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Journal Popul Health Manag

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Cost-Effectiveness of Outreach Strategies for Stool-Based Colorectal Cancer Screening in a Medicaid Population.

Jordan J Karlitz, A Mark Fendrick, Jay Bhatt, Gloria D Coronado, Sushanth Jeyakumar, Nathaniel J Smith, Marcus Plescia, Durado Brooks, Paul Limburg, David Lieberman,

Outreach, including patient navigation, has been shown to increase the uptake of colorectal cancer (CRC) screening in underserved populations. This analysis evaluates the cost-effectiveness of triennial multi-target stool DNA (mt-sDNA) versus outreach, with or without a mailed annual fecal immunochemical test (FIT), in a Medicaid population. A microsimulation model estimated ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Health and Health Care Use Strongly Associated with Cumulative Burden of Social Determinants of Health.

Kyle G Jones, Sarah E Roth, Keri B Vartanian,

Understanding health outcomes and patterns of health care utilization associated with patients' cumulative social determinant of health (SDOH) risk is essential to supporting better health care. This study compared mental and physical health outcomes and health care utilization by increasing number of social needs among a clinical adult population. Surveys ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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The Impact of Expanding Telehealth-Delivered Dietary Interventions on Long-Term Cardiometabolic Health.

Yan Li, Donglan Zhang, Janani Thapa, Weixin Li, Zhuo Chen, Lan Mu, Junxiu Liu, José A Pagán,

A healthy diet is an important protective factor to prevent cardiometabolic disease. Traditional face-to-face dietary interventions are often episodic, expensive, and may have limited effectiveness, particularly among older adults and people living in rural areas. Telehealth-delivered dietary interventions have proven to be a low-cost and effective alternative approach to improve ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Multisector Partnerships and Service Colocation to Increase Adoption of Influenza Vaccines and Address Food Insecurity.

Bettina M Beech, Jessica Dobbins, LeChauncy Woodard, Winston Liaw, Marino A Bruce,

Popul Health Manag (Population health management)
[2021, :]

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Assessing the Added Value of Blood Pressure Information Derived from Electronic Health Records in Predicting Health Care Cost and Utilization.

Hadi Kharrazi, Hsien-Yen Chang, Jonathan P Weiner, Kimberly A Gudzune,

Health care providers are increasingly using clinical measures derived from electronic health records (EHRs) for risk stratification and predictive modeling. EHR-specific data elements such as prescriptions, laboratory results, and vital signs have been shown to improve risk prediction models. In this study, the value of EHR-based blood pressure (BP) values ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Factors Associated with Chronic Disease and Health Care Utilization Among Young Adults in South Korea.

Jongho Park, Yeaeun Kim,

Hypertension, diabetes, and hyperlipidemia have become prevalent in young adults. Health care utilization is a key factor in managing early onset chronic diseases. This study aimed to examine the factors affecting health care utilization among young South Korean adults with a single chronic disease. From the Korea Health Panel Survey ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Commentary on "Using Quality Measures to Drive Improvements in Immunization Rates: Findings from a Real-World Evaluation from 3 US Health Care Organizations" by Esselman et al.

Angela K Shen,

Popul Health Manag (Population health management)
[2021, :]

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Successful Implementation of an All-or-None Diabetes Measure in 10 U.S. Health Systems.

Cori Cohen Grant, Earlean Chambers, Cori Rattelman, Carol Mahler Hamersky, Wichitah Leng, John Kennedy, Elizabeth L Ciemins,

Type 2 diabetes mellitus (T2DM) affects 31.5 million adults in the United States and is commonly treated in primary care settings. One promising approach to comprehensive care is to focus on an all-or-none diabetes bundle measure, which ensures each patient meets a set of guideline-recommended measures. This requires a practice-level ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Infectious Diseases-Related Emergency Department Visits Among Non-Elderly Adults with Intellectual and Developmental Disabilities in the United States: Results from the National Emergency Department Sample, 2016.

Hussaini Zandam, Monika Mitra, Ilhom Akobirshoev, Frank S Li, Ari Ne'eman,

Emerging evidence on the disproportionate impact of COVID-19 on people with intellectual and developmental disabilities (IDD) points to the underlying risk and burden of infectious diseases (IDs) in this population. The objective of this study was to examine the risk of ID-related emergency department (ED) visits, subsequent hospitalizations, and hospital-based ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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The Impact of Personal and Historical Factors That Contribute to Medicare Readmissions.

Trudy Millard Krause, Randa Hamden, Caroline M Schaefer,

Medicare readmissions from the 5% national sample of Medicare Fee For Service claims were assessed to identify the contribution of various demographic or personal health history risk factors to the liklihood of readmission within 30 days of discharge. The Medicare population was evaluated as 2 cohorts based on their eligibility ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Using Quality Measures to Drive Improvements in Immunization Rates: Findings from a Real-World Evaluation from 3 US Health Care Organizations.

Kaitlyn Whiton Esselman, Elizabeth L Ciemins, Elizabeth Donckels, Courtney Barbera, Guy D'Andrea, Tilithia McBride,

Adult immunization rates are low and continue to fail to meet national targets. The coronavirus disease 2019 pandemic halted routine health care services for many, including vaccinations. This study explored whether the National Committee for Quality Assurance's Adult Immunization Status (AIS) measure, which had previously only been evaluated for reporting ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Health Care Professionals' Perspectives on Universal Screening of Social Determinants of Health: A Mixed-Methods Study.

