Population Health Management最新文献_第7页

Employer Strategies for Health Care Price Transparency. 医疗保健价格透明化的雇主策略。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-06-01 Epub Date: 2024-07-31 DOI: 10.1089/pop.2024.0085

Ronald J Ozminkowski

{"title":"Employer Strategies for Health Care Price Transparency.","authors":"Ronald J Ozminkowski","doi":"10.1089/pop.2024.0085","DOIUrl":"10.1089/pop.2024.0085","url":null,"abstract":"This paper describes hospital, insurance, and pharmaceutical price transparency policies and applications in the United States and in selected countries around the world. Many of these policies apply to self-insured employers. So far, the experience in the United States and elsewhere is clear that federal and state price transparency regulations have had little impact on whether employees or dependents search for low-cost or high-quality providers or on the cost and quality of their health care. This is because of weak regulatory oversight, conflicting federal and state reporting requirements, and few economic incentives for providers and insurance companies to supply easily readable or analyzable price information. However, price transparency requirements are here to stay. This paper therefore offers several recommendations to maximize the utility of price transparency tools provided for employees and other insureds, by their employers, providers, commercial insurance carriers, or technology firms. From a policy perspective, coupling reporting requirements with clearer technological guidance and much stronger regulatory oversight would increase the utility of price transparency efforts. For individual employers, the impact of price transparency efforts may increase by coupling price transparency tools with health plan network and design strategies, behavioral economic nudges, and programs designed to improve health, well-being, and quality of care. Many program vendor partners, consultants, and actuarial, technology, and research firms can help make these efforts useful.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"320-326"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856250","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 Call for an American Social Care System: Social Services Reimbursement to Address Fragmented Care. 呼吁建立美国社会护理体系：通过社会服务补偿来解决护理分散的问题。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-01-17 DOI: 10.1089/pop.2023.0251

Anish Patnaik, Haaris Mateen, David S Buck

引用次数: 0

Health Care Bricolage: A Method to Reduce High-Cost Medical Spend. 医疗保健双轨制：减少高成本医疗支出的方法。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-03-12 DOI: 10.1089/pop.2024.0008

Steven E Goldberg, Maren S Fragala

引用次数: 0

Evaluation of the Impact of Discharge Clinic Follow-Up Interventions on 30-Day Readmission Rates. 出院门诊随访干预对 30 天再入院率影响的评估。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1089/pop.2023.0273

Jessica Sass, Debra Hampton, Jean Edward, Roberto Cardarelli

引用次数: 0

Sickle Cell Disease in an Older Adult Population: A Retrospective Review of Health Care Resource Utilization. 老年镰状细胞病：医疗资源利用情况回顾。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-02-23 DOI: 10.1089/pop.2023.0268

Jessica L Ryan, Jeremiah S Rastegar, Jessica M Dobbins, Deborah N Peikes, Anna Theodorou, Brian Garcia, Bryan Loy, Ebony Bell, J Nwando Olayiwola

