Mold JW. Goal-directed health care: Redefining health and health care in the era of value-based care. Cureus 2017; DOI: 10.7759/cureus.1043, an essay submitted to the online journal Cureus in response to a call for papers on the subject, Redefining Health in the Era of Value-Based Care was awarded second place and a prize of $5,000 to Dr. Mold. The entire article can be found on the first page of the Conceptual Framework section of this site.
The article proposes that the current problem-oriented health care model is contributing in at least 10 ways to the increasing cost and diminishing quality of health care in the U.S. It then proposes that goal-directed approach could improve quality from the perspective of patients and reduce costs thereby increasing value. The essay concludes with some suggestions for some alternative measures of quality that could support the proposed change in perspective.