-12


How to Cite

Hirt, G. ., Gushken, F., Borges Gomes da Silva, G., Lacerda Heringer, D. ., Castro Gomes de Mello, L. ., Tavares Malheiro, D. ., & Makdisse, M. . (2022). Medical Students’ Awareness About Value-Based Health Care in Brazil: A Cross Sectional Study. International Journal of Medical Students, 10(2), 129–138. (Original work published June 30, 2022)



Original Article