Population Health Management最新文献_第4页

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 : 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":"https://doi.org/10.1089/pop.2024.0045","url":null,"abstract":"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.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-08-27","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

Association of Timely Outpatient Follow-Up and Readmission Risk in a Mobile Integrated Health Program. 移动综合医疗项目中门诊病人及时随访与再入院风险的关系。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-04-29 DOI: 10.1089/pop.2024.0020

Nicholas Brady, Yuanyuan Liang, Kristin L Seidl, David Marcozzi, Benoit Stryckman, Daniel B Gingold

{"title":"Association of Timely Outpatient Follow-Up and Readmission Risk in a Mobile Integrated Health Program.","authors":"Nicholas Brady, Yuanyuan Liang, Kristin L Seidl, David Marcozzi, Benoit Stryckman, Daniel B Gingold","doi":"10.1089/pop.2024.0020","DOIUrl":"10.1089/pop.2024.0020","url":null,"abstract":"The objective was to identify medical conditions associated with 30-day readmission, determine patient characteristics for which outpatient follow-up is most associated with reduced readmission, and evaluate how readmission risk changes with time to outpatient follow-up within a mobile integrated health-community paramedicine (MIH-CP) program. This retrospective observational study used data from 1,118 adult patient enrollments in a MIH-CP program operating in Baltimore, Maryland, from May 14, 2018, to December 21, 2021. Bivariate analysis identified chronic disease exacerbations associated with higher 30-day readmission risk. Kaplan-Meier curves and Cox proportional hazard regressions were used to measure how hazard of readmission changes with outpatient follow-up and how that association may vary with other factors. Receiver operating characteristic analysis was used to evaluate how well time to follow-up could predict 30-day readmission. Timely outpatient follow-up was associated with a significant reduction in hazard of readmission for patients aged 50 and younger and for patients with fewer than 5 social determinants of health needs identified. No significant association between readmission and specific chronic disease exacerbations was observed. An optimal follow-up time frame to reduce readmissions could not be identified. Timely outpatient follow-up may be effective for reducing readmissions in younger patients and patients who are less socially complex. Programs and policies aiming to reduce 30-day readmissions may have more success by expanding efforts to include these patients.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"249-256"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866167","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

Long-Term HIV Pre-Exposure Prophylaxis Persistence and Reinitiation in Connecticut from 2012 to 2018. 2012 年至 2018 年康涅狄格州艾滋病毒暴露前预防的长期持续性和重新启动。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-07-09 DOI: 10.1089/pop.2024.0012

Jun Tao, Mofan Gu, Omar Galarraga, Jhanavi Kapadia, Harrison Martin, Hannah Parent, Philip A Chan

{"title":"Long-Term HIV Pre-Exposure Prophylaxis Persistence and Reinitiation in Connecticut from 2012 to 2018.","authors":"Jun Tao, Mofan Gu, Omar Galarraga, Jhanavi Kapadia, Harrison Martin, Hannah Parent, Philip A Chan","doi":"10.1089/pop.2024.0012","DOIUrl":"10.1089/pop.2024.0012","url":null,"abstract":"HIV pre-exposure prophylaxis (PrEP) is a highly effective biomedical prevention for HIV infections. PrEP persistence is critical to achieving optimal protection against HIV infection. However, little is known about PrEP persistence in the United States. This study utilized the Connecticut All-Payer Claims Database (APCD) to identify PrEP persistence among patients who filled their PrEP prescriptions in the state. The authors identified 1,576 PrEP patients who picked up PrEP prescriptions and extracted medical and pharmacy claims to evaluate a longitudinal cohort during 2012-2018 based on the Connecticut APCD. Patients who did not pick up medication for one consecutive month (ie, 30 days) were defined as discontinuing PrEP. Kaplan-Meier Survival Curve and proportional hazard regression were used to describe PrEP persistence. Of the 1,576 patients who picked up PrEP prescriptions, the median age was 32.0 (interquartile range [IQR]: 22.0-44.0). The majority were male individuals (93%). Of 1,040 patients who discontinued PrEP, 702 (67.5%) restarted PrEP at least once. The median time of PrEP persistence was 3 months (IQR: 1-6 months) for initial PrEP use. The median time on PrEP was also around 3 months in the following episodes of PrEP use. Being female, being on parent's insurance, and having high co-pays were associated with shorter periods of PrEP persistence. PrEP persistence was low among patients who picked up PrEP prescriptions. Although many patients restarted PrEP, persistence remained low during follow-up PrEP use and possibly led to periods of increased HIV risk. Effective interventions are needed to improve PrEP persistence and reduce HIV incidence.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"267-274"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564147","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

Knowledge, Attitudes, and Practices Regarding Herpes Zoster Vaccination Among Specialists. 专科医生对带状疱疹疫苗接种的认识、态度和做法。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.1089/pop.2023.0284

David Singer, Carolyn Sweeney, Nikita Stempniewicz, Maria Reynolds, Diana Garbinsky, Sara Poston

