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Related Concept Videos

Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Implementing Population Health Management (PHM) Across an Integrated Care System in England, Using Action Learning

Julian Elston1,2, Felix Gradinger1,2, Tahir Bockarie3

  • 1Community and Primary Care Research Centre, University of Plymouth, United Kingdom.

International Journal of Integrated Care
|April 27, 2026
PubMed
Summary
This summary is machine-generated.

Implementing Population Health Management (PHM) in UK primary care requires more than infrastructure. Success depends on soft skills, stakeholder motivation, and integrated processes to improve population health outcomes.

Keywords:
embedded researchhealth inequalitiesintegrated carelinked datasetspopulation health managementprimary care

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Area of Science:

  • Health Services Research
  • Public Health
  • Integrated Care Systems

Background:

  • Population Health Management (PHM) is a UK priority for Integrated Care Systems (ICSs).
  • PHM aims for proactive, person-centred care using integrated health data.
  • Evidence on PHM implementation in primary care is limited.

Purpose of the Study:

  • To formatively evaluate a 24-month PHM programme in UK primary care.
  • To identify facilitators and barriers to PHM implementation.
  • To provide recommendations for effective PHM delivery.

Main Methods:

  • Comparative case study design.
  • Embedded researchers, ethnography, interviews, and observations.
  • Thematic analysis of data using Excel and NVivo.

Main Results:

  • PHM infrastructure was established, involving ~200 stakeholders in Action Learning Sets.
  • Few data-driven innovations reached delivery due to operational pressures, data governance, resource limits, and local relationships.
  • Implementation was constrained by a lack of strategic integration and limited resources.

Conclusions:

  • Effective PHM requires system-wide soft skills (e.g., facilitation, co-production) and stakeholder motivation.
  • Sustained resourcing, coordination, and co-production are crucial for realising PHM's potential.
  • Strengthening strategic integration is needed to address health inequalities and improve population outcomes.