Abstract

If the goal of "value-based healthcare" (VBHC) is to promote health, the shift towards health promotion as fostering resilience of individuals through supportive systems and environments is grounded in the importance of providing value or outcomes that matter to all patients. VBHC puts patients at the centre of healthcare, but critical questions include which patients and what services? Here we explore the importance of life-course considerations of a resilience-based definition of health and consider the role of a broader horizontal and vertical system and individual level integration to attain VBHC for children and families.