How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework

Struijs, Jeroen N.; Drewes, Hanneke W.; Heijink, Richard; Baan, Caroline A.

doi:10.1016/j.healthpol.2014.12.003

Cited by 51 publications

(71 citation statements)

References 28 publications

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“…The term “population health system” is increasingly mentioned as a strategy for realising high quality, effective, and affordable health systems [145141516]. While several definitions exist [14], population health systems can be understood as systems addressing the health needs and well-being of a specified population by integrating services across healthcare, prevention, social care, and welfare [115].…”

Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

“…While several definitions exist [14], population health systems can be understood as systems addressing the health needs and well-being of a specified population by integrating services across healthcare, prevention, social care, and welfare [115]. Spanning multiple sectors, they reach beyond the integration of healthcare to manage specific diseases, focusing on the broader determinants of health within a geographic area, including healthy behaviour, education, housing, or the environment [11415]. Considering the broader determinants of health, they require collaboration across multiple providers from several sectors, local authorities, patients, and the public [5].…”

Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

“…According to Struijs et al [15], a population health system is organised around specific structures including legal form, governance, leadership, strategy, incentives and contractual arrangements. The activities of the organisation can be described based on six steps: (1) identification of a target population, (2) triple aim assessment, (3) risk stratification, (4) citizen-centred services, (5) impact evaluation, and (6) quality improvement [15].…”

Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

“…In this time, we collected longitudinal data including 35 semi-structured interviews, 96 participant observations, and 46 archival records. In our data analysis for this case study, we drew on recent conceptual research on population health systems [1415]. With this paper, we wish to contribute to debates on care delivery in hard-to-serve regions and population health systems more generally [1234567891415].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

Mitterlechner

Hollfelder

Koppenberg

2018

International Journal of Integrated Care

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Introduction:Many countries report difficulties in preserving access to care in rural areas. This paper examines how hard-to-serve regions sustain care provision by transforming service delivery into population health systems.Theory and methods:The paper builds on theory on care delivery in hard-to-serve regions. It presents a qualitative case study from the Lower Engadin, a rural high mountain valley in the Swiss Alps. Data sources include semi-structured interviews, participant observations, and documents. Data are analysed using recent conceptual research on population health systems.Results:The case study illustrates how politicians and providers in the Lower Engadin resolved a care crisis and preserved access to care by forming a population health system. The system is organised around the Healthcare Centre Lower Engadin. Citizen-centred interventions target an aging population and include health promotion and prevention programs as well as case management based on an ambulatory-before-inpatient care strategy.Conclusion:Hard-to-serve regions like the Lower Engadin preserve access to care by reorganising service delivery towards population health systems. The paper contributes to research on population health systems and care provision in rural areas.

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Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

Section: Conceptual Background On Population Health Systemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

Mitterlechner

Hollfelder

Koppenberg

2018

International Journal of Integrated Care

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“…'Proeftuinen') in which stakeholders experiment with the restructuring of service delivery based on the population management (PM) concept. Although a widely accepted definition is lacking [6], PM initiatives generally address a population's health needs at all points along the health and well-being continuum through integration. Regional stakeholders are thus expected to establish partnerships with each other, aimed at improving Triple Aim outcomes [7].…”

mentioning

confidence: 99%

Perspectives on Enabling Integration of Primary and Secondary Care

Ruwaard¹,

Willems²,

Westra³

et al. 2016

Int J Integr Care

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Context: Rising expenditures threaten the sustainability of many healthcare systems. In the Netherlands for example, health spending is predicted to rise from 13% of GDP in 2010GDP in , to 22% in 2040, straining the affordability of the system [2]. In response, some governments have reformed their nation's healthcare sector [3]. However, integrating the delivery of healthcare services could provide a more practical solution to curbing rising expenditures [4].Substitution of care is therefore high on the (political) agenda in the Netherlands [5]. In unison, the government defined nine pioneer sites (i.e. 'Proeftuinen') in which stakeholders experiment with the restructuring of service delivery based on the population management (PM) concept. Although a widely accepted definition is lacking [6], PM initiatives generally address a population's health needs at all points along the health and well-being continuum through integration. Regional stakeholders are thus expected to establish partnerships with each other, aimed at improving Triple Aim outcomes [7].In the majority of the pioneer sites, stakeholders have focused their efforts on integrating primary and secondary care, resulting in so-called Primary Care Plus (PC+) initiatives in which medical specialists are placed in primary care settings to treat patients with less complex medical needs. By better integration between primary and secondary care, these initiatives aim to reduce the amount of unnecessary referrals to expensive hospital settings. Instead, patients are treated in less expensive, yet equally adequate, primary care settings.Target participants: This workshop, chaired by Dirk Ruwaard, professor at Maastricht UMC / Maastricht University, presents results of several research projects within the 'Academic Collaborative Center for Sustainable Health Care' focused on integrated care. Specifically, the workshop addresses integration of primary and secondary care and it is intended for all who are interested or involved in such initiatives. We will commence by describing w hich decisions shaped the creation of PC+ centers, to what extent interests and ideals of stakeholders conflicted, and how these conflicts were resolved. Next, we illustrate how the Dutch antitrust regulations influence the prosperity of initiatives attempting to integrated

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The Future of Quality Improvement for Cirrhosis

Tapper

Parikh

2021

Liver Transpl

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Cirrhosis has a significant and growing impact on public health and patient-reported outcomes (PROs). The increasing burden of cirrhosis has led to an emphasis on the quality of care with the goal of improving overall outcomes in this high-risk population. Existing evidence has shown the significant gaps in quality across process measures (eg, hepatocellular carcinoma screening), highlighting the need for consistent measurement and interventions to address the gaps in quality care. This multistep process forms the quality continuum, and it depends on clearly defined process measures, real-time quality measurement, and generalizable evaluative methods. Herein we review the current state of quality care in cirrhosis across the continuum with a focus on process measurement methodologies, developments in PRO evaluation on quality assessment, practical examples of quality improvement initiatives, and the recent emphasis placed on the value of primary prevention.

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How to evaluate population management? Transforming the Care Continuum Alliance population health guide toward a broadly applicable analytical framework

Cited by 51 publications

References 28 publications

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin

Perspectives on Enabling Integration of Primary and Secondary Care

The Future of Quality Improvement for Cirrhosis

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