Population Health Management最新文献_第8页

Long Way to Go: Attitudes, Knowledge, and Perception of Artificial Intelligence in Health Care, Among a Racially Diverse, Lower Income Population in Houston, New York, and Los Angeles. 任重道远：休斯顿、纽约和洛杉矶不同种族的低收入人群对医疗保健领域人工智能的态度、知识和看法。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-12-13 DOI: 10.1089/pop.2023.0256

Omolola E Adepoju, Patrick Dang, Wura Jacobs, Philip Baiden

引用次数: 0

The Impact of COVID-19 Pandemic and Coverage of Follow-Up Colonoscopy on Choice of Colorectal Cancer Screening Modalities. 新冠肺炎大流行和Follow-Up结肠镜检查对结直肠癌癌症筛查方式选择的影响。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-11-06 DOI: 10.1089/pop.2023.0214

Bhavana Tetali, A Mark Fendrick, Stacy Menees

引用次数: 0

A Path to Risk: Critical Elements of a Structured Approach. 风险之路：结构化方法的关键要素。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 DOI: 10.1089/pop.2023.0197

Mark E Schario, Peter J Pronovost, Patrick Runnels, Tia Corder-Palko, Brent Carson, Michael Szubski

{"title":"A Path to Risk: Critical Elements of a Structured Approach.","authors":"Mark E Schario, Peter J Pronovost, Patrick Runnels, Tia Corder-Palko, Brent Carson, Michael Szubski","doi":"10.1089/pop.2023.0197","DOIUrl":"10.1089/pop.2023.0197","url":null,"abstract":"Value-based care arrangements have been the cornerstone of accountable care for decades. Risk arrangements with government and commercial insurance plans are ubiquitous, with most contracts focusing on upside risk only, meaning payers reward providers for good performance without punishing them for poor performance on quality and cost. However, payers are increasingly moving into downside risk arrangements, bringing to mind global capitation in the 1990s wherein several health systems failed. In this article, the authors focus on their framework for succeeding in value-based arrangements at University Hospitals Accountable Care Organization, including essential structural elements that provider organizations need to successfully assume downside risk in value-based arrangements. These elements include quality performance and reporting, risk adjustment, utilization management, care management and clinical services, network integrity, technology, and contracting and financial reconciliation. Each of these elements has an important place in the strategic roadmap to value, even if downside risk is not taken. This roadmap was developed through an applied approach and intends to fill the gap in published practical models of how provider organizations can maneuver value-based arrangements.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":"27 1","pages":"49-54"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703259","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

Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services. 降低成本和利用模式在医疗保险责任护理组织使用家庭为基础的姑息治疗服务。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-11-27 DOI: 10.1089/pop.2023.0224

Mark Angelo, Abigail Souder, Angela Poole, Terre Mirsch, Elizabeth Souder

{"title":"Cost Reduction and Utilization Patterns in a Medicare Accountable Care Organization Using Home-Based Palliative Care Services.","authors":"Mark Angelo, Abigail Souder, Angela Poole, Terre Mirsch, Elizabeth Souder","doi":"10.1089/pop.2023.0224","DOIUrl":"10.1089/pop.2023.0224","url":null,"abstract":"Accountable care organizations (ACOs) are often tasked with helping providers to deliver care efficiently and with higher quality outcomes. For an ACO to succeed in delivering efficient care, it is important to direct resources toward patients who exhibit the greatest levels of opportunity while focusing attention toward mitigating their needs. Home-based palliative care (HBPC) services are known to address patient needs for those with serious illness while decreasing the total cost of care (TCC). In this retrospective review, ACO researchers reviewed cost, quality, and utilization patterns for 3418 beneficiaries within a Medicare Shared Saving Program approaching the end of life comparing decedents who received HBPC versus those who did not receive the service. Those individuals who received HBPC services were significantly less likely to be hospitalized (51% reduction in the HBPC group), more likely to use hospice (70% vs. 43%; P = 0.001), and their TCC was less than that of those who did not receive the service ($27,203 vs. $36,089: P = 0.0163). Although more research needs to be done to understand the specific components of care delivery that are helpful in decreasing unnecessary utilization, in this retrospective review in an accountable care population, HBPC is associated with a significant decrease in cost and utilization in a population approaching end of life.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"55-59"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138445909","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

