Population Health Management最新文献

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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
{"title":"The Evolution of Population Health Management: Time to Accredit the Curriculum?","authors":"Anthony C Stanowski, David Nash","doi":"10.1089/pop.2025.0028","DOIUrl":"10.1089/pop.2025.0028","url":null,"abstract":"","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"187-189"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650001","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
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":"<p><p>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.</p>","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
Short-Term Gains, Enduring Potential: An Integrated SDOH-Focused Care Model Delivers Cost Savings and Patient-Reported Benefits. 短期收益,持久潜力:以sdoh为重点的综合护理模式可节省成本和患者报告的利益。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-06-01 Epub Date: 2025-03-28 DOI: 10.1089/pop.2024.0245
Sasha Ruben Sioni, Lesley Manson, Nicholas Arledge
{"title":"Short-Term Gains, Enduring Potential: An Integrated SDOH-Focused Care Model Delivers Cost Savings and Patient-Reported Benefits.","authors":"Sasha Ruben Sioni, Lesley Manson, Nicholas Arledge","doi":"10.1089/pop.2024.0245","DOIUrl":"10.1089/pop.2024.0245","url":null,"abstract":"<p><p>High-need, high-cost (HNHC) adults require comprehensive strategies that address both clinical and social determinants of health (SDOH). This retrospective, propensity score-matched study (<i>n</i> = 526) evaluated a care model integrating monthly SDOH screenings, medication oversight, and real-time admission-discharge-transfer alerts in four urban primary care clinics. Compared to usual care, the intervention significantly reduced acute utilization within 60 days: emergency department (ED) visits decreased by 0.17 (<i>P</i> < 0.001) and hospital admissions declined by 0.12 (<i>P</i> < 0.001). Gross per-participant costs fell from $6,019 to $2,422 (a $3,597 reduction); after accounting for intervention expenses, net savings reached $3,222 (<i>P</i> < 0.001), yielding an estimated 6.9:1 return on investment. Patient-reported outcomes also demonstrated significant gains: EQ-5D-5L scores increased by 0.082 (<i>P</i> < 0.001) in the intervention cohort, exceeding the threshold for clinically meaningful change, while Net Promoter Scores rose by 8.8 points (<i>P</i> < 0.001). Subgroup analyses revealed slightly smaller quality-of-life gains among non-White cohorts, highlighting the need for culturally tailored approaches to advance equity. These findings align with prior Population Health Management research showing that integrated care models can reduce costs and enhance patient satisfaction. Overall, this multifaceted model effectively curbs avoidable ED visits and admissions, generates short-term cost savings, and boosts patient satisfaction-key outcomes under value-based care contracts. Future research should investigate longer-term outcomes and refine equity-focused strategies to ensure sustained and inclusive benefits.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"161-172"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731500","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
Assessing the Relationship Between Behavioral Health Integration and Alcohol-Related Treatment Among Patients with Medicaid. 评估医疗补助患者行为健康整合与酒精相关治疗之间的关系
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2024-12-10 DOI: 10.1089/pop.2024.0170
Lina Tieu, Nadereh Pourat, Elizabeth Bromley, Rajat Simhan, Weihao Zhou, Xiao Chen, Beth Glenn, Roshan Bastani
{"title":"Assessing the Relationship Between Behavioral Health Integration and Alcohol-Related Treatment Among Patients with Medicaid.","authors":"Lina Tieu, Nadereh Pourat, Elizabeth Bromley, Rajat Simhan, Weihao Zhou, Xiao Chen, Beth Glenn, Roshan Bastani","doi":"10.1089/pop.2024.0170","DOIUrl":"10.1089/pop.2024.0170","url":null,"abstract":"<p><p>Behavioral health integration (BHI) is increasingly implemented to expand capacity to address behavioral health conditions within primary care. Survey and claims data from the evaluation of the Public Hospital Redesign and Incentives in Medi-Cal program were used to examine the relationship between BHI and alcohol-related outcomes among Medicaid patients within 17 public hospitals in California. Key informant survey data measured hospital-level BHI at 3 levels (overall composite, infrastructure, and process domains, 10 themes). Multilevel logistic regression models estimated the relationship between BHI and outcomes indicating receipt of appropriate alcohol-related care (any primary care visit, any detoxification, timely initiation, timely engagement) and acute care (any emergency department [ED] visit or hospitalization, classified as alcohol-related or all-cause) in the year following an alcohol-related index encounter. Of 6196 patients, some had an alcohol-related primary care visit (33%), detoxification (16%), timely initiation (14%), or engagement in treatment (7%). ED visits resulting in discharge were more common (40% alcohol-related, 64% all-cause) than hospitalizations (15% alcohol-related, 26% all-cause). Controlling for patient-level characteristics, no significant relationships between overall BHI and these outcomes were observed. However, greater BHI infrastructure was associated with alcohol-related (odds ratio [OR] 1.86, 95% confidence interval [CI] 1.14-3.05) and all-cause hospitalization (OR 1.25, 95% CI 1.01-1.55). Associations emerged between BHI themes (eg, related to support of providers) and greater likelihood of alcohol-related detoxification, primary care visit, timely initiation, and acute care utilization. Findings suggest that implementing specific BHI components may improve receipt of alcohol-related treatment, and warrant future research into these relationships.