Population Health Management最新文献_第10页

Impact of COVID-19 on Behavioral Health Services Use Among Medicaid Enrollees with Chronic Behavioral Needs by Race and Ethnicity. 新冠肺炎对按种族和民族划分的有慢性行为需求的医疗补助注册者的行为健康服务使用的影响。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-09-07 DOI: 10.1089/pop.2023.0077

Winnie Chi, Binh Nguyen, Qinli Ma, Darrell Gray, Eric Bailly, Anthony LoSasso, Shantanu Agrawal

{"title":"Impact of COVID-19 on Behavioral Health Services Use Among Medicaid Enrollees with Chronic Behavioral Needs by Race and Ethnicity.","authors":"Winnie Chi, Binh Nguyen, Qinli Ma, Darrell Gray, Eric Bailly, Anthony LoSasso, Shantanu Agrawal","doi":"10.1089/pop.2023.0077","DOIUrl":"10.1089/pop.2023.0077","url":null,"abstract":"The COVID-19 pandemic may widen the disparities in access to behavioral health (BH) services among groups that have been historically marginalized. However, the rapid expansion of telehealth presents an opportunity to reduce these disparities. The objective was to assess the impact of COVID-19 on BH visits, including in-person and telehealth, and BH treatments by different race and ethnicity groups. This was a retrospective, observational study using administrative claim data. Two cohorts were created: a before-COVID-19 group and a during-COVID-19 group. A difference-in-differences analysis was conducted to assess the access to BH-related visits between the 2 groups by different race and ethnicity groups. The study sample included 90,268 patients aged 18 to 64 years with repeated BH diagnoses in baseline periods and continuous medical and pharmacy enrollment. During the pandemic, BH telehealth visits surged, whereas the overall utilization of BH services, mental health medication, and counseling declined among all racial groups as the BH telehealth increase did not fully compensate for the reduction of in-person visits. Latino patients had a higher likelihood of using BH telehealth visits than White patients. However, Black patients had a lower likelihood of using substance use disorder (SUD) treatment than their White counterparts. Our results also suggested that care continuation and pre-established care-seeking behaviors are associated with increasing BH visits and treatments. As policy makers and payers are expanding offerings of telehealth visits, it is imperative to do so through a health equity lens and center the needs of groups that have been economically and socially marginalized to advance equitable adoption of telehealth.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"325-331"},"PeriodicalIF":2.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534232","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

Causes of Death Among Health Care Professionals in the United States. 美国卫生保健专业人员的死因。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-08-29 DOI: 10.1089/pop.2023.0070

Ofer Kobo, Dmitry Abramov, Annabelle Santos Volgman, Jennifer H Mieres, Harindra C Wijeysundera, Harriette G C Van Spall, Mamas A Mamas

{"title":"Causes of Death Among Health Care Professionals in the United States.","authors":"Ofer Kobo, Dmitry Abramov, Annabelle Santos Volgman, Jennifer H Mieres, Harindra C Wijeysundera, Harriette G C Van Spall, Mamas A Mamas","doi":"10.1089/pop.2023.0070","DOIUrl":"10.1089/pop.2023.0070","url":null,"abstract":"Specific causes of mortality among various types of health care professionals (HCPs), including those characterized by age, gender, and race, have not been well described. The National Occupational Mortality Surveillance data for deaths in 26 US states in 1999, 2003-2004, and 2007-2014 were queried to address this question. Proportionate mortality ratios (PMRs) were calculated to compare specific causes of mortality among HCPs compared with those among the general population. HCPs were less likely to die from heart disease (PMR 93, 95% confidence intervals [CI] 92-94), alcoholism (PMR 62, 95% CI 57-68), drugs (PMR 80, 95% CI 70-90), and more likely to die from cerebrovascular disease (PMR 105, 95% CI 104-107) and diabetes (PMR 107, 95% CI 105-109). HCPs aged 18-64 years were more likely to die by suicide (PMR 104, 95% CI 101-107), whereas those aged 65-90 years were less likely to die by suicide (PMR 84, 95% CI 77-91), with physicians (PMR 251, 95% CI 229-275) and other HCPs having high PMR for suicide. Among all HCPs, suicide PMR was similarly increased, whereas heart disease PMRs are similarly decreased among Black compared with those among White HCPs and those among male compared with those among female HCPs. HCPs as a group and specific types of HCPs demonstrate causes of mortality that differ in important ways from the general population. Race and gender-based trends in PMRs for key causes of mortality among HCPs suggest that employment in a health care field may not alter race and gender disparities noted among the general population.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"294-302"},"PeriodicalIF":2.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167602","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

