Population Health Management最新文献

Optimizing Outcomes in the ACCESS Model: Why Provider Integration is Critical to Long-Term Success. 在ACCESS模型中优化结果：为什么供应商集成对长期成功至关重要。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-07-08 DOI: 10.1177/19427891261468429

Varsha Tanguturi, Ben Scirica, Mallika L Mendu

引用次数: 0

Psychometric Evaluation of the EVCA in Digital Health Settings Using Rasch Analysis Among Patients with Chronic Diseases. 使用皮疹分析对慢性疾病患者在数字健康环境中的EVCA进行心理测量评估

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-08-19 DOI: 10.1177/19427891261468437

Jing Liu, Tingting Yang, Ruoxin Xu, Jinhua Wan, XiaoJiao Zhu

{"title":"Psychometric Evaluation of the EVCA in Digital Health Settings Using Rasch Analysis Among Patients with Chronic Diseases.","authors":"Jing Liu, Tingting Yang, Ruoxin Xu, Jinhua Wan, XiaoJiao Zhu","doi":"10.1177/19427891261468437","DOIUrl":"10.1177/19427891261468437","url":null,"abstract":"With the expansion of internet-based health care, value co-creation behaviors of patients with chronic diseases have become increasingly important. However, appropriate instruments for assessing such behaviors among community-dwelling patients in digital health contexts remain limited. This study aimed to psychometrically evaluate the effort in value cocreation activities (EVCA) questionnaire using the Rasch model to establish a valid and reliable measure of patient engagement in value cocreation in digital health. A Chinese version of the EVCA questionnaire, developed following standard procedures for translation and cultural adaptation, was administered to a sample of 417 community-dwelling patients with chronic diseases. Rasch analysis was applied to examine unidimensionality, local dependency, category functioning, item fit, reliability and separation, differential item functioning (DIF) by gender and age, the item-person map, and the score conversion table. The final EVCA showed unidimensionality and no local dependency, with all items demonstrating acceptable fit, satisfactory person and item separation, no significant DIF by gender or age, and greater efficiency of the 4-point than the original 7-point structure. Patients considered the easiest item to complete as item 8, \"Healthy diet,\" while the most difficult items were item 10, \"Seeking information,\" and item 3, \"Proactive involvement in decision making.\" The EVCA exhibits a good fit to the Rasch model and robust psychometric properties, supporting its reliability and validity for assessing patient engagement in value co-creation in digital health settings.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"368-375"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When Sleep Hurts the Joints: Longitudinal Associations of Sleep Quality and Duration with Incident Arthritis in the English Longitudinal Study of Aging. 当睡眠伤害关节：英国衰老纵向研究中睡眠质量和持续时间与关节炎的纵向关联。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-06-15 DOI: 10.1177/19427891261459303

Hao Yang, Bowen Lu, Ziyue Wang

{"title":"When Sleep Hurts the Joints: Longitudinal Associations of Sleep Quality and Duration with Incident Arthritis in the English Longitudinal Study of Aging.","authors":"Hao Yang, Bowen Lu, Ziyue Wang","doi":"10.1177/19427891261459303","DOIUrl":"10.1177/19427891261459303","url":null,"abstract":"To examine the associations of sleep quality, sleep duration, and their trajectories with the risk of incident arthritis in middle-aged and older adults in the United Kingdom. Data from waves 4 to 8 of the English Longitudinal Study of Aging were used. We included 3028 participants aged ≥50 years without arthritis at baseline, followed for ∼8 years. Sleep quality was assessed using the Jenkins Sleep Scale (JSS), categorized as good, intermediate, or poor. Sleep duration was divided into tertiles. Incident arthritis was self-reported and physician-diagnosed. Associations were estimated using multivariable logistic regression and stratified analyses, including restricted cubic spline (RCS) models to explore dose-response relationships. Overall, 559 cases of incident arthritis were identified. Both intermediate and good sleep quality were associated with a lower risk of arthritis compared to poor sleep (odds ratio [OR] intermediate = 0.71, OR good = 0.55, P for trend < 0.001). The longest sleep tertile (Q3) showed a modest protective effect (OR = 0.72). RCS analysis revealed a significant linear dose-response relationship between JSS scores and arthritis risk. Sensitivity analyses of sleep-quality trajectories showed lower arthritis risk in all but the stable poor pattern, with the lowest risk in the stable good group (OR = 0.44). Poor subjective sleep quality is a more consistent predictor of arthritis than short-sleep duration alone, with a clear dose-response gradient. Improving poor sleep quality may be key to reducing arthritis risk.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"385-400"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Benefit of Social Needs Programs: Hospital Reports of Associated Population Health Management Outcomes. 社会需求计划的益处：相关人群健康管理结果的医院报告。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-07-21 DOI: 10.1177/19427891261470937

