Abstract:
:The objective was to assess the effect of online use of a patient portal on improvement of glycohemoglobin (HbA1c) in patients with type 2 diabetes presenting to primary care clinics. This retrospective cohort design used data from a primary care patient data registry that captured all ambulatory visits to the academic medical center's primary care clinics. A total of 1510 patients with diabetes were included because they had at least 1 visit with a documented HbA1c value between January 1, 2010, and June 30, 2013. Degree of patient portal use was defined as no use, read only, and read and write. Linear regression models were computed to measure the association between degree of patient portal use and HbA1c control before and after adjusting for demographics, comorbidity, and volume of health care use. Patients who were nonusers of the patient portal's e-mail function had consistently higher average HbA1c values than patients who read and wrote e-mails. After adjusting for demographics, health services utilization, and comorbid conditions, patients who read and wrote e-mails still had significantly (P<0.001) lower average HbA1c values compared to nonusers (ß=-0.455; 95% confidence interval [CI]:-.632-.277). In adjusted analysis, patients who only read e-mail also had significantly (P<0.05) lower mean HbA1c values compared to nonusers (ß=-0.311, 95%CI:-.61--0.012). Patients with more active e-mail communication via a patient portal appeared to have the greatest likelihood of HbA1c control. Patients should be encouraged to use this resource as a means of communication with providers and not merely a passive source of information. (Population Health Management 2016;19:125-131).
journal_name
Popul Health Managjournal_title
Population health managementauthors
Devkota B,Salas J,Sayavong S,Scherrer JFdoi
10.1089/pop.2015.0034subject
Has Abstractpub_date
2016-04-01 00:00:00pages
125-31issue
2eissn
1942-7891issn
1942-7905journal_volume
19pub_type
杂志文章abstract::Even though pneumococcal vaccination recommendations have been in existence since 1983, vaccination rates are low in the United States. This study analyzed 5-year trends in pneumococcal polysaccharide vaccination uptake across racial/ethnic groups of individuals aged ≥65 years and high-risk individuals aged 19-64 year...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0176
更新日期:2018-12-01 00:00:00
abstract::The objective of this study was to assess achievement of 4 diabetes mellitus (DM)-related quality measures (QMs) and examine the relationship between QM attainment, concurrent health care costs, and DM complications over 1 year by conducting a retrospective analysis of claims data for Medicare Advantage Prescription D...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0159
更新日期:2017-04-01 00:00:00
abstract::A growing literature documents the substantial burden that a small proportion of high-cost, medically complex patients impose on health care systems. However, it is not clear whether high-cost patients remain costly over time. This study looks at the monthly distribution of billed charges for a cohort of high-cost, me...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0149
更新日期:2017-10-01 00:00:00
abstract::In integrated health care systems, techniques that identify successes and opportunities for targeted improvement are needed. The authors propose a new method for estimating population health that provides a more accurate and dynamic assessment of performance and priority setting. Member data from a large integrated he...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0143
更新日期:2019-10-01 00:00:00
abstract::The objective was to estimate clinical metric and medication persistency impacts of a care management program. The data sources were Medicaid administrative claims for a sample population of 32,334 noninstitutionalized Medicaid-only aged, blind, or disabled patients with diagnosed conditions of asthma, coronary artery...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2014.0003
更新日期:2015-02-01 00:00:00
abstract::In January 2015, the US Secretary of Health and Human Services announced targets for the transformation of Medicare reimbursement from a fee-for-service model to payments based on alternative payment models. People now use technology for virtually everything - from paying bills to purchasing almost anything; it is the...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0080
更新日期:2018-08-01 00:00:00
abstract::In this article, we estimate national health care resource use and medical costs in 2007 associated with prediabetes (PD), defined as either fasting plasma glucose between 100 and 125 or oral glucose tolerance test between 140 and 200. We use Poisson regression with medical claims for an adult population continuously ...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2009.12302
更新日期:2009-06-01 00:00:00
abstract::Health and disease management (HDM) programs have faced challenges in documenting savings related to their implementation. The objective of this eliminate study was to describe OptumHealth's (Optum) methods for estimating anticipated savings from HDM programs using Value Drivers. Optum's general methodology was review...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2012.0106
更新日期:2013-12-01 00:00:00
abstract::Population health is one of the pillars of the Triple Aim to improve US health care. The authors developed a framework for population health measurement and a proposed set of measures for further exploration to guide the population health efforts in Maryland. The authors searched peer-reviewed, expert-authored literat...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0112
更新日期:2018-08-01 00:00:00
abstract::The objective was to evaluate the effect of separate interventions on antimicrobial prescribing for uncomplicated upper respiratory tract infections. The authors conducted a quasi-experimental pre-post study with concurrent control groups for each intervention. Academic detailing led to a significant reduction in unne...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2012.0025
更新日期:2013-02-01 00:00:00
abstract::Stroke is the third leading cause of death in the United States and the leading cause of disability. Stroke patients' outcomes are strongly determined by how long they remain untreated ("time is brain"). The Joint Commission's adoption of stroke performance improvement measures combined with the Centers for Medicare a...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0068
更新日期:2011-12-01 00:00:00
abstract::Each year, ineffective medical management of patients with mental illness compromises the health and well-being of individuals, and also impacts communities and our society. A variety of interrelated factors have impeded the health system's ability to treat patients with behavior health conditions adequately. A key co...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0101
更新日期:2019-06-01 00:00:00
abstract::The Robert Wood Johnson Foundation's Culture of Health Action Framework aims to "make health a shared value" and improve population health equity through widespread culture change. The authors draw upon their expertise as anthropologists to identify 3 challenges that they believe must be addressed in order to effectiv...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0179
