Perez Bianca, Szekendi Marilyn K, Taylor-Clark Kalahn, Vaughn Jocelyn, Susman Katherine
J Healthc Qual. 2016 Mar-Apr;38(2):66-75. doi: 10.1097/JHQ.0000000000000032.
This study is a systematic review of a national sample of hospital-led population health programs in place at essential hospitals and academic medical centers in the US from 2012 to 2014. We conducted a content analysis of abstracts describing 121 population health initiatives to understand how hospital leaders are translating population health objectives into action. Intended patient population, services provided, and outcomes measured are described. The programs' relationship to an adapted conceptual model of population health as part of a culture of health was assessed. Nearly all programs in the study were hybrids, in that they possessed features belonging to each of the model's two program types (healthcare system and health community system). The majority were focused on patients already attributed to a particular hospital system, but many involved partnerships with community-based or social service resources. This finding reflects the missions of essential hospitals and academic medical centers to improve the lives and care of patients, while recognizing the fundamental need to improve the health of the broader population.
本研究是对2012年至2014年美国主要医院和学术医疗中心实施的由医院主导的全国性人口健康项目样本进行的系统评价。我们对描述121项人口健康倡议的摘要进行了内容分析，以了解医院领导如何将人口健康目标转化为行动。描述了目标患者群体、提供的服务和测量的结果。评估了这些项目与作为健康文化一部分的人口健康适应性概念模型的关系。该研究中几乎所有项目都是混合型的，因为它们具有属于该模型两种项目类型（医疗保健系统和健康社区系统）各自的特征。大多数项目关注的是已经隶属于特定医院系统的患者，但许多项目涉及与社区或社会服务资源的合作关系。这一发现反映了主要医院和学术医疗中心改善患者生活和护理的使命，同时认识到改善更广泛人群健康的根本需求。