Samuel T Opoku, Bettye A Apenteng, Emmanuel Akowuah, Samuel Anokye-Mensah, Carolyn Puobebe, Benjamin Poku

{"title":"The Benefit of Social Needs Programs: Hospital Reports of Associated Population Health Management Outcomes.","authors":"Samuel T Opoku, Bettye A Apenteng, Emmanuel Akowuah, Samuel Anokye-Mensah, Carolyn Puobebe, Benjamin Poku","doi":"10.1177/19427891261470937","DOIUrl":"10.1177/19427891261470937","url":null,"abstract":"Despite compelling evidence linking social needs to health outcomes, there is a limited assess- ment of hospital- and health-system-led interventions to address social needs. To address this literature gap, this study examines hospital and health systems' reports of population health outcomes associated with social needs programming. Using data primarily from the 2021 American Hospital Association's Annual Hospital Survey, the study examines whether hospital- and health-system-led efforts to address housing, hunger, utility needs, interpersonal violence, transportation, employment, education, social isolation, and health behaviors are associated with hospital reports of improved health outcomes, reduced health care utilization, lower health care costs, and improved community health status. Four separate multivariable logistic regression models are fitted for each outcome. Education and health behavior programs or strategies were positively associated with 3 of the 4 outcomes examined, while programs or strategies targeting employment and housing were each associated with 1 outcome. Efforts addressing interpersonal violence were linked to reduced health care utilization but were negatively associated with improved health outcomes. Overall, the results demonstrate both the promise and the variability of social needs interventions across health care settings, reinforcing an emerging consensus that these interventions may not be uniformly effective.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"376-384"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Budget Impact Analysis of Ferric Derisomaltose for Heart Failure in a Rapidly Aging Regional Population. 脱异麦芽糖铁治疗快速老龄化地区人口心力衰竭的预算影响分析。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-08-21 DOI: 10.1177/19427891261480938

Doris George, Hoo Seng Tan, Shoen Chuen Chiew, Chin Hui Ng, Kumutha Kumarasamy, Zulhilmi Aladdin

{"title":"Budget Impact Analysis of Ferric Derisomaltose for Heart Failure in a Rapidly Aging Regional Population.","authors":"Doris George, Hoo Seng Tan, Shoen Chuen Chiew, Chin Hui Ng, Kumutha Kumarasamy, Zulhilmi Aladdin","doi":"10.1177/19427891261480938","DOIUrl":"10.1177/19427891261480938","url":null,"abstract":"Heart failure with reduced ejection fraction (HFrEF) poses a significant clinical and economic burden in Malaysia, particularly in Perak. Iron deficiency (ID) in HFrEF is associated with increased hospitalization risk. While international guidelines recommend intravenous ferric derisomaltose (FDI), its economic viability within Perak's public hospitals remains undefined. This study estimated the 3-year budget impact of introducing FDI therapy for HFrEF patients with ID in Perak public hospitals from the Malaysian Ministry of Health perspective. An Excel-based budget impact model compared a \"World-with-FDI\" scenario against the current standard of care (no intravenous iron) over a 3-year horizon (2026-2028). The eligible cohort was estimated using demographic projections, regional prevalence registries (Asian-heart failure [HF], MY-HF), and public sector utilization rates. Clinical efficacy (rate ratio of hospitalization) and dosing parameters were derived from the IRONMAN trial, incorporating drug acquisition and hospitalization costs. Deterministic one-way sensitivity analyses tested parameter uncertainties. Phased introduction of FDI required negligible investment of RM 2686 in Year 1. During maintenance dosing, savings from reduced hospitalizations significantly outweighed drug acquisition costs, generating net savings of RM 442,279 in Year 2 and RM 889,529 in Year 3. The 3-year cumulative savings totaled RM 1.33 million. Sensitivity analyses revealed the model is highly sensitive to hospitalization costs; prioritizing high-risk patients amplified Year 3 savings to over RM 2 million, while low-cost, stable cohorts resulted in a net budget deficit. FDI is cost-saving for managing HFrEF with ID in Perak. Strategic patient selection targeting high-utilization cohorts maximizes financial sustainability, while single-visit dosing offers operational efficiencies.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"420-426"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment-Effect-Based Versus Risk-Based Targeting of Care Management Outreach in Medicaid: A Retrospective Cohort Study with Machine Learning. 医疗补助中基于治疗效果与基于风险的护理管理扩展目标：一项基于机器学习的回顾性队列研究。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-07-24 DOI: 10.1177/19427891261472833