更新日期:2020-12-01 00:00:00
abstract::Diabetes self-management education is an essential component of diabetes clinical management, and community-based programs are an effective intervention for improving glycemic control among adults living with diabetes. The National Standards for Diabetes Self-Management Education and Support are designed to define qua...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0044
更新日期:2014-02-01 00:00:00
abstract::The primary objective was to determine the prevalence and characteristics of older adults concurrently using opioids and other central nervous system (CNS)-active medications, and the specialties of providers who ordered the medications. A secondary objective was to document medication-related adverse effects associat...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0128
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abstract::Chronic obstructive pulmonary disease (COPD) is a common chronic illness that affects an estimated 210 million people worldwide, including 12 million people in the United States. National and international guidelines for treatment of COPD recommend use of certain medications, especially bronchodilators and corticoster...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2008.0048
更新日期:2010-02-01 00:00:00
abstract::This study evaluates whether improvements in health behaviors related to a worksite wellness program persist through 2 years. The program was designed to build behavioral capability and self-efficacy by yielding immediately applicable skills and tools and segmenting the behavior change process into weekly, manageable ...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2011.0083
更新日期:2012-10-01 00:00:00
abstract::The United States has 86 million adults with prediabetes. Individuals with prediabetes can prevent or delay the development of type 2 diabetes through lifestyle modifications such as participation in the National Diabetes Prevention Program (DPP), thereby mitigating the medical and economic burdens associated with dia...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0134
更新日期:2017-10-01 00:00:00
abstract::Federally Qualified Health Centers (FQHCs), like many health systems, are in transition toward alternative/advanced payment and reimbursement models. Gradually, fee-for-service reimbursements will be replaced by value-based payments with shared accountability for patients' health care outcomes. This article provides a...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0221
更新日期:2020-02-24 00:00:00
abstract::Physical activity provides numerous health benefits, including reducing risk factors that contribute to the leading causes of morbidity and mortality. Many employers offer incentives to employees to motivate engagement in wellness program activities. Two incentive designs to reward employees for achieving step goals w...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0030
更新日期:2016-04-01 00:00:00
abstract::The objective was to use population-based electronic health records for surveillance of intrauterine exposures to substances of abuse, including opioids, and to monitor changes in exposure rates over time. This retrospective, descriptive analysis utilized geocoded neonatal physician billing records representing intrau...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0184
更新日期:2018-12-01 00:00:00
abstract::This case study describes a multistage approach applied to evaluation of an employee wellness program at Northwell Health. The paper describes a framework that other large employers may adopt in their wellness program evaluations. Evaluators worked with Northwell to develop, tailor, and apply a structure-process-outco...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0177
更新日期:2019-12-01 00:00:00
abstract::Whereas some studies show statistically significant linear associations between consumption at full-service restaurants and consumer incomes, studies of fast-food restaurants fail to find statistically significant linear associations. In this study, nationally representative data were drawn from the 1994-1996 Continui...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0071
更新日期:2011-12-01 00:00:00
abstract::The objective of this study was to determine the relationship between health status and productivity loss and to provide estimates of the business implications of lost work performance. Health risk appraisal responses from over 1 million participants were analyzed to determine productivity loss associated with several...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0014
更新日期:2011-04-01 00:00:00
abstract::Having access to adequate and appropriate food is a major population health issue. This study investigated food insecurity in patients with high rates of inpatient hospitalization ("super-utilizers"). Forty adults with ≥3 hospital inpatient admissions within a 12-month period were interviewed in an urban hospital in P...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0127
更新日期:2016-12-01 00:00:00
abstract::Area Deprivation Index (ADI) is a marker of neighborhood deprivation. This study investigates utilization of coronary bare-metal stent (BMS) and drug-eluting stent (DES) in Medicare patients across hospitals with varying ADI. Data were abstracted using Diagnosis-Related Group (DRG) codes 249 (BMS without major complic...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0086
更新日期:2017-08-01 00:00:00
abstract::How depression affects the medication cost burden for elderly cancer survivors has not been well studied. This study aims to investigate whether depression is associated with higher rates of cost-related medication nonadherence, and cost-reduction strategies among the elderly cancer survivors. Self-reports from survey...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0035
更新日期:2020-04-01 00:00:00
abstract::US health systems have begun to address housing instability within a larger effort to address social determinants of health. To explore existing themes within efforts by health systems to reduce housing instability and improve health, the authors conducted a scoping review supplemented with key informant interviews. T...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0154
更新日期:2020-08-17 00:00:00
abstract::The objective was to understand how Federally Qualified Health Centers (FQHCs) and local health departments (LHDs) address their shared mission of improving population health by determining the scope of primary care and public health activities each provides in their community. A brief mail survey was designed and fie...
journal_title:Population health management
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doi:10.1089/pop.2014.0066
更新日期:2015-04-01 00:00:00
abstract::This study is an analysis of a workplace diabetes management program offered to employees of a Fortune 100 financial services corporation located in the United States. The 12-month worksite-based educational program was for employees who were at risk for diabetes, had prediabetes, or were diagnosed with diabetes. This...
journal_title:Population health management
pub_type: 杂志文章,多中心研究
doi:10.1089/pop.2014.0141
更新日期:2015-12-01 00:00:00