Population Health Management最新文献

Physician Workload Attenuates the Impact of Mental Health Care Workload on Community Health Outcomes: Implications for Distributing Provider Workload. 医生工作量减弱了精神卫生保健工作量对社区健康结果的影响：对分配提供者工作量的影响。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-12 DOI: 10.1089/pop.2025.0080

Gregory J Privitera, James J Gillespie, Arpitha Pamula, Brooke J Piper

{"title":"Physician Workload Attenuates the Impact of Mental Health Care Workload on Community Health Outcomes: Implications for Distributing Provider Workload.","authors":"Gregory J Privitera, James J Gillespie, Arpitha Pamula, Brooke J Piper","doi":"10.1089/pop.2025.0080","DOIUrl":"https://doi.org/10.1089/pop.2025.0080","url":null,"abstract":"Physician workload is known to impact provider well-being and individual patient encounters, but less is understood about how provider availability affects broader community health outcomes. Primary care physicians (PCPs) often serve as de facto mental health providers, particularly in underserved communities. This study evaluated whether PCP and mental health provider workload, measured by provider-to-resident ratios, predict population-level physical and mental health outcomes. County-level data from the 2024 Robert Wood Johnson Foundation County Health Rankings dataset (N = 3142 counties) were analyzed using two path analysis models; such models are used to estimate both direct and indirect relationships among multiple predictors and outcomes simultaneously. Predictor variables included provider ratios, percent uninsured (mediator), and self-reported physically and mentally unhealthy days (outcomes). Higher PCP workload was significantly associated with greater numbers of poor physical and mental health days. Mental health provider ratios were not directly associated with either outcome. Indirect effects through the percent uninsured were also significant, particularly for physical health outcomes. These findings suggest that PCPs play a disproportionate role in shaping both mental and physical health at the community level. The analysis supports the conclusion that addressing provider shortages and improving insurance coverage can enhance health outcomes, particularly when efforts are integrated into collaborative care models that distribute workload across providers and align treatment approaches with the diverse psychosocial and medical needs of the populations they serve.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275799","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

Perspectives on Obesity Management and the Use of Anti-Obesity Medicine from US Employees and Employers: Results from the OBSERVE Study. 美国雇员和雇主对肥胖管理和抗肥胖药物使用的看法：来自观察研究的结果

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1089/pop.2024.0239

Jamy Ard, Lee M Kaplan, Scott Kahan, Rekha Kumar, Hong Kan, Julia P Dunn, Tracy J Sims, Nadia N Ahmad, Kristen King-Concialdi, Sheila Drakeley, Adam Jauregui, Kimberly Gudzune

{"title":"Perspectives on Obesity Management and the Use of Anti-Obesity Medicine from US Employees and Employers: Results from the OBSERVE Study.","authors":"Jamy Ard, Lee M Kaplan, Scott Kahan, Rekha Kumar, Hong Kan, Julia P Dunn, Tracy J Sims, Nadia N Ahmad, Kristen King-Concialdi, Sheila Drakeley, Adam Jauregui, Kimberly Gudzune","doi":"10.1089/pop.2024.0239","DOIUrl":"10.1089/pop.2024.0239","url":null,"abstract":"Personal health factors and direct and indirect costs of obesity affect employers and employees. This research aimed to understand perceptions of obesity management and anti-obesity medications (AOMs) among employers and employees. In 2022, people with obesity and employers completed cross-sectional surveys about perceptions of obesity and its management, including AOMs. Data were analyzed with descriptive statistics. Data from 461 employed people with obesity (EwO) and 51 employer representatives (ER) were analyzed. Both EwO and ER acknowledged the impact of obesity on future health problems (88.3%; 100.0%) and perceived obesity as a disease (60.5%; 80.4%) to varied degrees. Both groups perceived an incremental value in combining self-directed lifestyle changes and AOMs (57.5%; 66.7%) and perceived healthcare provider-guided lifestyle change alongside AOMs as the most effective approach for maintaining long-term weight reduction (56.4%; 66.6%). More than two-thirds (68.6%) of ER expressed willingness to revisit their AOM coverage decisions, though cost of medication coverage (72.5%) and affordability of medications for employees (68.7%) were identified as barriers. ER believed that data showing reductions in premiums and claims at their organizations (78.4%) would be helpful in supporting the coverage of AOMs. While EwO and ER were receptive toward AOMs, organization-level barriers existed with AOM coverage. Evidence demonstrating the benefits of evidence-based obesity care, direct/indirect cost reductions, and the impact of obesity may address barriers to AOM coverage and improve obesity care and outcomes of their workforces.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"150-160"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764404","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 Long-Term Trend of the Affordable Care Act on Health Insurance Marketplace Enrollment. 平价医疗法案对健康保险市场注册的长期趋势。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1089/pop.2024.0238

