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https://www.readbyqxmd.com/read/28089611/government-s-role-in-promoting-healthy-lifestyle
#1
REVIEW
Laurie Whitsel
Worldwide, poor lifestyle behaviors, including obesity, physical inactivity, and low diet quality, are creating an unstainable burden of chronic disease with disparities across geography, race, income, education, and sex. Government plays an important role in addressing lifestyle behaviors and population health, reducing health disparities and chronic disease. Areas for government involvement include surveillance, research, programming, access to health care, quality assurance and guidelines for diet and physical activity(PA)...
January 13, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28086846/stochastic-agent-based-modeling-of-tuberculosis-in-canadian-indigenous-communities
#2
Ashleigh R Tuite, Victor Gallant, Elaine Randell, Annie-Claude Bourgeois, Amy L Greer
BACKGROUND: In Canada, active tuberculosis (TB) disease rates remain disproportionately higher among the Indigenous population, especially among the Inuit in the north. We used mathematical modeling to evaluate how interventions might enhance existing TB control efforts in a region of Nunavut. METHODS: We developed a stochastic, agent-based model of TB transmission that captured the unique household and community structure. Evaluated interventions included: (i) rapid treatment of active cases; (ii) rapid contact tracing; (iii) expanded screening programs for latent TB infection (LTBI); and (iv) reduced household density...
January 13, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28081118/the-cost-of-war-on-public-health-an-exploratory-method-for-understanding-the-impact-of-conflict-on-public-health-in-sri-lanka
#3
Sandy A Johnson
PURPOSE: The direct impact of protracted conflict on population health and development is well understood. However, the extent of a war's impact on long-term health, and the opportunity costs, are less well understood. This research sought to overcome this gap by asking whether or not health outcomes in Sri Lanka would have been better in the absence of a 26-year war than they were in the presence of war. METHODS: A counterfactual model of national and district-level health outcomes was created for Sri Lanka for the period 1982 to 2002...
2017: PloS One
https://www.readbyqxmd.com/read/28079898/the-current-state-of-implementation-science-in-genomic-medicine-opportunities-for-improvement
#4
Megan C Roberts, Amy E Kennedy, David A Chambers, Muin J Khoury
PURPOSE: The objective of this study was to identify trends and gaps in the field of implementation science in genomic medicine. METHODS: We conducted a literature review using the Centers for Disease Control and Prevention's Public Health Genomics Knowledge Base to examine the current literature in the field of implementation science in genomic medicine. We selected original research articles based on specific inclusion criteria and then abstracted information about study design, genomic medicine, and implementation outcomes...
January 12, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/28076748/are-low-to-middle-income-households-experiencing-food-insecurity-in-victoria-australia-an-examination-of-the-victorian-population-health-survey-2006-2009
#5
Sue Kleve, Zoe E Davidson, Emma Gearon, Sue Booth, Claire Palermo
Food insecurity affects health and wellbeing. Little is known about the relationship between food insecurity across income levels. This study aims to investigate the prevalence and frequency of food insecurity in low-to-middle-income Victorian households over time and identify factors associated with food insecurity in these households. Prevalence and frequency of food insecurity was analysed across household income levels using data from the cross-sectional 2006-09 Victorian Population Health Surveys (VPHS)...
January 12, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28076246/care-coordination-and-population-management-services-are-more-prevalent-in-large-practices-and-patient-centered-medical-homes
#6
Miranda Moore, Lars Peterson, Megan Coffman, Yalda Jabbarpour
Despite efforts to better coordinate health care and improve population health, primary care practices may face difficulty dedicating an individual to provide these services. Using data from the American Board of Family Medicine, we found that the presence of care coordinators or population health managers was higher in larger practices and those with patient-centered medical home certification.