Sanjay Basu, Sadiq Y Patel, Rajaie Batniji

{"title":"Treatment-Effect-Based Versus Risk-Based Targeting of Care Management Outreach in Medicaid: A Retrospective Cohort Study with Machine Learning.","authors":"Sanjay Basu, Sadiq Y Patel, Rajaie Batniji","doi":"10.1177/19427891261472833","DOIUrl":"10.1177/19427891261472833","url":null,"abstract":"Medicaid care-management programs typically allocate scarce outreach capacity to beneficiaries with the highest predicted risk of an acute event, assuming that risk and responsiveness are aligned and stable across short intervals. The authors tested whether targeting outreach by predicted individualized treatment effect-the conditional average treatment effect (CATE) recomputed each calendar month-outperforms risk-based targeting. The authors analyzed 164,063 adult Medicaid beneficiaries (2,670,806 person-months) enrolled in community-based care management in Washington and Virginia between January 2023 and December 2025. The exposure was a completed care-manager telephone contact within a calendar month; the primary outcome was an emergency department visit or hospital admission within 30 days. CATEs were estimated using a causal forest with cross-fitted propensity and outcome-model nuisance functions, augmented by within-person fixed effects. Two monthly allocation rules were compared at 10% population capacity: a risk-based rule (top decile predicted event probability) and an effect-based rule (top decile predicted CATE). Policy values were estimated via doubly-robust off-policy evaluation. Findings were validated by cross-state replication, a marginal structural model targeting for time-varying confounding, and a staggered-rollout instrumental variable with pretrend, exclusion-restriction, and monotonicity diagnostics. Effect-based targeting prevented 13.3 (95% CI, 12.8-13.9) acute events per 2000 members per month versus 2.5 (95% CI, 2.3-2.7) under risk-based targeting-a 5.3-fold (95% CI, 4.9-5.7) improvement. Within-person variance accounted for 63.6% of total CATE variance. Gains were similar across racial/ethnic groups and states. Monthly allocation of Medicaid care-management outreach by predicted treatment effect substantially increased the number of acute events prevented at fixed capacity without widening between-group disparities.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"410-419"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Children with Special Health Care Needs, Chronic Pain, and Unmet Health Care Needs. 特殊卫生保健需求儿童、慢性疼痛和未满足卫生保健需求之间的关系。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-07-08 DOI: 10.1177/19427891261464374

Maykala J Williams, Chantel C Burkitt, Rhonda G Cady

{"title":"The Relationship Between Children with Special Health Care Needs, Chronic Pain, and Unmet Health Care Needs.","authors":"Maykala J Williams, Chantel C Burkitt, Rhonda G Cady","doi":"10.1177/19427891261464374","DOIUrl":"10.1177/19427891261464374","url":null,"abstract":"Children with special health care needs (SHCN) face poorer access to and quality of health care than children without SHCN, leading to greater unmet health care needs. Chronic pain, a common comorbidity of chronic conditions, is associated with greater risk for poor physical and psychological functioning and increased health care utilization. However, little is known about chronic pain in children with SHCN and unmet health care needs in this population. Secondary analysis of the 2022 National Survey of Children's Health (NSCH), a nationally representative survey of youth aged 0-17, was conducted. SHCN status, chronic pain presence, and the presence of and reasons for unmet health care needs were assessed. Models were adjusted for demographic and socioeconomic factors. Among all 52,713 participants, 12,762 (21%) had SHCN, and 2806 (5.5%) reported chronic pain. Children with SHCN experienced a higher prevalence of chronic pain (14.0%) than those without SHCN (3.2%). Greater odds of unmet health care needs were associated with chronic pain; odds further increased among children with both SHCN and chronic pain. Commonly reported barriers to health care included problems getting an appointment, services not available in the area, and the office not being open when the child needed care. Children with SHCN are disproportionately affected by chronic pain, which is strongly associated with increased unmet health care needs. Reported barriers primarily reflected issues with access to and availability of services. Enhancing access to pediatric pain management services may help reduce these disparities and improve health outcomes in this population.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"401-409"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Population Health Management: Foundations, Organizational Readiness, and Implementation Approaches: A Narrative Review. 人口健康管理：基础、组织准备和实施方法：叙述性回顾。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-09-01 DOI: 10.1177/19427891261485632

Mohammad AlJabr, Assim AlAbdulKader, Ahmed Alabdrabalnabi, Lama Al-Mazroa, Leyan Alotaibi, Saad F Alshahrani, Saad Alshahrani

