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Implementing population health management: an international comparative study.

Betty Steenkamer1, Esther de Weger2, Hanneke Drewes2

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|April 8, 2020
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Summary

Population health management (PHM) strategies require trust, shared ownership, financial alignment, and a learning environment for successful integration of health and social care services. These elements are crucial for improving outcomes and reducing costs.

Keywords:
Cross-sector partnershipsInternational comparison PHM initiativesPopulation health managementRealist evaluation

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Area of Science:

  • Public Health
  • Health Services Research
  • Healthcare Management

Background:

  • Integrating public health, healthcare, social care, and community services is essential for improving population health and quality of care.
  • Rising healthcare costs necessitate innovative management strategies.
  • Population health management (PHM) offers a framework for coordinated service delivery.

Purpose of the Study:

  • To explore how population health management (PHM) strategies can successfully integrate diverse services.
  • To identify key factors for reorganizing public health, healthcare, social care, and community services.
  • To understand how to improve population health and quality of care while managing costs.

Main Methods:

  • A comparative case-study approach using realist methodology.
  • Exploration of key features and participant experiences in PHM initiatives.
  • Semi-structured interviews with 20 stakeholders from various sectors, guided by a PHM theoretical framework.

Main Results:

  • Five crucial program theories for PHM development were identified.
  • Establishing trust in a shared vision is key for stakeholder commitment.
  • Shared ownership, financial interests, a learning environment, and awareness of required attitudes are vital for success.

Conclusions:

  • The study outlines foundational program theories for implementing PHM initiatives.
  • Insights into strategies and structures for large-scale health system transformation are provided.
  • Understanding these elements enhances the development of effective PHM programs.