Scoping Review of Employer-Led Research Using Employee Health Claims Data. 使用员工健康索赔数据对雇主主导的研究进行范围界定审查。

IF 1.8 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-09-08 DOI: 10.1089/pop.2023.0140

Naimisha Movva, Susan T Pastula, Saumitra V Rege, R Jeffrey Lewis, Lauren C Bylsma

{"title":"Scoping Review of Employer-Led Research Using Employee Health Claims Data.","authors":"Naimisha Movva, Susan T Pastula, Saumitra V Rege, R Jeffrey Lewis, Lauren C Bylsma","doi":"10.1089/pop.2023.0140","DOIUrl":"10.1089/pop.2023.0140","url":null,"abstract":"Employers may evaluate employee claims data for various reasons, including assessment of medical insurance and wellness plan efficacy, monitoring employee health trends, and identifying focus areas for wellness measures. The objective of this scoping review (ScR) is to describe the available literature reporting the use, applications, and outcomes of employee health claims data by self-insured employers. The ScR was conducted in a stepwise manner using an established framework: identifying the research question, identifying and selecting relevant studies, charting the data, and collating and reporting results. Literature searches were conducted in PubMed and Embase. Studies of self-insured employee populations that were conducted by the employer/s through May 2022 were identified using predefined criteria. Forty-one studies were included. The majority (90%) were cohort study designs; most employers (51%) were in industries such as aluminum production and health insurance providers. Twenty-four (59%) studies supplemented claims data with other sources such as human resource data to evaluate programs and/or health outcomes. A range of exposures (eg, chronic conditions, wellness program participation) and outcomes (eg, rates or costs of conditions, program effectiveness) were considered. Among the 25 studies that reported on patient confidentiality and privacy, 68% indicated institutional review board approval and 48% reported use of deidentified data. Many self-insured employers have used employee health claims data to gain insights into their employees' needs and health care utilization. These data can be used to identify potential improvements for wellness and other targeted programs to improve employee health and decrease absenteeism.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"341-352"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10611962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10596294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of E-Consults in an Integrated Health System for a Value Population. 在价值人群的综合卫生系统中实施电子咨询。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-07-20 DOI: 10.1089/pop.2023.0141

Alexis A Kurek, Kennedy M Boone-Sautter, Michelle Rizor, Kristyn Vermeesch, Aiesha Ahmed

引用次数: 0

Composite Indices of Social Determinants of Health: Overview, Measurement Gaps, and Research Priorities for Health Equity. 健康的社会决定因素综合指数：健康公平的概述、衡量差距和研究重点。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 DOI: 10.1089/pop.2023.0106

Lisa M Lines, Marque C Long, Sahar Zangeneh, Kelli DePriest, Joy Piontak, Jamie Humphrey, Sujha Subramanian