{"title":"Sickle Cell Disease in an Older Adult Population: A Retrospective Review of Health Care Resource Utilization.","authors":"Jessica L Ryan, Jeremiah S Rastegar, Jessica M Dobbins, Deborah N Peikes, Anna Theodorou, Brian Garcia, Bryan Loy, Ebony Bell, J Nwando Olayiwola","doi":"10.1089/pop.2023.0268","DOIUrl":"10.1089/pop.2023.0268","url":null,"abstract":"Sickle cell disease (SCD) has a history of health inequity, as patients with SCD are primarily Black and often marginalized from the health care system. Although recent health care and treatment advancements have prolonged life expectancy, it may be insufficient to support the complex needs of the growing population of older adults with SCD. This retrospective study used a cohort (N = 812) of Medicare Advantage beneficiaries 45 years and older (ages: 45-54, 55-64, 65-74, 75-89) with SCD to identify associations of SCD-related complications and comorbidities with emergency department (ED) visits, potentially avoidable ED visits, all-cause hospitalization, and potentially avoidable hospitalizations, 2018-2020. The 75-89 age group had lower odds of an ED visit (OR 0.56; 95% CI 0.32-1.00), 65-74 age group had lower odds of an ED visit (OR 0.49; 95% CI 0.31-0.78) and hospitalization (OR 0.50; 95% CI 0.31-0.79), compared with the 45-54 age group. Acute chest syndrome was associated with increased odds of an ED visit (OR 2.02; 95% CI 1.10-3.71), avoidable ED visit (OR 1.87; 95% CI 1.14-3.06), and hospitalization (OR 3.61; 95% CI 2.06-6.31). Pain was associated with increased odds of an ED visit (OR 2.64; 95% CI 1.85-3.76), an avoidable ED visit (OR 3.08; 95% CI 1.90-4.98), hospitalization (OR 1.51; 95% CI 1.02-2.24), and avoidable hospitalization (OR 6.42; 95% CI 1.74-23.74). Older adults with SCD have been living with SCD for decades, often while managing pain crises and complications associated increased incidence of an ED visit and hospitalization. The characteristics and needs of this population must continue to be examined to increase preventative care and reduce costly emergent health care resource utilization.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"120-127"},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139940592","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

Elective Joint Replacement Among Medicaid Beneficiaries: Utilization and Postoperative Adverse Events by Racial and Ethnic Groups. 医疗补助受益人中的择期关节置换术：按种族和族裔群体分列的使用情况和术后不良事件。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-03-06 DOI: 10.1089/pop.2023.0310

Hyunjee Kim, Kyle D Hart, Angela Senders, Kathryn Schabel, Said A Ibrahim

{"title":"Elective Joint Replacement Among Medicaid Beneficiaries: Utilization and Postoperative Adverse Events by Racial and Ethnic Groups.","authors":"Hyunjee Kim, Kyle D Hart, Angela Senders, Kathryn Schabel, Said A Ibrahim","doi":"10.1089/pop.2023.0310","DOIUrl":"10.1089/pop.2023.0310","url":null,"abstract":"Hip and knee replacement have been marked by racial and ethnic disparities in both utilization and postoperative adverse events among Medicare beneficiaries, but limited knowledge exists regarding racial and ethnic differences in joint replacement care among Medicaid beneficiaries. To close this gap, this study used Medicaid claims in 2018 and described racial and ethnic differences in the utilization and postoperative adverse events of elective joint replacements among Medicaid beneficiaries. Among the 2,260,272 Medicaid beneficiaries, 5987 had an elective joint replacement in 2018. Asian (0.05%, 95% confidence interval [CI]: 0.03%-0.07%) and Hispanic beneficiaries (0.12%, 95% CI: 0.07%-0.18%) received joint replacements less frequently than American Indian and Alaska Native (0.41%, 95% CI: 0.27%-0.55%), Black (0.33%, 95% CI: 0.19%-0.48%), and White (0.37%, 95% CI: 0.25%-0.50%) beneficiaries. Black patients demonstrated the highest probability of 90-day emergency department visits (34.8%, 95% CI: 32.7%-37.0%) among all racial and ethnic groups and a higher probability of 90-day readmission (8.0%, 95% CI: 6.9%-9.0%) than Asian (3.4%, 95% CI: 0.7%-6.0%) and Hispanic patients (4.4%, 95% CI: 3.4%-5.3%). These findings indicate evident disparities in postoperative adverse events across racial and ethnic groups, with Black patients demonstrating the highest probability of 90-day emergency department visits. This study represents an initial exploration of the racial and ethnic differences in joint replacement care among Medicaid beneficiaries and lay the groundwork for further investigation into contributing factors of the observed disparities.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"128-136"},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040127","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

Comparing "Meaningful Use" of Health Information Technology in Pennsylvania: Electronic Prescription Rates of Metropolitan and Rural Counties. 宾夕法尼亚州医疗信息技术 "有意义使用 "的比较：大都市县和农村县的电子处方率。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-04-01 Epub Date: 2024-02-27 DOI: 10.1089/pop.2023.0258