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"88-97"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807776","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
Transitional Care for Older Adults: Demonstration of the Role of a Partnership Payvider. 老年人的过渡性护理:伙伴关系支付者角色的示范。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2024-12-24 DOI: 10.1089/pop.2024.0189
Alexis Kurek, Carlos Weiss, Kennedy M Boone-Sautter, Aiesha Ahmed
{"title":"Transitional Care for Older Adults: Demonstration of the Role of a Partnership Payvider.","authors":"Alexis Kurek, Carlos Weiss, Kennedy M Boone-Sautter, Aiesha Ahmed","doi":"10.1089/pop.2024.0189","DOIUrl":"10.1089/pop.2024.0189","url":null,"abstract":"<p><p>A payvider organization provides both payer and provider services and has been linked to administrative and patient cost reduction by improving right-sized utilization of patient care services. A geriatric-focused transitional program was offered to patients covered under a value-based care risk contract formed by the payvider relationship of an integrated health system. This article describes a prospective study comparing utilization and cost metrics of patients enrolled in the transitional care program with the goal of analyzing utilization of services to better understand patient behavior patterns and care needs after hospital admission and consecutive enrollment in the program. Patients enrolled in the program incurred lower costs in all categories but home health care than the reference population. The cost avoidance achieved during the study period was estimated to be over $1.1 million. Individuals participating in the program had similar emergency department visit rates during the 90- and 180-days following the hospital as the reference population but had significantly lower inpatient readmissions (7.8% vs. 15.4%) even with a higher average readmission risk score (66.8 vs. 65.5). The implementation of the transitional care program led to reduced costs and more efficient utilization of services than those not enrolled in the program. The payvider relationship allows systems to think proactively about new initiatives and programs that will better serve their communities, especially when identifying groups with high projected costs and service utilization. Patients benefit from the assurance that the services they are receiving are covered by their insurer and their trusted organization.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"98-104"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886136","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 Safety-Net Burden is Associated with Perioperative Outcomes in Primary Total Hip Arthroplasty: A Multistate Retrospective Analysis, 2015-2020. 医院安全网负担与初次全髋关节置换术围手术期结果相关:2015-2020年多州回顾性分析
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1089/pop.2024.0194
Margaret Darko, Virginia E Tangel, Abbey Gilman, Maressa Cumbermack, Deirdre C Kelleher, Tiffany Tedore, Robert S White
{"title":"Hospital Safety-Net Burden is Associated with Perioperative Outcomes in Primary Total Hip Arthroplasty: A Multistate Retrospective Analysis, 2015-2020.","authors":"Margaret Darko, Virginia E Tangel, Abbey Gilman, Maressa Cumbermack, Deirdre C Kelleher, Tiffany Tedore, Robert S White","doi":"10.1089/pop.2024.0194","DOIUrl":"10.1089/pop.2024.0194","url":null,"abstract":"<p><p>Total hip arthroplasty (THA) is a widely performed surgical procedure in the United States, but disparities in THA outcomes related to hospital-level factors, such as safety-net burden, are underexplored. This study expands on previous research by analyzing multicenter, multistate data from 2015 to 2020 to investigate the impact of hospital safety-net burden-defined as the proportion of services billed to Medicaid and uninsured patients-on THA outcomes. This study is a retrospective analysis using data from the State Inpatient Databases for Florida, Kentucky, Maryland, New York, Washington, New Jersey, and North Carolina. The study cohort included 543,814 inpatient primary THA admissions, with patient demographics, comorbidities, and hospital characteristics analyzed across 3 categories of hospital safety-net burden (low, medium, and high). Generalized linear mixed models assessed the association between safety-net burden and in-hospital mortality and postoperative