{"title":"Composite Indices of Social Determinants of Health: Overview, Measurement Gaps, and Research Priorities for Health Equity.","authors":"Lisa M Lines, Marque C Long, Sahar Zangeneh, Kelli DePriest, Joy Piontak, Jamie Humphrey, Sujha Subramanian","doi":"10.1089/pop.2023.0106","DOIUrl":"10.1089/pop.2023.0106","url":null,"abstract":"The goal of health equity is for all people to have opportunities and resources for optimal health outcomes regardless of their social identities, residence in marginalized communities, and/or experience with oppressive systems. Social determinants of health (SDOH)-the conditions in which we are born, grow, live, work, and age-are inextricably tied to health equity. Advancing health equity thus requires reliable measures of SDOH. In the United States, comprehensive individual-level data on SDOH are difficult to collect, may be inaccurate, and do not capture all dimensions of inequitable outcomes. Individual area-based indicators are widely available, but difficult to use in practice. Numerous area-level composite indices are available to describe SDOH, but there is no consensus on which indices are most appropriate to use. This article presents an analytic taxonomy of currently available SDOH composite indices and compares their components and predictive ability, providing insights into gaps and areas for further research.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":"26 5","pages":"332-340"},"PeriodicalIF":2.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210161","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: 1

Data-Driven Leadership: Clinical Registries Drive Higher Value Health Care. 数据驱动的领导力：临床注册推动更高价值的医疗保健。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-06-21 DOI: 10.1089/pop.2023.0066

Matthew L Moorman, Andrew M Loudon, Peter J Pronovost

引用次数: 0

Addressing Social Needs in Clinical Settings: Early Lessons from Accountable Health Communities. 解决临床环境中的社会需求：责任卫生社区的早期经验教训。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 DOI: 10.1089/pop.2023.0119

Laura B Beidler, Jeffery D Colvin, Courtney M Winterer, Taressa K Fraze

{"title":"Addressing Social Needs in Clinical Settings: Early Lessons from Accountable Health Communities.","authors":"Laura B Beidler, Jeffery D Colvin, Courtney M Winterer, Taressa K Fraze","doi":"10.1089/pop.2023.0119","DOIUrl":"10.1089/pop.2023.0119","url":null,"abstract":"The Centers for Medicare and Medicaid Services recently adopted quality metrics that require hospitals to screen for health-related social risks. The hope is that these requirements will encourage health care organizations to refer patients with social needs to community resources and, as possible, offer navigation services. This approach-screening, referrals, and navigation-is based, in part, on the Accountable Health Communities (AHC) model. Twenty-two of 31 participants in the AHC model in 2019 were interviewed to generate guidance for health care organizations as they implement screening, referral, and navigation activities to improve patients' health-related social risks. From these interviews, the team identified 4 key program design elements that facilitated AHC implementation: (1) centralized management office, (2) accountability milestones, (3) prescriptive requirements, and (4) technology support. The structure and requirements of the AHC model spurred participating organizations to rapidly implement social care activities, but the model did not allow for the flexibility necessary to ensure sustained adoption of AHC activities. The AHC model required a designated centralized management office, which was instrumental in ensuring AHC activities were implemented effectively. The centralized management office was typically external from participating clinical sites that impacted the AHC model's integration within clinical workflows. The reliance on the centralized management office to implement AHC activities limited the sustainability of the model. As payers, policymakers, and delivery system leaders aim to develop sustainable and effective social care programs, insights from these interviews can help guide and shape policy and program design elements.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":"26 5","pages":"283-293"},"PeriodicalIF":2.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210160","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

Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care. 解决产妇健康差距：建立新的两代综合产后护理方法。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-09-07 DOI: 10.1089/pop.2023.0059

Anne Elizabeth Glassgow, Melissa Wagner-Schuman, Amanda Knepper, Abigail Holicky, Maria Angulo, Arden Handler, Bianca Harris, Erin Hickey, Yolanda Manrique, Ana Mauro, Aida Rodriguez, Jennifer Schulte, Shirley Scott, Samuel Wainwright, Rachel Caskey

