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 insured between 2004 and 2006 to analyze patterns of health care resource use by PD status. Combining rate ratios that reflect health care use patterns with national PD prevalence rates from the National Health and Nutrition Examination Survey, we calculate etiological fractions to estimate the portion of national health resource use associated with PD. The findings suggest that PD is associated with statistically higher rates of ambulatory visits for hypertension; endocrine, metabolic, and renal complications; and general medical conditions. PD is associated with a slight increase in visit rates for neurological symptoms, peripheral vascular disease, and cardiovascular disease, but the increase is not statistically significant. There is no indication that PD is associated with an increase in emergency visits and inpatient days. Extrapolating these patterns to the 57 million adults with PD in 2007 suggests that national annual medical costs of PD exceed $25 billion, or an additional $443 for each adult with PD. PD is associated with excessive use of ambulatory services for comorbidities known to be related to diabetes. Our findings strengthen the business case for lifestyle interventions to prevent diabetes by adding additional economic benefits that potentially can be achieved by preventing or delaying PD.
journal_name
Popul Health Managjournal_title
Population health managementauthors
Zhang Y,Dall TM,Chen Y,Baldwin A,Yang W,Mann S,Moore V,Le Nestour E,Quick WWdoi
10.1089/pop.2009.12302subject
Has Abstractpub_date
2009-06-01 00:00:00pages
157-63issue
3eissn
1942-7891issn
1942-7905journal_volume
12pub_type
杂志文章abstract：:Chronic obstructive pulmonary disease (COPD) affects approximately 7% of Americans. COPD impacts productivity and forces 1 in 5 employees ages 45-65 years old to retire prematurely. Our objective was to quantify the direct and indirect costs of COPD in an employed population in the United States. A retrospective analy...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2011.0049
更新日期：2012-10-01 00:00:00
abstract：:Reliance on emergency departments (EDs) by economically disadvantaged people for initial cancer diagnosis in place of primary care and early diagnosis and treatment is 1 obvious plausible explanation for cancer disparities. Claims data from a safety net hospital for the years 2009-2010 were merged with hospital tumor ...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2015.0118
更新日期：2016-04-01 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
pub_type： 杂志文章
doi：10.1089/pop.2014.0066
更新日期：2015-04-01 00:00:00
abstract：:Despite widespread interest in addressing social determinants of health (SDH) as a means to improve health and to reduce health care spending, little information is available about how to develop, sustain, and scale nonmedical interventions in diverse payer environments, including Medicaid Managed Care. This study aim...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2016.0092
更新日期：2017-08-01 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：:Given the increasing prevalence of obesity and lifestyle-related chronic diseases in the United States and abroad, senior wellness initiatives have emerged as a means to stem the troubling trends that threaten the well-being and the economy of many nations. Seniors are an important demographic for such programs becaus...
journal_title：Population health management
pub_type： 杂志文章,评审
doi：10.1089/pop.2010.0072
更新日期：2011-02-01 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：:Care management is seen as a promising approach to address the complex care needs of patients with multimorbidity. Predictive modeling based on insurance claims data is an emerging concept to identify patients likely to benefit from care management interventions. We aimed to identify and explore patterns of multimorbi...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2011.0026
更新日期：2012-04-01 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：:Hospitals are expected to fulfill a role in the communities they serve by improving the health of the population in the community as mandated in the Affordable Care Act. One way hospitals achieve this is to create partnerships with diverse organizations, such as local public health departments, state/federal agencies,...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2019.0074
更新日期：2020-06-01 00:00:00
abstract：:Sleep deprivation and disturbances can result in lowered productivity and increased errors/accidents. Little is known about population characteristics associated with the use of sleep medications. The objective of this study was to investigate the association of sociodemographic factors with the use of sleep medicatio...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2013.0124
更新日期：2014-12-01 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：:The objective of this study was to estimate the association between changes in health care expenditures relative to changes in health risk status for employers of all sizes. Repeat health risk assessments (HRAs) were obtained from 50,005 employees and spouses with 2 years of health plan enrollment, and from 37,559 emp...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2013.0103
更新日期：2014-10-01 00:00:00
abstract：:The impact of a hypertension awareness and educational program, BP DownShift, was evaluated among school bus drivers in a southern US state. At baseline (August 2007), blood pressure (BP) measurements, self-reported demographics, and hypertension awareness and management practices were collected from drivers who conse...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2009.0011
更新日期：2010-04-01 00:00:00
abstract：:Chronic instability in the health care environment has raised concerns among providers and patients, especially those who treat and cope with chronic conditions. Changes to existing health care laws are unlikely to alter what have become the primary goals of the US health care system: cost-effectiveness and patient-ce...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2017.0131
更新日期：2018-02-01 00:00:00
abstract：:The evaluation of multiyear programs in medical management becomes increasingly difficult as the program continues. As programs continue to run over a number of years, calculation of results becomes problematic as the comparison "baseline" recedes into the past and program impact reaches a steady state. Purchasers of ...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2010.0002
更新日期：2011-02-01 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：:Derived from various health care policies and initiatives, the concept of population health has been newly adopted by health care and medicine. In particular, it has been suggested that the Patient Protection and Affordable Care Act provision that requires nonprofit hospitals to conduct a community health needs assess...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2015.0075
更新日期：2016-06-01 00:00:00
abstract：:Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provid...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2017.0130
更新日期：2018-10-01 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：: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：: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
abstract：:Vaginitis is one of the main causes of primary care and gynecological visits in the United States. The most common infectious causes are bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and trichomoniasis. A physician survey was conducted to measure awareness of vaginitis clinical guidelines and availability ...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2020.0258
更新日期：2020-10-01 00:00:00
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：:The patient-centered medical home (PCMH) model is considered a promising approach to improving population health, but how elements of these advanced practice models relate to population health capability is unknown. To measure associations between family physicians' performance of population management with PCMH compo...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2014.0023
更新日期：2015-04-01 00:00:00
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 academi...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2015.0034
更新日期：2016-04-01 00:00:00
abstract：:This study tested the effectiveness of a 6-month university-based community outreach weight management program for overweight/obese adults that utilized standard guidelines from the National Heart, Lung, and Blood Institute (NHLBI). This article also provides practical observations for clinicians desirous to employ a ...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2010.0034
更新日期：2011-08-01 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：: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
更新日期：2020-08-01 00:00:00
abstract：:The Johns Hopkins Community Health Partnerships (JCHiP) was developed in 2010 within the Johns Hopkins Health Systems. As part of JCHiP, the Patient Access Line call center was created. The average telephone reach rate at The Johns Hopkins Hospital in 2014 was only 53%. In a population of adult neurosurgical patients,...
journal_title：Population health management
pub_type： 杂志文章
doi：10.1089/pop.2019.0038
更新日期：2020-04-01 00:00:00
