Key Design Considerations When Calculating Cost Savings for Population Health Management Programs in an Observational Setting

Murphy, Shannon; Hough, Douglas E.; Sylvia, Martha; Dunbar, Linda; Frick, Kevin D.

doi:10.1111/1475-6773.12832

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…The effectiveness of physical examination services is usually measured by their diagnostic accuracy among key populations. However, previous studies on the health management of key population are primarily focused on the analysis of service utilization rates and satisfaction rates, 8 , 9 with few reports on the detection of abnormal results during physical examinations.…”

Section: Introductionmentioning

confidence: 99%

Preferences for Physical Examination Service in Community Health Service Center in China: A Discrete Choice Experiment

Sun,

Li,

et al. 2024

PPA

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Objective Physical examination services play a crucial role in the early detection of diseases, improving the effectiveness of treatment. However, the current physical examination services provided by community health service centers are limited. The objective of this study was to investigate the aspects of physical examination services that are most valued by residents. Methods Identify and develop attributes and levels through literature research and expert group interviews. A discrete choice experiment was designed. The main effects design gives rise to 16 choice sets. The 16 choice sets were grouped into 2 blocks, and respondents were randomly assigned to one of the blocks. In each choice set, respondents were asked to choose from two alternatives with an opt-out option. In 2023, the discrete choice experiment was administered in several community health service centers within a China population sample. A mixed logit and a latent class analysis were conducted. Results Participants (n = 399) preferred to receive health advice service. The services provided by the basic team with clinical experts are preferred over those provided solely by the basic team. The results indicated a preference for a participant to be serviced by face-to-face or telephone compared with WeChat. Low cost is also preferred. As participants grow older, their preference for face-to-face or telephone-based services increased. As participants’ service demand increase, participants more preferred to receive interpretation of physical examination report and follow-up of important abnormal results, participants more preferred to be serviced by basic team with clinical experts or basic team with health manager etc. Conclusion We should improve the construction of the service team, optimize the service mode, expand the scope of examination services, reduce the cost of examination services, and meet the needs of residents for physical examination services. More attention should be paid to the needs of elderly and rural residents.

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Section: Introductionmentioning

confidence: 99%