complications, whereas multilevel negative binomial regression evaluated the impact on hospital length of stay. The study findings indicate that patients undergoing THA at hospitals with high safety-net burden had significantly higher odds of in-hospital mortality (adjusted odds ratio [aOR]: 1.20, 95% confidence interval [CI]: 1.02-1.42), postoperative complications (aOR 1.33, 95% CI 1.20-1.48), and longer hospital stays (adjusted incidence rate ratio 1.15, 95% CI 1.10-1.21) compared with those at low-burden hospitals. These results suggest that hospitals with higher safety-net burden, often serving more vulnerable populations, may have suboptimal perioperative processes and protocols, leading to poorer outcomes. The study underscores the need for targeted interventions to improve THA outcomes in these hospitals.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"57-70"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010389","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
Profiling Social Needs Activities in Publicly Traded Medicare Advantage Organizations. 剖析公开交易的医疗保险优势组织的社会需求活动。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2024-08-27 DOI: 10.1089/pop.2024.0045
Khyathi Gadag, Fred Ullrich, Keith J Mueller
{"title":"Profiling Social Needs Activities in Publicly Traded Medicare Advantage Organizations.","authors":"Khyathi Gadag, Fred Ullrich, Keith J Mueller","doi":"10.1089/pop.2024.0045","DOIUrl":"10.1089/pop.2024.0045","url":null,"abstract":"<p><p>The objective was to examine Medical Advantage (MA) organizations' commitment toward addressing social determinants of health (SDOH) through their health-related social benefit offerings, and the perceived impact of providing supplemental benefits associated with SDOH in their plans. Public reporting documents were reviewed from six of the largest MA firms: Humana, UnitedHealthcare, Cigna, Elevance Health, CVS Health, and Centene. Public reports were obtained from each company's website (eg, from the \"Investor Relations\" page). Quarterly reports for Q1 2023, annual reports for 2022, and proxy statements for 2023 for all companies were examined. Content analysis of the public reports was conducted under three constructs: (1) Growth of MA in the company, (2) SDOH-related activities in the company, and (3) SDOH-related activities in the MA plans of the company. Each of the three constructs was further analyzed for recurring themes and elements. The findings from content analysis suggests that plans are providing tailored benefits that may address the social needs of vulnerable and underserved populations. Companies that offered supplemental benefits and value-based arrangements that addressed social needs reported beneficiary clinical outcomes resulting in cost savings and increased revenue. Health insurance companies identify MA as a significant growth opportunity and a strategically important market for overall membership and revenue growth. Moreover, companies providing innovative social benefits through their MA plans reported witnessing increased value propositions by underserved and vulnerable populations, leading to increased revenue and cost containment.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"81-87"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073700","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
Relationship Between Socioeconomic Deprivation and Healthy Days Among Commercially Insured Adults Using a Digital Health Application: An Observational Study. 使用数字健康应用程序的商业保险成年人的社会经济剥夺与健康天数的关系:一项观察性研究。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2025-01-31 DOI: 10.1089/pop.2024.0202
Jaclyn Marshall, Oliver-John M Bright, Nicholas Leiby, Todd Thames, Alexandra Yurkovic
{"title":"Relationship Between Socioeconomic Deprivation and Healthy Days Among Commercially Insured Adults Using a Digital Health Application: An Observational Study.","authors":"Jaclyn Marshall, Oliver-John M Bright, Nicholas Leiby, Todd Thames, Alexandra Yurkovic","doi":"10.1089/pop.2024.0202","DOIUrl":"10.1089/pop.2024.0202","url":null,"abstract":"<p><p>Population health research has long demonstrated that where someone lives is highly correlated with health outcomes and quality of life. This study explored if this relationship remained between zip code socioeconomic deprivation index (SDI) and member-reported healthy days among commercially insured adults interacting with virtual care and navigation services between May 1, 2023 and May 31, 2024, offered by Included Health. Members received an SMS-based survey that included the 4 Centers for Disease Control and Prevention Healthy Days questions after interacting with the digital health application. The proportion of members who reported frequent (14 or more) physically unhealthy, mentally unhealthy, and total unhealthy days during the past 30 days was calculated. The adjusted odds ratio for reporting frequent total unhealthy days was estimated by members' zip code SDI quartile, accounting for member demographic characteristics. Of the 6692 survey respondents, 13.7% reported frequent physically unhealthy days, 20.8% reported frequent mentally unhealthy days, and 29.2% reported frequent total unhealthy days. After adjusting for covariates, members in the highest SDI quartile were 1.2 times more likely to report frequent unhealthy days (<i>P</i> = 0.047) than those in the lowest SDI quartile. The results demonstrate the importance of geographic indices, in the absence of other data, to assist employers in identifying members with potentially higher need of digital health services. It also highlights the feasibility of collecting quality of life measures to identify members who could benefit from timely intervention.