Population Health Management最新文献_第6页

Knowledge, Symptom Awareness, and Referral Practices of Primary Care Providers in Early-Onset Colorectal Cancer. 早发性结直肠癌初级保健提供者的知识、症状意识和转诊实践。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1177/19427891251411924

Julie S Townsend, Mary C Puckett, Sallyann M Coleman King, Djenaba A Joseph

{"title":"Knowledge, Symptom Awareness, and Referral Practices of Primary Care Providers in Early-Onset Colorectal Cancer.","authors":"Julie S Townsend, Mary C Puckett, Sallyann M Coleman King, Djenaba A Joseph","doi":"10.1177/19427891251411924","DOIUrl":"10.1177/19427891251411924","url":null,"abstract":"Colorectal cancer (CRC) incidence and death rates are increasing among people under age 50 in the United States. In addition to promoting on-time screening for average-risk adults starting at age 45, CRC signs and symptoms may need timely assessment by a health care provider to rule out other conditions and identify a diagnosis. The objective of this study was to examine primary care providers' (PCPs') awareness of CRC-related symptoms and their diagnostic approaches for patients under age 50 using the 2023 DocStyles panel survey. This survey included 1490 PCPs practicing in the United States. A descriptive analysis was conducted to examine symptom awareness and referral practices. Log binomial regression was used to examine predictors of greater symptom awareness. Symptom awareness of early-onset CRC was highest for changes in bowel habits (79%) and lowest for abdominal pain (43%). Fewer obstetricians/gynecologists and physician assistants were aware of CRC signs and symptoms. Most PCPs would complete a workup and assess patients for family history of cancer for patients presenting with rectal bleeding/bloody stools, iron deficiency anemia, or changes in bowel habits. Around 45% of PCPs would refer patients with rectal bleeding/bloody stools to diagnostic colonoscopy or offer a stool-based screening test. Some PCPs may benefit from additional training on signs and symptoms of early-onset CRC and evidence-based guidelines for symptom assessment. These findings indicate that many PCPs prefer to complete a medical workup and assess for family history of cancer as first steps, and most would not immediately refer patients to diagnostic colonoscopy.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":"29 2","pages":"94-102"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627068","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

Feasibility of an Adaptive Food Insecurity Intervention for Patients with Uncontrolled Hypertension: A Pilot SMART. 适应性食物不安全干预对未控制高血压患者的可行性：一项试点SMART。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2025-12-24 DOI: 10.1177/19427891251405879

Deepak Palakshappa, Selina Quinones, Adrianna L Elashker, Lakesha D Hodge, Nicole Caudill, Richa Bundy, Heather Martin, Keya Eaton, Sara Atwater, Gary E Rosenthal

{"title":"Feasibility of an Adaptive Food Insecurity Intervention for Patients with Uncontrolled Hypertension: A Pilot SMART.","authors":"Deepak Palakshappa, Selina Quinones, Adrianna L Elashker, Lakesha D Hodge, Nicole Caudill, Richa Bundy, Heather Martin, Keya Eaton, Sara Atwater, Gary E Rosenthal","doi":"10.1177/19427891251405879","DOIUrl":"10.1177/19427891251405879","url":null,"abstract":"Health systems are integrating interventions to assist patients with food insecurity; however, people need varying levels of support. Rather than using a single intervention, adaptively providing interventions may be a more effective approach. The authors conducted a pilot, sequential, multiple-assignment randomized trial to determine the feasibility of an adaptive food insecurity intervention. Adults with uncontrolled hypertension who reported food insecurity were randomized to one of two interventions for 3 months in Stage 1: information about community resources or community health worker (CHW) support. Participants who did not have ≥10 mmHg improvement in systolic blood pressure at 3 months were re-randomized to CHW support or the delivery of medically tailored meals (MTM) in Stage 2 for an additional 3 months. We evaluated the proportion who enrolled, completed follow-up, and had an improvement in blood pressure. Sixty of 61 (98.3%) eligible patients enrolled. Four withdrew, 46 of 56 (82.1%) completed the 3-month follow-up, and 40 of 56 (71.4%) completed the 6-month follow-up. Of 27 randomized to resource information, 15 (55.6%) did not have ≥10 mmHg improvement and were re-randomized. Of 29 randomized to CHW support, 14 (48.3%) were re-randomized. The adaptive intervention that provided CHW support in Stage 1 and additional CHW support in Stage 2 resulted in 46.7% of participants with ≥10 mmHg improvement in systolic blood pressure at 6 months. The adaptive intervention that provided CHW support in Stage 1 and MTM in Stage 2 resulted in 66.7% of participants with ≥10 mmHg improvement. This study found that an adaptive food insecurity intervention was feasible to utilize.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"75-84"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865067","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