{"title":"Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care.","authors":"Anne Elizabeth Glassgow, Melissa Wagner-Schuman, Amanda Knepper, Abigail Holicky, Maria Angulo, Arden Handler, Bianca Harris, Erin Hickey, Yolanda Manrique, Ana Mauro, Aida Rodriguez, Jennifer Schulte, Shirley Scott, Samuel Wainwright, Rachel Caskey","doi":"10.1089/pop.2023.0059","DOIUrl":"10.1089/pop.2023.0059","url":null,"abstract":"The United States is facing a maternal health crisis with increasing rates of severe maternal morbidity and mortality. To improve maternal health and promote health equity, the authors developed a novel 2-generation model of postpartum and pediatric care. This article describes the Two-Generation Clinic (Two-Gen) and model of care. The model combines a dyadic strategy for simultaneous maternal and pediatric care with the collaborative care model in which seamless primary and behavioral health care are delivered to address the physical health, behavioral health, and social service needs of families. The transdisciplinary team includes primary care physicians, nurse practitioners, psychiatrists, obstetrician-gynecologists, social workers, care navigators, and lactation specialists. Dyad clinic visits are coscheduled (at the same time) and colocated (in the same examination room) with the same primary care provider. In the Two-Gen, the majority (89%) of the mothers self-identify as racial and ethnic minorities. More than 40% have a mental health diagnosis. Almost all mothers (97.8%) completed mental health screenings, >50.0% have received counseling from a social worker, 17.2% had a visit with a psychiatrist, and 50.0% received lactation counseling. Over 80% of the children were up to date with their well-child visits and immunizations. The Two-Gen is a promising model of care that has the potential to inform the design of postpartum care models and promote health equity in communities with the highest maternal health disparities.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"275-282"},"PeriodicalIF":2.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534233","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

New York City's Community-Based Organizations and the COVID-19 Pandemic: A Descriptive Analysis of Local Organizations' Response Efforts and Their Role During Public Health Crises. 纽约市基于社区的组织与新冠肺炎大流行：对地方组织在公共卫生危机期间的应对工作及其作用的描述性分析。

IF 1.8 4区医学

Population Health Management Pub Date : 2023-10-01 Epub Date: 2023-08-29 DOI: 10.1089/pop.2023.0016

Devin A Madden, Anna Reva, Mimsie Robinson, Chris Leto, Jeralyn Cortez-Weir, Nihal Mohamed, Natalie Privett, Carol R Horowitz, Nita Vangeepuram

{"title":"New York City's Community-Based Organizations and the COVID-19 Pandemic: A Descriptive Analysis of Local Organizations' Response Efforts and Their Role During Public Health Crises.","authors":"Devin A Madden, Anna Reva, Mimsie Robinson, Chris Leto, Jeralyn Cortez-Weir, Nihal Mohamed, Natalie Privett, Carol R Horowitz, Nita Vangeepuram","doi":"10.1089/pop.2023.0016","DOIUrl":"10.1089/pop.2023.0016","url":null,"abstract":"Community-based organizations (CBOs) are on the frontlines offering resources and support to residents during times of distress. Through a community-academic partnership, an interdisciplinary team developed, collected, and analyzed 91 surveys from social services providers across New York City assessing the impact of the COVID-19 pandemic on their organizations' operations. The majority (93%) of these organizations stayed open during the pandemic but had to shift the services they offered to meet new needs. Although most (89%) shared they were not offering on-site testing for COVID-19, 53% expressed interest in becoming a test site, citing needs such as funding, test kits, and skills-building for staff. More than half of the respondents were eager to get involved in public health efforts in other ways, such as joining local research advisory boards. Despite increasing the services they provided, CBOs saw decreases in staffing and volunteers. Furthermore, although nearly half (48%) received governmental aid, many faced financial pressures and several had to close offices during the pandemic. As trusted resources, CBOs can help meet public health needs if provided with proper support and resources. It is critical that those working in prevention and relief are considerate about how and when they leverage effective partnerships between public health organizations and CBOs, offering organizations the resources they need to be effective in this charge, given the role they can have in promoting health equity.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"309-316"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sharpening Our Focus on Chronic Disease, Access, and Equity. 加强对慢性病、可及性和公平性的关注。

IF 2.5 4区医学

Population Health Management Pub Date : 2023-08-01 DOI: 10.1089/pop.2023.0124

Alison L Hong

引用次数: 0