Expanding the Catalog of Patient and Caregiver Out-of-Pocket Costs: A Systematic Literature Review. 扩大患者和护理人员自付费用目录：系统性文献综述。

IF 1.8 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-12-13 DOI: 10.1089/pop.2023.0238

Theresa Schmidt, Christine Juday, Palak Patel, Taruja Karmarkar, Esther Renee Smith-Howell, A Mark Fendrick

{"title":"Expanding the Catalog of Patient and Caregiver Out-of-Pocket Costs: A Systematic Literature Review.","authors":"Theresa Schmidt, Christine Juday, Palak Patel, Taruja Karmarkar, Esther Renee Smith-Howell, A Mark Fendrick","doi":"10.1089/pop.2023.0238","DOIUrl":"10.1089/pop.2023.0238","url":null,"abstract":"Out-of-pocket (OOP) health care expenditures in the United States have increased significantly in the past 5 decades. Most research on OOP costs focuses on expenditures related to insurance and cost-sharing payments or on costs related to specific conditions or settings, and does not capture the full picture of the financial burden on patients and unpaid caregivers. The aim for this systematic literature review was to identify and categorize the multitude of OOP costs to patients and unpaid caregivers, aid in the development of a more comprehensive catalog of OOP costs, and highlight potential gaps in the literature. The authors found that OOP costs are multifarious and underestimated. Across 817 included articles, the authors identified 31 subcategories of OOP costs related to direct medical (eg, insurance premiums), direct nonmedical (eg, transportation), and indirect spending (eg, absenteeism). In addition, 42% of articles studied an expenditure that the authors did not label as \"OOP.\" A holistic and comprehensive catalog of OOP costs can inform future research, interventions, and policies related to financial barriers to health care in the United States to ensure the full range of costs for patients and unpaid caregivers are acknowledged and addressed.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"70-83"},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10877382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803521","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

A Population Health Proposal for Increasing Breast Cancer Screening to Reduce Racial Disparities in Breast Cancer: Getting the Village Back Together. 增加癌症筛查以减少癌症种族差异的人口健康建议：让村庄重新团结起来。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI: 10.1089/pop.2023.0178

Scott D Siegel, Jennifer P Rowland, Dawn J Leonard, Nora Katurakes, Heather Bittner-Fagan, Matthew Hoffman, Robert Hall-McBride, LeRoi S Hicks, Nicholas J Petrelli

引用次数: 0

Evaluation of the Predictive Value of Routinely Collected Health-Related Social Needs Measures. 定期收集的健康相关社会需求测量的预测价值评估。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI: 10.1089/pop.2023.0129

Samuel T Savitz, Shealeigh Inselman, Mark A Nyman, Minji Lee

{"title":"Evaluation of the Predictive Value of Routinely Collected Health-Related Social Needs Measures.","authors":"Samuel T Savitz, Shealeigh Inselman, Mark A Nyman, Minji Lee","doi":"10.1089/pop.2023.0129","DOIUrl":"10.1089/pop.2023.0129","url":null,"abstract":"The objective was to assess the value of routinely collected patient-reported health-related social needs (HRSNs) measures for predicting utilization and health outcomes. The authors identified Mayo Clinic patients with cancer, diabetes, or heart failure. The HRSN measures were collected as part of patient-reported screenings from June to December 2019 and outcomes (hospitalization, 30-day readmission, and death) were ascertained in 2020. For each outcome and disease combination, 4 models were used: gradient boosting machine (GBM), random forest (RF), generalized linear model (GLM), and elastic net (EN). Other predictors included clinical factors, demographics, and area-based HRSN measures-area deprivation index (ADI) and rurality. Predictive performance for models was evaluated with and without the routinely collected HRSN measures as change in area under the curve (AUC). Variable importance was also assessed. The differences in AUC were mixed. Significant improvements existed in 3 models of death for cancer (GBM: 0.0421, RF: 0.0496, EN: 0.0428), 3 models of hospitalization (GBM: 0.0372, RF: 0.0640, EN: 0.0441), and 1 of death (RF: 0.0754) for diabetes, and 1 model of readmissions (GBM: 0.1817), and 3 models of death (GBM: 0.0333, RF: 0.0519, GLM: 0.0489) for heart failure. Age, ADI, and the Charlson comorbidity index were the top 3 in variable importance and were consistently more important than routinely collected HRSN measures. The addition of routinely collected HRSN measures resulted in mixed improvement in the predictive performance of the models. These findings suggest that existing factors and the ADI are more important for prediction in these contexts. More work is needed to identify predictors that consistently improve model performance.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"34-43"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71413630","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