Identifying and Measuring Caregiver Burdens: A Scoping Review. 识别和测量照顾者负担：范围审查。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1177/19427891251409802

Diana Poehler, Kristen Giombi, Ella Shenkar, Zohra Tayebali, Matthew Dempsey, Olga Khavjou

{"title":"Identifying and Measuring Caregiver Burdens: A Scoping Review.","authors":"Diana Poehler, Kristen Giombi, Ella Shenkar, Zohra Tayebali, Matthew Dempsey, Olga Khavjou","doi":"10.1177/19427891251409802","DOIUrl":"10.1177/19427891251409802","url":null,"abstract":"Unpaid caregiving is associated with significant burdens, including financial strain, time constraints, diminished quality of life, and elevated stress levels. Despite these challenges, existing literature on disease burdens devotes limited attention to caregiver experiences. The aim of this scoping literature review was to identify instruments used to measure caregiver burden to better inform future studies of caregiver costs. This study included articles that estimated the costs or burdens associated with unpaid caregiving to patients in the United States and used a survey or cohort study design to conduct primary or secondary quantitative data analysis. Across the 46 articles abstracted, 27 unique survey instruments were identified; 23 (89%) instruments were validated, 12 (46%) were publicly available, and 14 (54%) were designed for or validated among caregivers. Among studies included in this review, 18 (39%) studies designed their own questionnaires to assess caregiver burden. This review additionally identified six nonsurvey data sources, such as medical claims data, used to estimate caregiver costs. The heterogeneity across measurement tools limits comparability across studies. Standardized, validated, and accessible instruments are essential for understanding caregiver burdens and advancing research to improve outcomes for patients and their caregivers.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"130-143"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143086","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 and Outcomes from a Post-Discharge Intervention Program in a Medicare ACO Population. 医疗保险非典型人群出院后干预项目的实施和结果。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-02-06 DOI: 10.1177/19427891261420046

Katherine H Schiavoni, Yuchiao Chang, Christopher Hall, Despina Garalis, Charley Teng, Maria Eliopoulos, Adeel Chaudhry, Helen Chan, Mallika L Mendu

{"title":"Implementation and Outcomes from a Post-Discharge Intervention Program in a Medicare ACO Population.","authors":"Katherine H Schiavoni, Yuchiao Chang, Christopher Hall, Despina Garalis, Charley Teng, Maria Eliopoulos, Adeel Chaudhry, Helen Chan, Mallika L Mendu","doi":"10.1177/19427891261420046","DOIUrl":"10.1177/19427891261420046","url":null,"abstract":"Preventable readmissions represent a significant opportunity to improve quality and reduce healthcare costs, with approximately 26% of Medicare medicine readmissions considered preventable. However, evidence on the effectiveness of post-discharge interventions at scale remains mixed, and implementing evidence-based practices consistently across large, diverse health systems is a challenge. To address these concerns, the Mass General Brigham Population Health Services Organization (MGB PHSO) developed and implemented a novel, multidisciplinary, system-wide post-discharge intervention aimed at reducing 30-day readmissions within its Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO). It was hypothesized that standardizing delivery through a high-fidelity workflow would reduce readmissions. A standardized, multidisciplinary program was created involving: (1) a coordinator conducting chart review and obtaining records; (2) a pharmacist performing medication reconciliation; and (3) a registered nurse completing a post-discharge assessment. A prospective cohort study was conducted comparing the outcomes of patients at pilot intervention sites with those of a propensity-matched control group. The intervention cohort showed a directional reduction in 30-day readmission rates compared to the matched controls (13.5% vs. 16.3%, P = 0.07) but no significant difference in 30-day emergency department presentations. The intervention group also had a significantly higher rate of 14-day follow-up appointments (70.0% vs. 65.3%, P = 0.025). These findings support the effectiveness of a centralized, standardized post-discharge strategy for reducing readmissions within an ACO setting. This study demonstrates that structured, system-level interventions can improve care transitions and outcomes in value-based care models.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"103-110"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126403","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 Between Relative Fat Mass and New-Onset Arthritis Among Middle-Aged and Older Chinese Females. 中国中老年女性相对脂肪量与新发关节炎的关系