{"title":"Population Health Management: Foundations, Organizational Readiness, and Implementation Approaches: A Narrative Review.","authors":"Mohammad AlJabr, Assim AlAbdulKader, Ahmed Alabdrabalnabi, Lama Al-Mazroa, Leyan Alotaibi, Saad F Alshahrani, Saad Alshahrani","doi":"10.1177/19427891261485632","DOIUrl":"10.1177/19427891261485632","url":null,"abstract":"Population health management (PHM) has emerged as a central strategy for improving outcomes, reducing avoidable utilization and strengthening system-level performance; however, it remains inconsistently defined and frequently conflated with public health, analytics, or high-performing primary care. This narrative review synthesizes multidisciplinary literature to clarify PHM definitions, compare operational frameworks, identify foundational organizational requirements, and propose a phased implementation pathway grounded in organizational maturity. Searches across major databases identified 42 peer-reviewed articles and authoritative reports published between 2000 and 2024 that addressed PHM conceptual foundations, frameworks, enabling conditions, and implementation strategies. Across diverse models-including accountable care organizations, integrated delivery systems, and national PHM initiatives-common structural components consistently emerged: population attribution and segmentation, targeted intervention design, interoperable data infrastructure, governance alignment, workforce capability, financing integration, and continuous learning. Recurrent barriers included conceptual conflation, fragmented governance, misaligned incentives, and overreliance on analytics without corresponding care redesign. Organizational maturity-rather than analytic sophistication-appears to be the primary determinant of sustainable PHM performance. The evidence suggests that PHM succeeds when conceptual clarity, governance structures, workforce capability, interoperable data systems, and financing alignment coevolve within a deliberate, phased transformation process. Treating PHM as a technical enhancement or isolated program undermines scalability and durability. A maturity-oriented approach provides a practical roadmap for health systems seeking to advance from fragmented initiatives toward sustained population accountability.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"355-367"},"PeriodicalIF":2.1,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When Administrative Requirements Shape Access: Medicaid Work Requirements and Mental Health Care. 当行政要求影响访问：医疗补助工作要求和精神卫生保健。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-12-01 Epub Date: 2026-06-23 DOI: 10.1177/19427891261462929

Ruth A Bishop, Tracey L Henry

引用次数: 0

Community Paramedics Address Health Inequities Within EMS Through Mobile Integrated Healthcare (MIH) Program Referrals from a "Medical Home". 社区护理人员通过从“医疗之家”转介的移动综合医疗（MIH）计划解决EMS内的健康不平等问题。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-10-12 DOI: 10.1177/19427891261496776

Zoë Curry, Brent Olson, Ashley Kloos, Jonathan Zaentz, Ameera Haamid, Margaret Piwowar, Lauren O'Connor, Katie Tataris

{"title":"Community Paramedics Address Health Inequities Within EMS Through Mobile Integrated Healthcare (MIH) Program Referrals from a \"Medical Home\".","authors":"Zoë Curry, Brent Olson, Ashley Kloos, Jonathan Zaentz, Ameera Haamid, Margaret Piwowar, Lauren O'Connor, Katie Tataris","doi":"10.1177/19427891261496776","DOIUrl":"https://doi.org/10.1177/19427891261496776","url":null,"abstract":"To advance local health equity, a large urban fire department's Mobile Integrated Healthcare (MIH) Unit worked with a Chicago-based health care organization to refer patients in \"medical homes\" to a MIH program. Medical home coordinators referred individuals to Community Paramedics (CPs) in the MIH Unit for program enrollment with a 4-visit model in 4 clinical pathways (hypertension, diabetes, asthma/Chronic Obstructive Pulmonary Disease [COPD], and heart failure). A total of 911 utilization of ambulance transportation, emergency department (ED) visits, and inpatient hospitalizations before and after intervention were measured to gauge program impact. A postgraduation survey was distributed to participants. From November 2022 to March 2025, 68 referred individuals completed the program and graduated with a total of 321 in-person visits by CPs. Data were gathered for 6 months before program enrollment and 6 months post-intervention. The most common clinical pathway for graduated patients was hypertension (75%), diabetes (57%), asthma/COPD (47%), and heart failure (41%). Among graduated patients, there was a 43% decrease in 911 ambulance transports, a 46% decrease in ED utilization, and a 42% decrease in hospital admissions. The postgraduation survey was completed by 53% of program graduates; 81% reported symptom improvement, 58% indicated an improved relationship with their primary care clinic, and 74% agreed that CPs improved their overall health care experience. Creating a partnership between a patient's primary care medical home and a large urban fire department's MIH program is a successful strategy for decreasing 911 ambulance transports, ED utilization, and inpatient hospital admissions for individuals at risk for poor health outcomes.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261496776"},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0