Heath Saffer, Amy Cunningham

{"title":"Comparing \"Meaningful Use\" of Health Information Technology in Pennsylvania: Electronic Prescription Rates of Metropolitan and Rural Counties.","authors":"Heath Saffer, Amy Cunningham","doi":"10.1089/pop.2023.0258","DOIUrl":"10.1089/pop.2023.0258","url":null,"abstract":"The Health Information Technology for Economic and Clinical Health Act incentivized the adoption of electronic health records (EHRs). Health systems looked to leverage technology to assist in serving populations in health professional shortage areas. Qualitative research points to EHR usability as a source of health inequities in rural settings, making the challenges of EHR usage a subject of interest. Pennsylvania offers a model for investigating rural health infrastructure with it having the third largest rural population in the United States. This study analyzed the adoption of Electronic Prescribing in the 67 Pennsylvania (PA) counties. Physician adoption and usage data for PA and the United States were compared using a t-test to establish a basis for comparison. PA counties were categorized using the United States Department of Agriculture (USDA)'s Rural-Urban Commuting Areas (RUCAs) system. Surescript use percentages were plotted against the RUCA scores of each PA county to create a polynomial regression model. PA office-based physicians, on average, utilize e-prescription tools at the same rate as the national average with 59% of practices utilizing Surescripts as of 2013. There was no significant correlation between Surescript usage and the rural/urban classification of counties in Pennsylvania (R-squared value of 0.06). Pennsylvania was able to adopt health information technology (HIT) infrastructure at the same rate as the national average. Rural and metropolitan definitions do not correlate to meaningful use of HIT, thus usability of HIT cannot be tied to health outcomes. Future studies looking at specific forms of HIT and their ability to decrease the burden of administrative work for clinicians.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"114-119"},"PeriodicalIF":2.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973157","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 Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan. 持续使用家庭医疗资源对癌症老年患者在家临终关怀的影响：日本福冈的回顾性队列研究。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-11-01 DOI: 10.1089/pop.2023.0192

Reiko Yamao, Akira Babazono, Ning Liu, Yunfei Li, Reiko Ishihara, Shinichiro Yoshida, Sung-A Kim, Aziz Jamal

{"title":"The Impact of Continuous Use of Home Health Care Resources on End-of-Life Care at Home in Older Patients with Cancer: A Retrospective Cohort Study in Fukuoka, Japan.","authors":"Reiko Yamao, Akira Babazono, Ning Liu, Yunfei Li, Reiko Ishihara, Shinichiro Yoshida, Sung-A Kim, Aziz Jamal","doi":"10.1089/pop.2023.0192","DOIUrl":"10.1089/pop.2023.0192","url":null,"abstract":"This study aimed at examining the effect of continued use of home health care resources on end-of-life care at home in older patients with cancer. This retrospective cohort study was conducted using medical and long-term care claims data of 6435 older patients with cancer who died between April 2016 and March 2019 in Fukuoka Prefecture. The main explanatory variables were enhanced home care support clinics and hospitals (HCSCs), enhanced HCSCs with beds, conventional HCSCs, other HCSCs, and home visit nursing care. The covariates were sex, age, required level of care, and the Charlson Comorbidity Index. A logistic regression model was used. The results of the multilevel logistic regression analysis showed that the following were significantly associated with end-of-life care at home: use of enhanced HCSCs with beds (odds ratio, OR: 8.66; 95% confidence interval, CI: [4.31-17.40]), conventional HCSCs (OR: 5.78; 95% CI: [1.86-17.94]), enhanced HCSCs (OR: 4.44; 95% CI: [1.47-13.42]), home-visit nursing care (OR: 1.86; 95% CI: [1.42-2.44]), and a severe need for care (OR: 3.89; 95% CI: [2.92-5.18]). The results suggest that the continued use of home health care resources in older patients with cancer who require out-of-hospital care may lead to increased end-of-life care at home. Particularly, use of enhanced HCSCs with beds is most strongly associated with end-of-life care at home.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"60-69"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426249","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