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-02-17 DOI: 10.1177/19427891261416128

Mingming Zhang, Lihong Jiang, Qiujun Wang, Jia Meng

{"title":"Association Between Relative Fat Mass and New-Onset Arthritis Among Middle-Aged and Older Chinese Females.","authors":"Mingming Zhang, Lihong Jiang, Qiujun Wang, Jia Meng","doi":"10.1177/19427891261416128","DOIUrl":"10.1177/19427891261416128","url":null,"abstract":"Arthritis is a major health concern in middle-aged and older people. In females, estrogen decline after midlife may exacerbate abnormal adiposity and thereby heighten arthritis risk. Given China's large population, clarifying the relationship between fat mass and arthritis in middle-aged and older Chinese females is of great public-health importance. To explore the relationship between relative fat mass (RFM) and incident arthritis in middle-aged and older Chinese females. This population-based longitudinal study included 3874 females from the China Health and Retirement Longitudinal Study. Logistic regression and restricted cubic splines (RCS) evaluated the relationship between RFM and arthritis. Subgroup and interaction analyses explored potential heterogeneity across age groups and subgroups defined by chronic disease status. After full adjustment, females in the third (Q3 OR = 1.70, 95% CI: 1.24-2.33, P < 0.001) and fourth (Q4 OR = 1.67, 95% CI: 1.13-2.47, P = 0.010) RFM quartiles exhibited significantly higher odds of incident arthritis compared with those in the lowest quartile (Q1). Across the full study population and within the stratum of women below 60 years, RCS disclosed a statistically significant association between arthritis risk and RFM (Poverall < 0.05), with no indication of nonlinearity (Pnonlinear > 0.05). Subgroup analyses revealed no evidence of effect modification (Pinteraction > 0.05). Higher levels of RFM are associated with increased risk of new-onset arthritis in middle-aged and older Chinese females, providing a crucial indicator for the early screening of female arthritis and indicating a potential for controlling arthritis incidence by targeted body fat management.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"85-93"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214007","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

Adopting Health Technologies in Israel and England. 在以色列和英国采用卫生技术。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2025-12-08 DOI: 10.1177/19427891251403991

Dafna Finkelshtein-Zloof, Orna Tal

{"title":"Adopting Health Technologies in Israel and England.","authors":"Dafna Finkelshtein-Zloof, Orna Tal","doi":"10.1177/19427891251403991","DOIUrl":"10.1177/19427891251403991","url":null,"abstract":"Health systems worldwide are challenged by the need to prioritize and fund rapidly evolving health technologies. The methodology of health technology assessment (HTA) incorporates benefits, costs, and social implications, supporting prioritization of public coverage regarding national health policy. The aim of this study is to identify, analyze, and compare key considerations in the adoption of medical technologies reflecting the national health policies in Israel and England. All Israeli pharmaceuticals approved for public funding during 2020-2022 (287) were analyzed and compared with England recommendations concerned clinical effectiveness, economic considerations, and social values. Both health systems demonstrated 49% agreement regarding approval of funding recommendations policy, while in oncology, diabetes, and hematology, this reached 60%-65%. In both health systems, adoption was determined by clinical impact considering the disease burden and regarding the added value of the innovative technology compared with existing treatments, followed by social considerations. Budget considerations prevail in England. This relatively high resemblance in adoption decisions between England and Israel may emerge from similar principles of accountability for public coverage of medical care. In addition, it may also be driven by the forefront of innovative technological research worldwide and global interest. Nevertheless, economic considerations differ between the 2 health systems, introducing policy discrepancies or tactical diversity.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"111-119"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810930","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

