Understanding Population Health Management Practices Among Family Medicine Residency Programs.

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Stephen M Carek, Carina Brown, Dana Neutze, John Emerson, Mark Shaffer, Alex Ewing, Peter J Carek
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引用次数: 0

Abstract

Background and objectives: Population health management is a systematic approach to ensuring that all members of a given population receive appropriate preventative, chronic, and transitional care. It emphasizes addressing health inequities and the social determinants that influence health and related outcomes in communities served by family physicians. This study examines the current practices of family medicine residency programs in teaching population health management and the use of clinical data registries for their primary clinic sites.

Methods: Data were collected through a survey conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA) from September 26 to October 30, 2023. The survey targeted program directors of Accreditation Council for Graduate Medical Education accredited family medicine residency programs, with a final response rate of 37.90% (271/715).

Results: We found significant variability in the clinical data registries and population-based reports provided to residents. Of the residency programs, 29.52% provided both resident-specific and practice-level panel data, while 12.92% did not provide regular data reports. Clinical quality and patient satisfaction were the most common elements in reports. Programs varied in the frequency and dedicated time for population health management, with many programs citing resource constraints.

Conclusions: The findings highlight the need for standardized education and clinical systems to integrate population health into resident training. Ensuring consistent, accurate, and actionable data can enhance the quality and value of care and prepare residents for future practice in value-based care environments.

了解家庭医学住院医师计划中的人口健康管理实践。
背景和目标:人口健康管理是一种确保特定人口的所有成员获得适当的预防性、慢性和过渡性护理的系统方法。它强调在家庭医生服务的社区中解决卫生不公平现象和影响健康和相关结果的社会决定因素。本研究考察了目前家庭医学住院医师计划在人口健康管理教学中的实践,以及在其主要诊所使用临床数据登记。方法:通过学术家庭医学教育研究联盟(CERA)理事会于2023年9月26日至10月30日进行的调查收集数据。该调查的目标是研究生医学教育认证委员会认可的家庭医学住院医师项目的项目主任,最终回复率为37.90%(271/715)。结果:我们发现提供给居民的临床数据登记和基于人群的报告存在显著差异。在住院医师项目中,29.52%的项目同时提供了住院医师和执业水平的面板数据,而12.92%的项目没有提供定期的数据报告。临床质量和患者满意度是报告中最常见的因素。针对人口健康管理的方案在频率和专用时间上各不相同,许多方案引用了资源限制。结论:研究结果强调了将人口健康纳入住院医师培训的规范化教育和临床系统的必要性。确保一致、准确和可操作的数据可以提高护理的质量和价值,并使居民为未来在基于价值的护理环境中的实践做好准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Family Medicine
Family Medicine 医学-医学:内科
CiteScore
2.40
自引率
21.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Family Medicine, the official journal of the Society of Teachers of Family Medicine, publishes original research, systematic reviews, narrative essays, and policy analyses relevant to the discipline of family medicine, particularly focusing on primary care medical education, health workforce policy, and health services research. Journal content is not limited to educational research from family medicine educators; and we welcome innovative, high-quality contributions from authors in a variety of specialties and academic fields.
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