Patient Perception and Impact of Home Test Kits on Health Care Utilization for Urinary Tract Infection. 家庭检测试剂盒对尿路感染卫生保健利用的患者认知和影响。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-11-03 DOI: 10.1089/pop.2023.0201

Sarah J Billups, Danielle Fixen, Kaci Johnson, Sara A Wettergreen, Lisa M Schilling

{"title":"Patient Perception and Impact of Home Test Kits on Health Care Utilization for Urinary Tract Infection.","authors":"Sarah J Billups, Danielle Fixen, Kaci Johnson, Sara A Wettergreen, Lisa M Schilling","doi":"10.1089/pop.2023.0201","DOIUrl":"10.1089/pop.2023.0201","url":null,"abstract":"Urinary tract infection (UTI) is a common reason for emergency department (ED) utilization that could potentially be treated by a primary care provider (PCP). This study assessed patient perceived value of a home UTI test kit plus educational materials and its impact on ED utilization for a UTI symptom episode. Women aged 18-75 years with Medicaid insurance and a history of 1-3 uncomplicated UTIs in the past year were prospectively identified and randomized to the intervention, intervention plus (intervention plus a patient portal message before its delivery), or standard of care group. A telephone survey was conducted 3-5 months after the mailing. Site of care for each UTI symptom episode was measured 12 months before and 6 months after the intervention. Test kit packages were mailed to 266 intervention individuals, and 150 responded to the telephone survey. Utilization outcomes were compared between a combined intervention group and a control group. Approximately one-third of the intervention patients experienced UTI symptoms within 5 months, and 73% used the test kit. Of those who experienced UTI symptoms, 58% contacted their PCP to seek care and 96% reported that the test kit was helpful. ED utilization was not significantly different in the intervention groups before and after the intervention, nor between the intervention and control groups postintervention. A home UTI test kit plus educational materials mailed to patients with a history of uncomplicated UTI was deemed helpful but did not have a measurable impact on ED utilization.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"44-48"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434596","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

Addressing Social Determinants of Health in Family Medicine Practices. 在家庭医学实践中解决健康的社会决定因素。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI: 10.1089/pop.2023.0014

Jessica Sand, Zachary J Morgan, Lars E Peterson

{"title":"Addressing Social Determinants of Health in Family Medicine Practices.","authors":"Jessica Sand, Zachary J Morgan, Lars E Peterson","doi":"10.1089/pop.2023.0014","DOIUrl":"10.1089/pop.2023.0014","url":null,"abstract":"Primary care practices are under pressure to address patients' social determinants of health (SDOH). However, the extent to which these practices have this ability remains unknown. The objective of this study was to examine the association between physician, practice, and community characteristics and the ability of family medicine practices to address patients' SDOH. This cross-sectional study used data from the American Board of Family Medicine Continuing Certification Questionnaire from 2017 to 2019, with a 100% response rate. Respondents rated their practice's ability to address SDOH, which was dichotomized as high or low. Sequential multivariate logistic regression determined the association of the reported ability to address SDOH with physician, practice, and community characteristics. Among 19,300 respondents, 55.6% reported a high ability to address patients' SDOH. Across models controlling for different groups of variables, characteristics persistently positively associated with ability to address SDOH included employment at a federally qualified health center (Odds Ratios [OR] = 2.111-3.012), federally funded clinic (OR = 1.999-2.897), managed care organization (OR = 2.038-2.303), and working collaboratively with a social worker (OR = 2.000-2.523) or care coordinator (OR = 1.482-1.681). Characteristics persistently negatively associated with the ability to address SDOH were practicing at an independently owned (OR = 0.726-0.812) or small practice (OR = 0.512-0.863). While results varied across models, these findings are important for developing evidence-based policies and recommendations for resource sharing and allocation in clinics and communities. Ensuring availability and access to allied health professionals and community resources may be key components in Family Medicine clinics addressing SDOH.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"26-33"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71413628","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