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28075693/making-the-paradigm-shift-from-siloed-population-health-management-to-an-enterprise-wide-approach
#7
Marc R Matthews, Claudia Miller, Robert J Stroebel, Kari S Bunkers
Health systems across the United States have started their journeys toward population health management and the future of accountable care. Models of population health management include patient-centered medical homes and private sector accountable care organizations (ACOs). Other models include public sector efforts, such as Physician Group Practice Transition Demonstrations, Medicare Health Care Quality Demonstration Programs, Beacon Communities, Medicare Shared Savings Program, and Pioneer ACOs. As a result, health care organizations often have pockets of population health initiatives that lack an enterprise-wide strategy...
January 11, 2017: Population Health Management
https://www.readbyqxmd.com/read/28075642/shaping-a-new-field-three-key-challenges-for-population-health-science
#8
Christine A Bachrach, Dorothy M Daley
No abstract text is available yet for this article.
February 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28069855/prevalence-and-spending-associated-with-patients-who-have-a-behavioral-health-disorder-and-other-conditions
#9
Ken Thorpe, Sanjula Jain, Peter Joski
: People with multiple medical conditions are a growing and increasingly costly segment of the U.S. POPULATION: Despite the co-occurrence of physical and behavioral health comorbidities, the US health care system tends to treat these conditions separately rather than holistically. To identify opportunities for population health improvement, we examined the treated prevalence of and health care spending on behavioral health disorders, by the number of coexisting physical disorders, among noninstitutionalized adults...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28069615/the-effect-of-economic-development-on-population-health-a-review-of-the-empirical-evidence
#10
REVIEW
Simon Lange, Sebastian Vollmer
BACKGROUND: Economic growth is considered an important determinant of population health. SOURCES OF DATA: Relevant studies investigating the effect of economic growth on health outcomes were identified from Google Scholar and PubMed searches in economics and medical journals. AREAS OF AGREEMENT: Additional resources generated through economic growth are potentially useful for improving population health. AREAS OF CONTROVERSY: The empirical evidence on the aggregate effect of economic growth on population health is rather mixed and inconclusive...
January 8, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28068991/multiple-lifestyle-behaviours-and-mortality-findings-from-a-large-population-based-norwegian-cohort-study%C3%A2-the-hunt-study
#11
Steinar Krokstad, Ding Ding, Anne C Grunseit, Erik R Sund, Turid Lingaas Holmen, Vegar Rangul, Adrian Bauman
BACKGROUND: Lifestyle risk behaviours are responsible for a large proportion of disease burden and premature mortality worldwide. Risk behaviours tend to cluster in populations. We developed a new lifestyle risk index by including emerging risk factors (sleep, sitting time, and social participation) and examine unique risk combinations and their associations with all-cause and cardio-metabolic mortality. METHODS: Data are from a large population-based cohort study in a Norway, the Nord-Trøndelag Health Study (HUNT), with an average follow-up time of 14...
January 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28068532/monitoring-income-related-health-differences-between-regions-in-great-britain-a-new-measure-for-ordinal-health-data
#12
Paul Allanson
The paper proposes a new measure of the extent to which differences in population health status between the regions of a country are systematically related to regional prosperity. The headcount index of income-related health stratification has a straightforward interpretation as the population-weighted mean difference in the probabilities that the healthier of any two randomly chosen individuals will be from the richer rather than the poorer region from which they are drawn. Moreover, it is well-defined even if only ordinal health data are available, being directly applicable to polytomous categorical variables without the need for either dichotomisation or cardinalisation...
December 24, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28065452/value-based-approaches-for-emergency-care-in-a-new-era
#13
Laura Medford-Davis, David Marcozzi, Shantanu Agrawal, Brendan G Carr, Emily Carrier
Although emergency departments (EDs) play an integral role in the delivery of acute unscheduled care, they have not been fully integrated into broader health care reform efforts. Communication and coordination with the ambulatory environment remain limited, leaving ED care disconnected from patients' longitudinal care. In a value-based environment focused on improving quality, decreasing costs, enhancing population health, and improving the patient experience, this oversight represents a missed opportunity for emergency care...