Sophia Kostelanetz, Mariah Pettapiece-Phillips, Jacy Weems, Tamarra Spalding, Christianne Roumie, Consuelo H Wilkins, Sunil Kripalani,

Social determinants of health (SDH) contribute to nearly 50% of health outcomes; however, SDH data collection is inconsistent in clinical practice. This study used mixed methods to evaluate health care professionals' perceptions of universal SDH screening at an academic medical center by surveying physicians, advanced practice providers, nurses, social workers, ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults.

Gabrielle Horne, Amber Gautam, Dmitry Tumin,

In cross-sectional data, gaps in health insurance coverage are associated with worse health and lower utilization of preventive services. The authors investigated if these associations persisted 2-6 years after disruption of insurance coverage in a cohort of young adults. Data from the National Longitudinal Survey of Youth 1997, a longitudinal ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Social Determinants of Health and After-Hours Electronic Health Record Documentation: A National Survey of US Physicians.

Young-Rock Hong, Kea Turner, Oliver T Nguyen, Amir Alishahi Tabriz, Lee Revere,

Identifying patients' social determinants of health (SDoH) can improve patient outcomes but may increase clinicians' documentation time. However, there is limited evidence of how many physicians document SDoH and the associated burden. To address this gap, this study examines documentation of SDoH and after-hours electronic health record (EHR) work among ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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For Profit, but Socially Determined: The Rise of the SDOH Industry.

Zachary N Goldberg, David B Nash,

Social determinants of health (SDOH) are the greatest predictors of one's health status. There are clear SDOH disparities present in the United States, many of which have been especially evident during the COVID pandemic. SDOH have become a greater focus of payers, including Centers for Medicare & Medicaid Services (CMS). ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Income Differences and COVID-19: Impact on Daily Life and Mental Health.

Lauren R Hall, Katherine Sanchez, Briget da Graca, Monica M Bennett, Mark Powers, Ann Marie Warren,

The COVID-19 pandemic has caused disproportionate suffering among vulnerable and socioeconomically disadvantaged portions of the population. Low-income and minority populations are likely to experience disparate disease and mental health burdens. Currently, there is little evidence regarding how the experience of the early months of the US COVID-19 outbreak differed by ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Health Care Worker Burnout and Perceived Capacity to Address Social Needs.

Andrew Telzak, Earle C Chambers, Damara Gutnick, Anna Flattau, Joan Chaya, Kathleen McAuliff, Bruce Rapkin,

Health care organizations are increasingly incorporating social care programs into medical care delivery models. Recent studies have identified burnout as a potential unintended consequence of this expansion. Successful implementation of these programs requires investment in the health care team, although understanding the impact of this expansion on nonphysician team members ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Impact of a Statewide Multi-Payer Patient-Centered Medical Home Program on Antihypertensive Medication Adherence.

Oludolapo A Fakeye, Niharika Khanna, Yea-Jen Hsu, Jill A Marsteller,

Evidence suggests that the patient-centered medical home (PCMH) model of primary care improves management of chronic disease, but there is limited research contrasting this model's effect when financed by a single payer versus multiple payers, and among patients with different types of health insurance. This study evaluates the impact of ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Call for Special Issue Papers: Reducing Health Disparities in Underserved Populations.

David B Nash,

Popul Health Manag (Population health management)
[2021, 24(5):527]

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Rural, Underserved, and Minority Populations' Perceptions of COVID-19 Information, Testing, and Vaccination: Report from a Southern State.

Joe Crozier, Nicholas Christensen, Peng Li, Glenda Stanley, Debra S Clark, Cynthia Selleck,

The purpose of this project was to survey rural, minority, and underserved Alabamians regarding their perceptions of COVID-19 information, testing, and vaccination. Community health workers surveyed 3721 individuals from October 20-December 31, 2020. Participants came from 46 of Alabama's 67 counties (35 rural and 11 urban counties) and were largely ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Labeling Complex and Costly Patients as "Unimpactable": A Morally Questionable Practice Likely to Worsen Inequities.

Patrick Runnels, Peter J Pronovost,

Popul Health Manag (Population health management)
[2021, :]

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Diagnosis of Vaginitis: New Thinking for a New Era.

Oluwatosin Tosin Goje, Haywood Brown, Paul Nyirjesy, Robert S London, Christina Muzny, Deborah Arrindell,

Popul Health Manag (Population health management)
[2021, 24(5):616-621]

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SARS-CoV-2 Outcomes: The Role of Patient Characteristics and Chronic Disease Comorbidities.

Kenneth E Thorpe, Peter J Joski,

Several patient demographics such as race/ethnicity and comorbid chronic conditions are associated with severity of illness among COVID-19 patients. This study examines national data of COVID-19 patients to estimate the likelihood that these characteristics are associated with a hospital admission, admission to an intensive care unit (ICU), and length of ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Redesigning Kidney Disease Care to Improve Value Delivery.

Titte R Srinivas, Justin J Coran, Esther J Thatcher, Bradley Patton, Brayden Dunn, Sandeep Palakodeti, Todd Zeiger, Brandi N Dobbs, Valerie Reese, Patrick Runnels, Nagaraju Sarabu, Peter J Pronovost,

This article describes the articulation, development, and deployment of a machine learning (ML) model-driven value solution for chronic kidney disease (CKD) in a health system. The ML model activated an electronic medical record (EMR) trigger that alerted CKD patients to seek primary care. Simultaneously, primary care physicians (PCPs) received an ... Read more >>

Popul Health Manag (Population health management)
[2021, :]

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Aducanumab Fails to Produce Efficacy Results Yet Obtains US Food and Drug Administration Approval.

Mark Angelo, Lawrence Ward,

Popul Health Manag (Population health management)
[2021, 24(6):638-639]

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