Julianna Vecchio, Hao Wang, Bo Zhou, Usha Sambamoorthi

{"title":"The Long-Term Trend of the Affordable Care Act on Health Insurance Marketplace Enrollment.","authors":"Julianna Vecchio, Hao Wang, Bo Zhou, Usha Sambamoorthi","doi":"10.1089/pop.2024.0238","DOIUrl":"10.1089/pop.2024.0238","url":null,"abstract":"The Affordable Care Act (ACA) expanded health care access in the United States. This study examines the long-term impact of the ACA on private health insurance enrollment using National Health Interview Survey (NHIS) data. A repeated cross-sectional study using NHIS data from 2015 to 2022 was analyzed. Given the repeal of the ACA's individual mandate in 2019, stratified analyses compared Marketplace enrollment before (2015, 2018) and after (2019, 2022) the repeal. The study included US adults aged 26-64 years. Unadjusted enrollment rates were compared across age, sex, race/ethnicity, social determinants of health (SDOH), chronic conditions, body mass index, and smoking. Multivariable logistic regression assessed enrollment trends and associated factors. Marketplace enrollment increased by 1.4 percentage points post-mandate (P < 0.001), with no significant change pre-mandate (0.5-point decline, P = 0.235). Some subgroups (ages 26-39, Midwest, West) saw declines pre-mandate, while many experienced increased enrollments post-mandate. After adjustment, individuals in 2022 had 27% higher odds of enrollment than in 2019 (adjusted odds ratio [aOR] = 1.27, 95% confidence interval [CI] = 1.13-1.43, P < 0.001), whereas no significant change occurred between 2015 and 2018 (aOR = 1.02, 95% CI = 0.89-1.16, P = 0.818). Age, racial minority status, and unfavorable SDOH were associated with higher post-mandate enrollment odds. Marketplace enrollment grew post-mandate, particularly among vulnerable populations. While the repeal of the individual mandate may have contributed, other policy changes-expanded enrollment windows, increased subsidies, enhanced outreach, and streamlined applications-likely played a role, particularly in response to COVID-19.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"140-149"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606250","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

Ringside Seat. 比赛场的座位。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-03-28 DOI: 10.1089/pop.2025.0049

David B Nash

引用次数: 0

Additive Impact of Virtual Urgent and Emergency Department at Home Care on Value-Based Primary Care for Medicaid and Dual-Eligible Members. 家庭护理中的虚拟急诊科和急诊部对医疗补助和双重资格成员基于价值的初级保健的附加影响。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-03-28 DOI: 10.1089/pop.2024.0232

Inam Sakinah, Lena Bertozzi, Sney Patel, David Gurley, Eric Hilton, Deeksha Kola, Pooja K Mehta

{"title":"Additive Impact of Virtual Urgent and Emergency Department at Home Care on Value-Based Primary Care for Medicaid and Dual-Eligible Members.","authors":"Inam Sakinah, Lena Bertozzi, Sney Patel, David Gurley, Eric Hilton, Deeksha Kola, Pooja K Mehta","doi":"10.1089/pop.2024.0232","DOIUrl":"10.1089/pop.2024.0232","url":null,"abstract":"Virtual urgent care (VUC) and emergency department at home (ED at home) are two emerging interventions that may help address avoidable health care costs driven by inadequate access to primary care. This study evaluates the integration of VUC and ED at home as a combined mobile integrated care program, into a value-based primary care model that serves Medicaid and dual-eligible populations. Use of embedded VUC and ED at home among individuals with claim-identified physical health needs was associated with a statistically significant 27% reduction in inpatient admissions (P = 0.05), a 61% reduction in readmission (P = 0.04), and a 240% increase in engagement with primary care and care coordination (P < 0.001). Use of these services was also associated with a total cost of care decrease of $550 per member per month (P = 0.07). Findings suggest that virtual and home-based acute care services may be a promising lever for value-based payment models to enhance engagement and realize goals of improved cost and outcomes among populations with complex medical and social needs.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"173-178"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731364","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

Evaluation of an Interdisciplinary Hypertension Management Program at a Large Primary Care Practice. 大型初级保健实践中跨学科高血压管理项目的评估。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1089/pop.2024.0233

Melanie Chalfin, Scott Orlov, Sheraz Qamar, Amy Cunningham, Geoffrey Mills

引用次数: 0

Evaluating Clinical Outcomes of Telehealth as Adjunct to In-Person Care for Older Adults with Diabetes: A Systematic Review of Research Studies. 评估远程医疗作为老年人糖尿病患者亲自护理辅助的临床结果：研究的系统回顾。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-02-20 DOI: 10.1089/pop.2024.0135

Jorge Isaac Peña Garcia, Sahebi Saiyed, Monica Gavaller, Elena Cabb, Katharina V Echt, Erin E Reardon, Mary Rhee, Quratulain Syed