Mental Health Service Use and Equity in a Comprehensive Employer-Sponsored Benefit Program: A Retrospective Cohort Study. 综合雇主资助福利计划中心理健康服务的使用和公平性：一项回顾性队列研究

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1177/19427891261420041

Graham Baum, Matt Hawrilenko, Cory Cascalheira, Emily J Ward, Scott Graupensperger, Millard Brown, Adam Chekroud

{"title":"Mental Health Service Use and Equity in a Comprehensive Employer-Sponsored Benefit Program: A Retrospective Cohort Study.","authors":"Graham Baum, Matt Hawrilenko, Cory Cascalheira, Emily J Ward, Scott Graupensperger, Millard Brown, Adam Chekroud","doi":"10.1177/19427891261420041","DOIUrl":"10.1177/19427891261420041","url":null,"abstract":"Geographic and socioeconomic disparities in access to mental health care contribute to overall health inequity. Identifying scalable interventions that expand access to affordable and effective care remains a critical priority. This retrospective cohort study analyzed medical claims and census-level socioeconomic data from 742,658 individuals representing 90.9% of all US counties who were eligible for an employer-sponsored mental health benefit. Mental health service utilization was compared between individuals who accessed care through the benefit program and those who used the traditional health plan, across levels of socioeconomic disadvantage as measured by the area deprivation index. Program implementation was associated with a 36% relative increase in mental health care use overall compared to health plan utilization in the prior year. Following program implementation, care initiation increased equitably among program users, while disparities by area deprivation persisted among health plan users. Program users also had more equitable care retention and therapy duration across deprivation levels, whereas disparities increased among health plan users. Program initiation was positively associated with the number of employer-sponsored sessions, with a stronger association observed among individuals in high-deprivation areas. Lastly, program use was associated with significant reductions in anxiety and depression symptoms, with comparable treatment effects across deprivation levels. The benefit program was associated with more equitable care initiation and reduced socioeconomic disparities in engagement relative to traditional plans. Program users also experienced significant clinical improvements across deprivation levels. These findings highlight opportunities to reduce systemic barriers and promote equitable access to mental health care through scalable, real-world interventions.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"120-129"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143083","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

A Multi-Intervention Approach to Blood Pressure Control: A Description of How a Large University Based Primary Care Clinic Tackled Hypertension. 血压控制的多干预方法：一所大型大学初级保健诊所如何处理高血压的描述。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1177/19427891251393941