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"71-80"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067644","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
Bridging the Digital Divide: A Practical Roadmap for Deploying Medical Artificial Intelligence Technologies in Low-Resource Settings. 弥合数字鸿沟:在低资源环境中部署医疗人工智能技术的实用路线图。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1089/pop.2024.0222
Evelyn Wong, Alvaro Bermudez-Cañete, Matthew J Campbell, David C Rhew
{"title":"Bridging the Digital Divide: A Practical Roadmap for Deploying Medical Artificial Intelligence Technologies in Low-Resource Settings.","authors":"Evelyn Wong, Alvaro Bermudez-Cañete, Matthew J Campbell, David C Rhew","doi":"10.1089/pop.2024.0222","DOIUrl":"10.1089/pop.2024.0222","url":null,"abstract":"<p><p>In recent decades, the integration of artificial intelligence (AI) into health care has revolutionized diagnostics, treatment customization, and delivery. In low-resource settings, AI offers significant potential to address health care disparities exacerbated by shortages of medical professionals and other resources. However, implementing AI effectively and responsibly in these settings requires careful consideration of context-specific needs and barriers to equitable care. This article explores the practical deployment of AI in low-resource environments through a review of existing literature and interviews with experts, ranging from health care providers and administrators to AI tool developers and government consultants. The authors highlight 4 critical areas for effective AI deployment: infrastructure requirements, deployment and data management, education and training, and responsible AI practices. By addressing these aspects, the proposed framework aims to guide sustainable AI integration, minimizing risk, and enhancing health care access in underserved regions.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"105-114"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123351","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
Developing a Strategy to Increase Lung Cancer Screening in Areas of Need. 制定战略,在有需要的地区增加肺癌筛查。
IF 1.8 4区 医学
Population Health Management Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI: 10.1089/pop.2024.0193
Garrett Melby, Charnita Zeigler-Johnson, Melissa Dicarlo, Kristine Pham, Christine S Shusted, Ronald Myers
{"title":"Developing a Strategy to Increase Lung Cancer Screening in Areas of Need.","authors":"Garrett Melby, Charnita Zeigler-Johnson, Melissa Dicarlo, Kristine Pham, Christine S Shusted, Ronald Myers","doi":"10.1089/pop.2024.0193","DOIUrl":"10.1089/pop.2024.0193","url":null,"abstract":"<p><p>Lung cancer screening (LCS) rates are low, and lung cancer mortality is high in the United States. This report describes a strategy that health systems can use to identify LCS areas of need and engage associated primary care providers and patients in screening. A research team from Jefferson Health (JH), a large, urban health system, used geocoded standardized lung cancer mortality rates (SMRs) to identify zip codes in Philadelphia where lung cancer mortality is high. In addition, health system electronic medical record data were used to identify primary care practices serving these areas. The study also developed an online program to train providers in shared decision making (SDM) about LCS. Finally, primary care leaders were interviewed to learn about training obstacles and opportunities. The JH research team identified 8 high-SMR zip codes and 8 practices with patients from those areas. Working with the American College of Chest Physicians and the National Lung Cancer Round Table, the authors developed a free, online, accredited course to train providers in patient education, values elicitation, and decision support for LCS. Interview analyses with practice leaders encouraged the health system to incentivize provider training and use of SDM tools in practice. Health systems can implement a systematic approach to identify LCS areas of need and train primary care providers to engage patients in SDM about LCS. Research is needed to implement such an approach and evaluate the program's impact on patient engagement, screening, and related outcomes among patients' diverse populations.</p>","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"15-21"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865358","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
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