{"title":"Knowledge, Attitudes, and Practices Regarding Herpes Zoster Vaccination Among Specialists.","authors":"David Singer, Carolyn Sweeney, Nikita Stempniewicz, Maria Reynolds, Diana Garbinsky, Sara Poston","doi":"10.1089/pop.2023.0284","DOIUrl":"10.1089/pop.2023.0284","url":null,"abstract":"Recombinant zoster vaccine has been recommended by the US Advisory Committee on Immunization Practices (ACIP) for the prevention of herpes zoster (HZ) in immunocompetent adults aged at least 50 years since 2018. In January 2022, this was extended to immunodeficient/immunosuppressed adults aged at least 19 years. Key study objectives were to assess specialists' knowledge of the ACIP HZ vaccination recommendations, their attitudes toward HZ vaccination, and HZ vaccination practices/barriers. This cross-sectional, web-based survey (conducted in March 2022) included US dermatologists, gastroenterologists, infectious disease specialists, oncologists, and rheumatologists who treat patients with psoriasis, inflammatory bowel disease, human immunodeficiency syndrome, solid tumors/hematological malignancies, and rheumatoid arthritis, respectively. Although most of the 613 specialists correctly identified the ACIP HZ vaccination recommendations for adults aged at least 50 years (84%) and immunodeficient/immunosuppressed adults aged at least 19 years (67%), only 29% knew that recombinant zoster vaccine is recommended for individuals who have previously received zoster vaccine live, and only 18% knew all current ACIP recommendations. For patients with the diseases listed, 84% of specialists thought that HZ is a serious risk, 75% that HZ vaccination is extremely/very important, and 69% were extremely/very likely to recommend HZ vaccination. Only 36% administer vaccines themselves, mainly because patients receive vaccinations from others. Barriers to vaccination included more urgent/acute issues, insufficient time, and lack of patient motivation/willingness. Full knowledge of the ACIP HZ vaccination recommendations among the surveyed specialists was low. There may be a need to educate specialists to improve adherence to these recommendations. [Figure: see text].","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"231-240"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262669","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

Operation Allies Welcome Medical Response Unit at Philadelphia International Airport: A Framework for Medical Triage of High Volume of Displaced Persons Arriving by Air. 盟军行动欢迎费城国际机场的医疗响应单位：为大量乘飞机抵达的流离失所者进行医疗分流的框架。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-07-12 DOI: 10.1089/pop.2024.0003

Efrat R Kean, Maura Sammon, Cheryl Bettigole, Sage Myers, Setareh Mohammadie, Naomi Rosenberg, Patricia Henwood

{"title":"Operation Allies Welcome Medical Response Unit at Philadelphia International Airport: A Framework for Medical Triage of High Volume of Displaced Persons Arriving by Air.","authors":"Efrat R Kean, Maura Sammon, Cheryl Bettigole, Sage Myers, Setareh Mohammadie, Naomi Rosenberg, Patricia Henwood","doi":"10.1089/pop.2024.0003","DOIUrl":"10.1089/pop.2024.0003","url":null,"abstract":"In the aftermath of the US withdrawal from Afghanistan, over 100,000 individuals were evacuated to the United States, primarily arriving through Philadelphia International Airport and Dulles International Airport under Operation Allies Welcome. In Philadelphia, evacuees were greeted at the airport by a medical triage unit (MTU) that was rapidly assembled to provide on-site medical care. The MTU triaged emergent medical complaints, handled minor complaints on-site to reduce impact on local health care systems, distributed patients who did require a higher level of care among area hospitals, and ensured appropriate follow-up care for individuals with ongoing needs. Although there are regional and federal entities whose purview is the establishment and coordination of such responses, these entities were not mobilized to respond immediately when planes began to arrive carrying the first wave of evacuees as this event was not a designated disaster. The MTU was a grassroots effort initiated by local health care providers in coordination with the local Medical Reserve Corps and Department of Public Health. This article presents a framework for similar operations, anticipating an ongoing need for planning for sudden arrivals of large numbers of displaced persons, particularly via air travel, in a time of increasing mass displacement events, as well as a rationale for establishing more robust networks of local medical professionals willing to respond in the case of an emergency and involving them in the emergency planning processes to ensure preexisting protocols are practical.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"257-266"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591191","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

Implementation of High-Quality Lung Cancer Screening: Impact of Centralized vs. Decentralized Processes. 实施高质量肺癌筛查：集中与分散流程的影响》。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-05-15 DOI: 10.1089/pop.2023.0266

Jacob F Martin, Gregory C Kane, Christine S Shusted, Julie A Barta

引用次数: 0

Implementation of Medications for Alcohol and Opioid Use Disorders in a Value-Based Organization-Unlocking Value by Addressing Unmet Needs for Medicaid and Dually-Eligible Beneficiaries. 在价值型组织中实施酒精和阿片类药物使用障碍的药物治疗--通过满足医疗补助和双重保险受益人未满足的需求来释放价值。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-05-27 DOI: 10.1089/pop.2024.0027