Ingrid Lobo, Kelly Koon, Kristin Potthast, Kimberly Ozmina, Sarah J Billups

{"title":"A Multi-Intervention Approach to Blood Pressure Control: A Description of How a Large University Based Primary Care Clinic Tackled Hypertension.","authors":"Ingrid Lobo, Kelly Koon, Kristin Potthast, Kimberly Ozmina, Sarah J Billups","doi":"10.1177/19427891251393941","DOIUrl":"10.1177/19427891251393941","url":null,"abstract":"Uncontrolled hypertension remains a leading modifiable risk factor for cardiovascular disease. Numerous quality improvement initiatives have aimed to address health care challenges associated with uncontrolled hypertension, many of which have been organized around the American Medical Association Measure Accurately, Act Rapidly, and Partner with Patients (AMA MAP) hypertension quality improvement framework. This paper describes a multifaceted hypertension quality improvement program initiated within a large university-based internal medicine clinic. Key interventions targeted at \"Measure Accurately\" included staff retraining on blood pressure (BP) measurement, implementation of BP recheck protocols, and a structured home BP monitor validation process. To combat clinical inertia and \"Act Rapidly,\" the clinic introduced a visual BP alert system, promoted clinical pharmacist comanagement, and distributed monthly provider performance reports. Lastly, to \"Partner with Patients,\" patient engagement was enhanced via targeted outreach, a care team approach focused on holistic patient care, and increased patient education. One year after implementation, the clinic's hypertension control rate had increased from 66% to 72% (P = 0.047), while control rates across other system clinics remained unchanged. During this time, 343 patients had staff visits for BP checks, 287 patients had validated home BP monitors documented in their electronic health record, 302 patients engaged with a clinical pharmacist for hypertension comanagement, and 575 received individualized outreach from the care manager to increase engagement. This multifaceted quality improvement program improved patient care and increased hypertension control rates. These interventions have demonstrated sustainability and have been adopted by other primary care clinics in this system.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"18-26"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145820561","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

Postpartum Medicaid Coverage Expansion and Changes in the Risk of Health Insurance Loss Within the Second Year After Birth. 产后医疗补助覆盖范围扩大和出生后第二年健康保险损失风险的变化。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-02-01 Epub Date: 2025-11-06 DOI: 10.1177/19427891251393727

Michael McFayden, Nupur Jain, Neha Joseph, Em Long-Mills, James L Whiteside, Dmitry Tumin

引用次数: 0

Development of Digital Algorithms for the Early Identification of Rare Clinical Outcomes Using Electronic Medical Records: A Case Study of Hidradenitis Suppurativa. 利用电子病历早期识别罕见临床结果的数字算法的发展：化脓性汗腺炎的案例研究。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1177/19427891251404892

Hai Pham, Erin McMeniman, Timothy Liu, Jonaa Eva, Kiarash Khosrotehrani, Jason D Pole

{"title":"Development of Digital Algorithms for the Early Identification of Rare Clinical Outcomes Using Electronic Medical Records: A Case Study of Hidradenitis Suppurativa.","authors":"Hai Pham, Erin McMeniman, Timothy Liu, Jonaa Eva, Kiarash Khosrotehrani, Jason D Pole","doi":"10.1177/19427891251404892","DOIUrl":"10.1177/19427891251404892","url":null,"abstract":"Hidradenitis suppurativa (HS) is a painful, progressive, and disfiguring rare inflammatory skin condition with significant diagnostic delays due to limited awareness. This study aims to develop and validate digital algorithms using integrated electronic medical records (ieMR) to identify undiagnosed HS patients. A test cohort of 121 HS cases (patients who visited a dermatologist-led HS clinic and received treatment) and 187,106 controls (emergency department patients) were identified from patients attending a Queensland tertiary hospital from 2018 to 2022. Using demographics, structured ieMR data and free-text flags, we developed one logistic regression and two random forest algorithms (with and without class weighting) to predict HS. A clinical chart audit of 200 randomly selected patients helped refine the best-performing algorithm, which was then validated using data from another tertiary hospital. Logistic regression performed best at a threshold of 0.4 (sensitivity: 0.66 [0.58, 0.74], positive predictive value [PPV]: 0.71 [0.64, 0.80]). Strong predictors included dermatology clinic visits, free-text diagnostic notes, lesion location terms, antibiotic and isotretinoin use, and elevated inflammatory markers. Internal validation showed high agreement, and the refined model improved sensitivity to 0.89 (0.83, 0.94) and PPV to 0.87 (0.81, 0.92). This model performed relatively well in the validation cohort, with sensitivity and specificity (at threshold 0.4) both >0.70 and a PPV of 0.45, supporting clinical utility. Validated digital algorithms incorporating key diagnostic indicators may help identify undiagnosed HS patients, reducing diagnostic delays and improving prevalence assessment.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"50-55"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834511","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