{"title":"Evaluating Clinical Outcomes of Telehealth as Adjunct to In-Person Care for Older Adults with Diabetes: A Systematic Review of Research Studies.","authors":"Jorge Isaac Peña Garcia, Sahebi Saiyed, Monica Gavaller, Elena Cabb, Katharina V Echt, Erin E Reardon, Mary Rhee, Quratulain Syed","doi":"10.1089/pop.2024.0135","DOIUrl":"10.1089/pop.2024.0135","url":null,"abstract":"The aim was to compare clinical outcomes for older adults with diabetes who received telehealth (TH) as an adjunct to in-person care (F2F) compared with those who received in-person only care (F2F). Systematic literature search was performed using the following databases: Ovid MEDLINE, Embase, Scopus, Web of Science, Cochrane, CINAHL, and ClinicalTrials.gov to include studies involving TH care for older adults with diabetes. Two authors independently reviewed the full text of shortlisted articles. A total of four studies that met the eligibility criteria were included. One study showed slight worsening in glycemic control in the TH group, but the remaining three showed improvement or no difference between the two groups. This review shows that TH modality, when utilized as an adjunct to F2F care, has comparability to F2F alone, with similar or better glycemic control for older adults with type II diabetes, especially those residing in rural communities, those older than age 75, and those with multiple comorbidities who had multiple clinical encounters.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"179-186"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459015","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

Increasing Statin-Prescribing and Low-Density Lipoprotein Cholesterol Control in Secondary Atherosclerotic Cardiovascular Disease Prevention: A Collaborative Approach. 在继发性动脉粥样硬化性心血管疾病预防中增加他汀类药物处方和低密度脂蛋白胆固醇控制：一种协作方法。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-05-07 DOI: 10.1089/pop.2024.0227

Erin Leaver-Schmidt, Earlean Chambers, Elizabeth Ciemins, Cori Rattelman, Parag Agnihotri, Danielle Casanova, John Kennedy

{"title":"Increasing Statin-Prescribing and Low-Density Lipoprotein Cholesterol Control in Secondary Atherosclerotic Cardiovascular Disease Prevention: A Collaborative Approach.","authors":"Erin Leaver-Schmidt, Earlean Chambers, Elizabeth Ciemins, Cori Rattelman, Parag Agnihotri, Danielle Casanova, John Kennedy","doi":"10.1089/pop.2024.0227","DOIUrl":"10.1089/pop.2024.0227","url":null,"abstract":"Despite ample evidence supporting their efficacy in atherosclerotic cardiovascular disease (ASCVD) management, statin-prescribing and low-density lipoprotein cholesterol (LDL-C) measurement are underused, especially for vulnerable populations. This study explores the impact of a Best Practices Learning Collaborative to improve the management of patients with ASCVD for secondary prevention. Conducted with the guidance of a subject-matter expert advisory committee, the ASCVD Collaborative convened a geographically diverse group of health care organizations (HCOs) over a 12-month implementation period to set goals, develop and implement interventions, collect and track quality performance measures, and share best practices. Interventions included provider/staff education, clinical decision support tools, care coordination, patient education and awareness, and the treatment of very high-risk patients. HCOs tracked three measures for patients with established ASCVD: any statin prescribed (stratified by sex and race/ethnicity), high-intensity statin prescribed, and LDL-C control (<70 mg/dL). After a 12-month implementation period, HCOs demonstrated improvement in one or more measures. The Collaborative model was shown to be an effective means for achieving improvement in the management of ASCVD, laying the groundwork for future more rigorous studies to identify the most impactful interventions.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"131-139"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040809","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 Evolution of Population Health Management: Time to Accredit the Curriculum? 人口健康管理的演变：该认证课程了吗？

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1089/pop.2025.0028

Anthony C Stanowski, David Nash

引用次数: 0

Health Resources and Services Administration-Funded Health Centers Reduce Health Care Expenditures of California Medicaid Managed Care Beneficiaries with Complex Needs. 卫生资源和服务管理局资助的医疗中心减少了加州医疗补助管理医疗受益人复杂需求的医疗保健支出。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1089/pop.2024.0241

Nadereh Pourat, Weihao Zhou, Leigh Ann Haley, Jamie Ryan, Alek Sripipatana

{"title":"Health Resources and Services Administration-Funded Health Centers Reduce Health Care Expenditures of California Medicaid Managed Care Beneficiaries with Complex Needs.","authors":"Nadereh Pourat, Weihao Zhou, Leigh Ann Haley, Jamie Ryan, Alek Sripipatana","doi":"10.1089/pop.2024.0241","DOIUrl":"10.1089/pop.2024.0241","url":null,"abstract":"The authors aimed to investigate potential differences between health care use and related payments for patients with complex needs and high costs in Health Resources and Services Administration-funded health centers (HCs) and with other safety net primary care providers. The authors used data from the California Health Homes Program that was designed to improve health outcomes and reduce expenditures of such Medicaid managed care beneficiaries. The authors used 2018 data prior to program implementation and conducted propensity score-matched regressions. The authors then estimated predicted rates of use across seven service categories and payment values for each category and for overall payments. The authors found that 29% of the sample were HC patients and had lower estimated average total payment values ($21,220) than group provider patients ($23,180). HC patients also had lower values for hospitalizations and long-term facility stays and higher values for primary and mental health services than all other providers. Payment differences were generally consistent with differences in predicted rates of use. These findings suggest that HC approaches to managing patient care access and integrated mental health services may explain these differences in use and payment patterns.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"117-124"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523962","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