Population Health Management最新文献_第2页

Essential Workforce and Competencies for Effective Population Health Management: A Scoping Review. 有效人口健康管理的基本劳动力和能力：范围审查。

IF 2.1 4区医学

Population Health Management Pub Date : 2025-08-01 Epub Date: 2025-05-26 DOI: 10.1089/pop.2025.0043

Munirah K AlSaqabi, Majed Naif AlOsaimi, Nawaf H Albali, Rufaidah Dabbagh

{"title":"Essential Workforce and Competencies for Effective Population Health Management: A Scoping Review.","authors":"Munirah K AlSaqabi, Majed Naif AlOsaimi, Nawaf H Albali, Rufaidah Dabbagh","doi":"10.1089/pop.2025.0043","DOIUrl":"10.1089/pop.2025.0043","url":null,"abstract":"The increasing demand for skilled professionals in population health management (PHM) has highlighted the need for a clear understanding of workforce requirements and competencies. This scoping review aims to address this gap by identifying key roles, responsibilities, and competencies necessary for effective PHM implementation. The review was conducted using PubMed and Google Scholar. Articles focusing on PHM workforce requirements, job titles, roles, responsibilities, and competencies were included. Data were extracted and synthesized to address the research questions. A total of 30 records were reviewed, revealing a diverse range of PHM leadership roles, the importance of interdisciplinary teams, and the need for strategic workforce planning. Five core competency domains were identified: Population Health Knowledge and Expertise, Leadership, Data Literacy and Analytics, Business and Operations, and InterpersonalCommunication Skills. Effective PHM implementation requires a diverse, skilled workforce with clearly defined roles and competencies. These findings provide a framework for workforce development and highlight the need for standardized competency-based training in PHM.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"214-223"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143397","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

Coordinating Care for Better Outcomes: An Analysis of 30-Day All-Cause Readmissions and Accountable Care Organization Attribution. 协调护理以获得更好的结果：30天全因再入院和负责任的护理组织归因分析。

IF 2.1 4区医学

Population Health Management Pub Date : 2025-07-29 DOI: 10.1177/19427891251362842

Kelli Chovanec, Sonia Greer, Timothy J Lowe

{"title":"Coordinating Care for Better Outcomes: An Analysis of 30-Day All-Cause Readmissions and Accountable Care Organization Attribution.","authors":"Kelli Chovanec, Sonia Greer, Timothy J Lowe","doi":"10.1177/19427891251362842","DOIUrl":"https://doi.org/10.1177/19427891251362842","url":null,"abstract":"This study explored a large segment of Medicare claims data to evaluate the association between Accountable Care Organization (ACO) attribution and 30-day all-cause hospital readmissions. ACOs deliver value-based care to attributed patient populations, aiming to enhance care coordination and transitional care outcomes. Initiatives such as the Medicare Shared Savings Program (MSSP) incentivize health care systems to reduce readmissions and the total cost of care. The study included all Medicare inpatient discharges across 50 US states from January 1, 2022, to December 1, 2024. The primary measure of interest was 30-day all-cause readmissions. Hospitalizations for ACO-attributed beneficiaries (readmitted vs. not readmitted) were compared with hospitalizations for non-ACO-attributed beneficiaries. Subgroup and sensitivity analyses were conducted to explore ACO readmission performance with cohorts of beneficiaries with higher levels of clinical complexity and single or multiple hospital admissions. MSSP ACO beneficiaries had a 6% lower rate of 30-day all-cause readmissions. When restricting the cohorts to beneficiaries with higher levels of clinical complexity, MSSP ACO participants had significantly lower readmission rates. Sensitivity analyses adjusting for unequal sample sizes, differences in clinical complexity, and excess zeros (statistical overinflation) indicated that despite the positive effect of multiple hospitalizations, assignment to an ACO was significantly associated with lower readmission risk. The ACO care delivery model is a high-performing care coordination model that exemplifies best practices in addressing transitional care challenges, providing actionable insights for other health care organizations seeking to advance their transitional care strategies within value-based programs.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732942","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

Hospital Boards and Domiciliary Health Care-the Next Frontier of Care at the Point of Life. 医院董事会和居家保健——生命点护理的下一个前沿。

IF 1.8 4区医学

Population Health Management Pub Date : 2025-07-16 DOI: 10.1177/19427891251361376

Richard M Levy, Victor M Montori

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 2.1 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":2.1,"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