Population Health Management最新文献_第5页

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

Preparing for Value: Evaluating Organizational Culture in Health Care Transformation. 为实现价值做好准备：评估医疗转型中的组织文化。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-07-05 DOI: 10.1089/pop.2024.0013

Karen Marie Joswick, Linda Reese

引用次数: 0

The Clinical and Economic Burdens of Obesity and the Value of Weight Loss for an EMR-Derived US Cohort: A Modeling Study. 肥胖症的临床和经济负担以及 EMR 衍生的美国队列的减肥价值：一项建模研究。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-08-07 DOI: 10.1089/pop.2024.0037

Joshua Toliver, Volker Schnecke, Laura Rizkallah

{"title":"The Clinical and Economic Burdens of Obesity and the Value of Weight Loss for an EMR-Derived US Cohort: A Modeling Study.","authors":"Joshua Toliver, Volker Schnecke, Laura Rizkallah","doi":"10.1089/pop.2024.0037","DOIUrl":"10.1089/pop.2024.0037","url":null,"abstract":"Obesity-related comorbidities (ORCs) cause significant economic and clinical burdens for people with obesity and the US health care system. A reduction in weight at the population level may reduce incident ORC diagnoses and associated costs of treatment. The aim of this work is to describe obesity burden in the United States through the prevalence and direct treatment costs of ORCs, as well as the clinical and economic value of 15% weight loss in a population of adults with obesity. The IQVIA Ambulatory US electronic medical record database was used to create a cohort (7,667,023 individuals 20-69 years of age, body mass index of 30-50 kg/m2), utilized to characterize the prevalence of 10 ORCs. Direct treatment costs were collected from literature reports. A risk model was leveraged to estimate the number and cost of additional ORC diagnoses over 5 years from baseline through two scenarios: stable weight and 15% lower body weight at baseline for all members of the population. Prevalence, incidence, and cost data were scaled down to a representative subset of 100,000 individuals. In 2022, the annual treatment costs for all 10 ORCs exceeded $918 million for the representative cohort. In a stable-weight scenario, these costs were estimated to increase to ≈$1.4 billion by 2027. With 15% lower body weight at baseline, $221 million in cumulative savings was estimated, corresponding to $2205 in savings/patient over 5 years. Consequently, weight loss in this population may correspond to significantly reduced numbers of incident ORC complications translating to substantial cost savings.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"300-306"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898098","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 Cost of Unhealthy Days: A New Value Assessment. 不健康日子的代价：新的价值评估。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-08-27 DOI: 10.1089/pop.2024.0102

Kelsey C McNamara, Ellen T Rudy, John Rogers, Zachary N Goldberg, Howard S Friedman, Prakash Navaratnam, David B Nash

{"title":"The Cost of Unhealthy Days: A New Value Assessment.","authors":"Kelsey C McNamara, Ellen T Rudy, John Rogers, Zachary N Goldberg, Howard S Friedman, Prakash Navaratnam, David B Nash","doi":"10.1089/pop.2024.0102","DOIUrl":"10.1089/pop.2024.0102","url":null,"abstract":"For-profit companies addressing disparities in social determinants of health (SDOH), also known as SDOH Industry companies, often lack member-level claims data to evaluate their organizational interventions. Health-related quality of life (HRQOL) measures, such as the Centers for Disease Control and Prevention's Healthy Days Measure, offer a unique proxy metric to evaluate impact. This retrospective study sought to explore the association between self-reported physically and mentally unhealthy days with health care costs among a Medicare Advantage (MA) population. A cross-sectional study of MA members receptive to a companion care program, and thus likely to have unmet social needs, was conducted. The analysis included members with recorded baseline unhealthy days and complete claims data (n = 2,354). Least squares regression analyses were performed to determine the relationship between baseline medical costs, physically unhealthy days, and mentally unhealthy days. A review of Major Diagnostic Categories (MDCs) was also included to elucidate the strength of the Healthy Days Measure as an indicator of the burden of health conditions. Each additional unhealthy day reported was associated with an increase in 30-day medical costs of $60 and $34 for physically and mentally unhealthy days, respectively. Unhealthy days and costs increased with an increasing number of MDCs. Compared with previous studies linking unhealthy days and health care expenditure, these data reveal the potential for even higher savings by reducing the number of unhealthy days in a high-risk population. This evidence supports using unhealthy days as a HRQOL measure and as an important tool for cost estimations.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"307-311"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073701","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 Evidence and Practice Gap in Chronic Kidney Disease: A System Thinking Approach to Population Health. 缩小慢性肾脏病的证据与实践差距：人口健康的系统思维方法》。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-05-27 DOI: 10.1089/pop.2023.0275

Aparna Padiyar, Nagaraju Sarabu, Shruti Ahlawat, Esther J Thatcher, Brooke A Roeper, Aravindh Anantharamakrishnan, Patrick Runnels, Carol Bahner, Sarah E Lang, Tyler D Barnett, Yashashvi Raghuwanshi, Peter J Pronovost

{"title":"Bridging the Evidence and Practice Gap in Chronic Kidney Disease: A System Thinking Approach to Population Health.","authors":"Aparna Padiyar, Nagaraju Sarabu, Shruti Ahlawat, Esther J Thatcher, Brooke A Roeper, Aravindh Anantharamakrishnan, Patrick Runnels, Carol Bahner, Sarah E Lang, Tyler D Barnett, Yashashvi Raghuwanshi, Peter J Pronovost","doi":"10.1089/pop.2023.0275","DOIUrl":"10.1089/pop.2023.0275","url":null,"abstract":"Chronic kidney disease (CKD) is common, costly, and life-limiting, requiring dialysis and transplantation in advanced stages. Although effective guideline-based therapy exists, the asymptomatic nature of CKD together with low health literacy, adverse social determinants of health, unmet behavioral health needs, and primary care providers' (PCP) limited understanding of CKD result in defects in screening and diagnosis. Care is fragmented between PCPs and specialty nephrologists, with limited time, expertise, and resources to address systemic gaps. In this article, the authors define how they classified defects in care and report the current numbers of patients exposed to these defects, both nationally and in their health system Accountable Care Organization. They describe use of the health system's three-pillar leadership model (believing, belonging, and building) to empower providers to transform CKD care. Believing entailed engaging individuals to believe defects in CKD care could be eliminated and were a collective responsibility. Belonging fostered the creation of learning communities that broke down silos and encouraged open communication and collaboration between PCPs and nephrologists. Building involved constructing a fractal management infrastructure with transparent reporting and shared accountability, which would enable success in innovation and transformation. The result is proactive and relational CKD care organized around the patient's needs in University Hospitals Systems of Excellence. Systems of excellence combine multiple domains of expertise to promote best practice guidelines and integrate care throughout the system. The authors further describe a preliminary pilot of the CKD System of Excellence in primary care.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"151-159"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155720","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