Value‑based nutrition therapy: clinical nutrition from the value‑based care perspective
1, 2 Shi Hanping，3, 4Wang Kunhua，5Xu Xiping
1
Department of Gastrointestinal Surgery/Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China; 2
Key
Laboratory of Cancer FSMP for State Market Regulation, Beijing 100038, China; 3
Yunnan University, Kunming 650091, Yunnan, China; 4
NHC Key Laboratory of Drug Addiction Medicine, Kunming 650500, Yunnan, China; 5
Nutrition and Health Institute, China Agricultural
University, Beijing 100083, China
Abstract：Value⁃based care (VBC) emphasizes the quality and cost⁃effectiveness of medical care, creating value and providing
comprehensive services throughout the course. Person⁃centered care, patient⁃centered care, personalized medicine, and precision
medicine lay the foundation of VBC. The ultimate goal of VBC is to maximize the patient’s benefit. In this paper, we discussed the
application of VBC on clinical nutrition, namely value⁃based nutrition therapy, and its importance in realizing VBC from the
following aspects: boost the discipline of clinical nutrition; set up hungry free hospitals; change the perception of nutrition therapy
and recognize it as first⁃line therapy; organize multi⁃disciplinary teams for nutrition therapy; deliver nutritional diagnosis at
admission; provide early, standardized, precise nutrition therapy; develop more nutritional formula; value health economic benefits;
enhance efficacy evaluation of nutrition therapy and follow⁃ups. In practice, we should concrete the concept of“nutrition is a
first⁃line therapy”, as nutrition therapy has a dual role in improving health outcomes and saving medical costs. Nutrition therapy is a
good vehicle for and reflection of VBC.
