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Disentangling Population Health Management Initiatives in Diabetes Care: A Scoping Review.
Rose J Geurten1, Jeroen N Struijs2,3, Henk J G Bilo4
1Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
International Journal of Integrated Care
|February 5, 2024
Summary
Population Health Management (PHM) shows promise for type 2 diabetes care. However, current initiatives often lack detailed risk stratification and cross-sector integration, limiting their full potential for population health improvement.
Area of Science:
- Public Health
- Diabetes Management
Background:
- Population Health Management (PHM) offers a framework for enhancing overall population health.
- Type 2 diabetes requires comprehensive strategies for long-term health improvement.
Purpose of the Study:
- To conduct a scoping review on the utilization and operationalization of PHM in type 2 diabetes care.
- To identify how PHM initiatives are implemented for type 2 diabetes populations.
Main Methods:
- Searched PubMed, Web of Science, and Embase databases from January 2000 to September 2021.
- Included studies reporting self-reported PHM initiatives for type 2 diabetes.
- Analyzed eligible initiatives using a defined PHM analytical framework.
Main Results:
- Included 25 studies detailing 18 PHM initiatives for type 2 diabetes.
- Found significant variation in the operationalization of PHM steps across initiatives.
- Population identification, impact evaluation, and quality improvement were common; Triple Aim assessment and risk stratification were less detailed.
- Cross-sector integration, crucial for PHM, was infrequently practiced.
Conclusions:
- PHM operationalization in type 2 diabetes care is currently limited compared to theoretical frameworks.
- Enhanced risk stratification and greater cross-sector integration are needed for comprehensive, whole-person care.
- Further development of PHM strategies can lead to greater health improvements in type 2 diabetes populations.
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