David Dayan-Rosenman, Steven Spencer

引用次数: 0

Social Determinants of Hepatitis C Virus Infection in the United States, 2016-2021. 2016-2021 年美国丙型肝炎病毒感染的社会决定因素。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI: 10.1089/pop.2024.0099

Justin K Niles, Alexandra Panov, Alice Saparov, William A Meyer, Harvey W Kaufman

{"title":"Social Determinants of Hepatitis C Virus Infection in the United States, 2016-2021.","authors":"Justin K Niles, Alexandra Panov, Alice Saparov, William A Meyer, Harvey W Kaufman","doi":"10.1089/pop.2024.0099","DOIUrl":"10.1089/pop.2024.0099","url":null,"abstract":"This cross-sectional study assessed hepatitis C virus (HCV) antibody and RNA test results performed from 2016 to 2021 at a large US clinical reference laboratory. When individual patient factors (ie, income, education, and race/ethnicity) were not available, estimates from the US Census were linked to the residential zip code. The final analytic cohort comprised 19,543,908 individuals with 23,233,827 HCV antibody and RNA test results. An analysis of progressively increasing poverty quintiles demonstrated an increasing trend in both HCV antibody positivity (from 2.6% in the lowest quintile to 6.9% in the highest, P < 0.001 for trend) and HCV RNA positivity (from 1.0% to 3.6%, P < 0.001 for trend). Increasing levels of education were associated with a decreasing trend in both HCV antibody positivity (from 8.4% in the least educated quintile to 3.0% in the most, P < 0.001 for trend) and HCV RNA positivity (from 4.7% to 1.2%, P < 0.001 for trend). Persistent differences in positivity rates by these social determinants were observed over time. HCV antibody and RNA positivity rates were nearly identical in predominantly Black non-Hispanic, Hispanic, and White non-Hispanic zip codes. However, after adjustment for all other factors in the study, residents of predominantly Black non-Hispanic and Hispanic zip codes were significantly less likely to test positive for HCV RNA (adjusted odds ratios [AOR]: 0.51, 95% confidence interval [CI]: 0.51-0.52; AOR: 0.46, 95% CI: 0.46-0.46, respectively). These findings may benefit targeted intervention initiatives by public health agencies.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"284-290"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889946","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

More Patient Data? Be Careful What You Wish for…AI's Role in Making Clinical Data Exchange Useful. 更多患者数据？小心驶得万年船......人工智能在临床数据交换中的作用。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-08-01 Epub Date: 2024-05-15 DOI: 10.1089/pop.2024.0049

Kevin Agatstein, Melissa Crocker

引用次数: 0

Individual- and Community-Level Predictors of Hospital-at-Home Outcomes. 住院治疗结果的个人和社区层面预测因素。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-03-28 DOI: 10.1089/pop.2023.0297

Cynthia Williams, Nels Paulson, Jeffrey Sweat, Rachel Rutledge, Margaret R Paulson, Michael Maniaci, Charles D Burger

{"title":"Individual- and Community-Level Predictors of Hospital-at-Home Outcomes.","authors":"Cynthia Williams, Nels Paulson, Jeffrey Sweat, Rachel Rutledge, Margaret R Paulson, Michael Maniaci, Charles D Burger","doi":"10.1089/pop.2023.0297","DOIUrl":"10.1089/pop.2023.0297","url":null,"abstract":"Advanced Care at Home is a Mayo Clinic hospital-at-home (HaH) program that provides hospital-level care for patients. The study examines patient- and community-level factors that influence health outcomes. The authors performed a retrospective study using patient data from July 2020 to December 2022. The study includes 3 Mayo Clinic centers and community-level data from the Agency for Healthcare Research and Quality. The authors conducted binary logistic regression analyses to examine the relationship among the independent variables (patient- and community-level characteristics) and dependent variables (30-day readmission, mortality, and escalation of care back to the brick-and-mortar hospital). The study examined 1433 patients; 53% were men, 90.58% were White, and 68.2% were married. The mortality rate was 2.8%, 30-day readmission was 11.4%, and escalation back to brick-and-mortar hospitals was 8.7%. At the patient level, older age and male gender were significant predictors of 30-day mortality (P-value <0.05), older age was a significant predictor of 30-day readmission (P-value <0.05), and severity of illness was a significant predictor for readmission, mortality, and escalation back to the brick-and-mortar hospital (P-value <0.01). Patients with COVID-19 were less likely to experience readmission, mortality, or escalations (P-value <0.05). At the community level, the Gini Index and internet access were significant predictors of mortality (P-value <0.05). Race and ethnicity did not significantly predict adverse outcomes (P-value >0.05). This study showed promise in equitable treatment of diverse patient populations. The authors discuss and address health equity issues to approximate the vision of inclusive HaH delivery.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"168-173"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306616","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