Department of Quality and Safety, Brigham and Women's Hospital, One Brigham Circle, Boston, MA 02115. Email:
Am J Manag Care. 2021 Mar;27(3):123-128. doi: 10.37765/ajmc.2021.88511.
The coronavirus disease 2019 (COVID-19) pandemic has fundamentally changed how health care systems deliver services and revealed the tenuousness of care delivery based on face-to-face office visits and fee-for-service reimbursement models. Robust population health management, fostered by value-based contract participation, integrates analytics and agile clinical programs and is adaptable to optimize outcomes and reduce risk during population-level crises. In this article, we describe how mature population health programs in a learning health system have been rapidly leveraged to address the challenges of the pandemic. Population-level data and care management have facilitated identification of demographic-based disparities and community outreach. Telemedicine and integrated behavioral health have ensured critical primary care and specialty access, and mobile health and postacute interventions have shifted site of care and optimized hospital utilization. Beyond the pandemic, population health can lead as a cornerstone of a resilient health system, better prepared to improve public health and mitigate risk in a value-based paradigm.
2019 年冠状病毒病（COVID-19）大流行从根本上改变了医疗保健系统提供服务的方式，并揭示了基于面对面门诊和按服务收费模式的医疗服务提供的脆弱性。通过参与基于价值的合同来促进强大的人群健康管理，整合分析和灵活的临床项目，并能够适应人群层面危机的优化结果和降低风险。在本文中，我们描述了学习型卫生系统中成熟的人群健康计划如何被迅速利用来应对大流行的挑战。人群层面的数据和护理管理促进了基于人口统计学的差异和社区外联的识别。远程医疗和综合行为健康确保了关键的初级保健和专科医疗服务的可及性，移动医疗和康复后干预措施改变了护理场所，并优化了医院的利用。大流行过后，人群健康可以作为一个有弹性的卫生系统的基石，更好地准备在基于价值的模式下改善公共卫生和降低风险。