Homelessness Among Acute Care Patients Within a Large Health Care System in Northern California. 北加州一个大型医疗保健系统中急症患者的无家可归问题。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2024-01-17 DOI: 10.1089/pop.2023.0190

Satish Mudiganti, Catherine Nasrallah, Stephanie Brown, Alice Pressman, Anna Kiger, Joan A Casey, Joyce C LaMori, Jacqueline Pesa, Kristen M J Azar

{"title":"Homelessness Among Acute Care Patients Within a Large Health Care System in Northern California.","authors":"Satish Mudiganti, Catherine Nasrallah, Stephanie Brown, Alice Pressman, Anna Kiger, Joan A Casey, Joyce C LaMori, Jacqueline Pesa, Kristen M J Azar","doi":"10.1089/pop.2023.0190","DOIUrl":"10.1089/pop.2023.0190","url":null,"abstract":"The impacts of homelessness on health and health care access are detrimental. Intervention and efforts to improve outcomes and increase availability of affordable housing have mainly originated from the public health sector and government. The role that large community-based health systems may play has yet to be established. This study characterizes patients self-identified as homeless in acute care facilities in a large integrated health care system in Northern California to inform the development of collaborative interventions addressing unmet needs of this vulnerable population. The authors compared sociodemographic characteristics, clinical conditions, and health care utilization of individuals who did and did not self-identify as homeless and characterized their geographical distribution in relation to Sutter hospitals and homeless resources. Between July 1, 2019 and June 30, 2020, 5% (N = 20,259) of the acute care settings patients had evidence of homelessness, among which 51.1% age <45 years, 66.4% males, and 24% non-Hispanic Black. Patients experiencing homelessness had higher emergency department utilization and lower utilization of outpatient and urgent care services. Mental health conditions were more common among patients experiencing homelessness. More than half of the hospitals had >5% of patients who identified as homeless. Some hospitals with higher proportions of patients experiencing homelessness are not located near many shelter resources. By understanding patients who self-identify as homeless, it is possible to assess the role of the health system in addressing their unmet needs. Accurate identification is the first step for the health systems to develop and deliver better solutions through collaborations with nonprofit organizations, community partners, and government agencies.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"13-25"},"PeriodicalIF":2.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491799","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

Building for Value: A Foundational Structure to Support Population Health. 为价值而建：支持人口健康的基础结构。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 DOI: 10.1089/pop.2023.0196

Mark E Schario, Peter J Pronovost

引用次数: 0

Correction to: Addressing Social Needs in Clinical Settings: Early Lessons from Accountable Health Communities, by Laura B. Beidler, et al. Popul Health Manag 2023; (vol. 26, no. 5; 283-293); doi: 10.1089/pop.2023.0119. 更正:解决临床环境中的社会需求:来自负责任的健康社区的早期经验教训，劳拉B.贝德勒等人。人口健康管理2023;(卷二十六，第5;283 - 293年);doi: 10.1089 / pop.2023.0119。

IF 2.5 4区医学

Population Health Management Pub Date : 2024-02-01 Epub Date: 2023-12-04 DOI: 10.1089/pop.2023.0119.correx

引用次数: 0