Patient-Centered Care and Population Health

Harwood, Jared L.; Butler, Craig A.; Page, Alexandra E.

doi:10.2106/jbjs.15.00752

Cited by 15 publications

(9 citation statements)

References 14 publications

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“…PM approaches can be retrospective, as in CER, and prospective, when genotyping for treatment selection 74 , 75. Patient-centred care encourages data use in optimising care for individuals 76. Aggregated patient records enable LHS to identify cohorts similar to the patient 77.…”

Section: Discussionmentioning

confidence: 99%

“…The primary driver towards population medicine was economic: maximising benefit while minimising cost, harm and waste 90. While meant for benefiting the individual patient, population medicine has disadvantages in that the individual’s best interests may conflict with those of the population and it is difficult to reconcile the two 76 , 90. Individual patients may be denied higher priced precision interventions in favour of lower cost population-optimised interventions 90.…”

Section: Discussionmentioning

confidence: 99%

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The Heimdall framework for supporting characterisation of learning health systems

McLachlan¹,

Potts

Dube

et al. 2018

BMJ Health Care Inform

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BackgroundThere are many proposed benefits of using learning health systems (LHSs), including improved patient outcomes. There has been little adoption of LHS in practice due to challenges and barriers that limit adoption of new data-driven technologies in healthcare. We have identified a more fundamental explanation: the majority of developments in LHS are not identified as LHS. The absence of a unifying namespace and framework brings a lack of consistency in how LHS is identified and classified. As a result, the LHS ‘community’ is fragmented, with groups working on similar systems being unaware of each other’s work. This leads to duplication and the lack of a critical mass of researchers necessary to address barriers to adoption.ObjectiveTo find a way to support easy identification and classification of research works within the domain of LHS.MethodA qualitative meta-narrative study focusing on works that self-identified as LHS was used for two purposes. First, to find existing standard definitions and frameworks using these to create a new unifying framework. Second, seeking whether it was possible to classify those LHS solutions within the new framework.ResultsThe study found that with apparently limited awareness, all current LHS works fall within nine primary archetypes. These findings were used to develop a unifying framework for LHS to classify works as LHS, and reduce diversity and fragmentation within the domain.ConclusionsOur finding brings clarification where there has been limited awareness for LHS among researchers. We believe our framework is simple and may help researchers to classify works in the LHS domain. This framework may enable realisation of the critical mass necessary to bring more substantial collaboration and funding to LHS. Ongoing research will seek to establish the framework’s effect on the LHS domain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Heimdall framework for supporting characterisation of learning health systems

McLachlan¹,

Potts

Dube

et al. 2018

BMJ Health Care Inform

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“…[5] In light of the desire to increasingly focus on providing highvalue care to patients and populations, two concepts emerged that shifted the mindset of providers from volume to value, Population Health and Patient-Centered Care. [6] In an ideal scenario population health and patient-centered care should work hand in hand with one another in order to provide the best care possible to the orthopaedic patient. However, within the current climate of healthcare reform, reporting requirements, quality measure goals, and the imprecise definitions of these terms makes this a challenge to accomplish.…”

Section: Providing Value In Orthopaedic Carementioning

confidence: 99%

Let’s not blame the patient: Understanding the benefits and shortcomings of population health in orthopaedic surgery

Amato

Sayeed²,

Lane

et al. 2018

JHA

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Population health is a concept that emerged from the desire of providers to care for patients in a manner that produces the best possible outcomes while minimizing cost. It may be defined as the study of medical data of large groups of people in order to recognize and investigate patterns. This information is then used to create disease management guidelines that streamline care and regulate practice patterns. Whereas population health looks to recognize commonalities in data, the concept of patient-centered care focuses on embracing individualization and increasing the involvement of each patient within their treatment planning. Combining both perspectives creates a challenge for providers and patients to strike the proper balance between adhering to standardized guidelines based on the treatment methods and outcomes recognized in populations and applying it clinically to individual patients. A significant contribution of population health studies is the identification of risk factors associated with increased rates of complications following total joint arthroplasty as well as preventative measures for conditions such as osteoarthritis. However, to employ these findings in a patient-centered manner orthopaedic surgeons must take this a step further and also evaluate a patient's ability to adhere to the recommendations by exploring factors such as home environment and socioeconomic factors, thus proactively addressing issues that could hinder patient compliance. With focused collection methods of acquiring data, these two practices of care will hopefully begin to see less divergence when it comes to applying data derived from population health initiatives to individual patients in a patient-centered manner.

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“…Population health is defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group [39]." A more comprehensive definition would include "the distribution and determinants of health outcomes, as well as facilitation of care delivery across/among groups of individuals in order to improve their health outcomes, and lower costs [40][41][42][43][44]." It advocates wellness, prevention and chronic disease management through avenues like medical homes, particularly for those who face social barriers to health, and is paramount to the reform of the care delivery system [45].…”

Section: Population Healthmentioning

confidence: 99%

Achieving Health Equity through Health Care Reform: Current State and Outlook

Inneh¹

2018

Health Care Current Reviews

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Despite advances in medicine and health care reform in the United States (US), inequities and disparities whether in health status and/or care persist(s) for certain vulnerable or disadvantaged groups. This paper presents a perspective on the current state of inequities and disparities in US health care system as it relates to certain initiatives in an era of health care reform, and possible recommendations to further improve the outlook of achieving health equity

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Patient-Centered Care and Population Health

Cited by 15 publications

References 14 publications

The Heimdall framework for supporting characterisation of learning health systems

The Heimdall framework for supporting characterisation of learning health systems

Let’s not blame the patient: Understanding the benefits and shortcomings of population health in orthopaedic surgery

Achieving Health Equity through Health Care Reform: Current State and Outlook

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