January 5, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28062812/less-and-more-are-needed-to-assess-primary-care
#14
Rebecca S Etz, Martha M Gonzalez, E Marshall Brooks, Kurt C Stange
Significant federal investment is now being directed toward lessening the burden of clinical quality measurement; at the same time, there is growing recognition that current measures are inadequate to capture the domains of primary care that result in improved person and population health at sustainable cost. Our study reveals a significant gap between the universe of what is measured and those elements most critical to good quality primary care, indicating that the important efforts to reduce measurement burden must be accompanied by efforts to increase the relevance of measures to domains of care that affect patient-centered and community health outcomes...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28057650/technical-and-scale-efficiency-in-the-delivery-of-child-health-services-in-zambia-results-from-data-envelopment-analysis
#15
Tom Achoki, Anke Hovels, Felix Masiye, Abaleng Lesego, Hubert Leufkens, Yohannes Kinfu
OBJECTIVE: Despite tremendous efforts to scale up key maternal and child health interventions in Zambia, progress has not been uniform across the country. This raises fundamental health system performance questions that require further investigation. Our study investigates technical and scale efficiency (SE) in the delivery of maternal and child health services in the country. SETTING: The study focused on all 72 health districts of Zambia. METHODS: We compiled a district-level database comprising health outcomes (measured by the probability of survival to 5 years of age), health outputs (measured by coverage of key health interventions) and a set of health system inputs, namely, financial resources and human resources for health, for the year 2010...
January 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28055280/spatiotemporal-patterns-of-childhood-asthma-hospitalization-and-utilization-in-memphis-metropolitan-area-from-2005-to-2015
#16
Tonny J Oyana, Pradeep Podila, Jagila Minso Wesley, Slawo M Lomnicki, Stephania A Cormier
OBJECTIVE: To identify key risk factors and explain spatiotemporal patterns of childhood asthma in the Memphis Metropolitan Area (MMA) over an 11-year period (2005 to 2015). We hypothesize that in the MMA region this burden is more prevalent among urban children living south, downtown, and north of Memphis than other areas. METHODS: We used a large-scale longitudinal electronic health record database from an integrated healthcare system, GIS, statistical, and space-time models to study spatiotemporal distributions of childhood asthma at census-tract level...
January 5, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/28049454/identifying-mechanisms-for-facilitating-knowledge-to-action-strategies-targeting-the-built-environment
#17
Ghazal S Fazli, Maria I Creatore, Flora I Matheson, Sara Guilcher, Vered Kaufman-Shriqui, Heather Manson, Ashley Johns, Gillian L Booth
BACKGROUND: In recent years, obesity-related diseases have been on the rise globally resulting in major challenges for health systems and society as a whole. Emerging research in population health suggests that interventions targeting the built environment may help reduce the burden of obesity and type 2 diabetes. However, translation of the evidence on the built environment into effective policy and planning changes requires engagement and collaboration between multiple sectors and government agencies for designing neighborhoods that are more conducive to healthy and active living...
January 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28045931/effect-of-meat-price-on-race-and-gender-disparities-in-obesity-mortality-and-quality-of-life-in-the-us-a-model-based-analysis
#18
Allison Pitt, Eran Bendavid
INTRODUCTION: There are large differences in the burden and health implications of obesity by race and gender in the US. It is unclear to what extent policies modifying caloric consumption change the distribution of the burden of obesity and related health outcomes. Meat is a large component of the American diet. We investigate how changing meat prices (that may result from policies or from exogenous factors that reduce supply) might impact the burden of obesity by race and gender. METHODS: We construct a microsimulation model that evaluates the 15-year body-mass index (BMI) and mortality impact of changes in meat price (5, 10, 25, and 50% increase) in the US adult population stratified by age, gender, race, and BMI...
2017: PloS One
https://www.readbyqxmd.com/read/28033091/using-health-information-technology-and-data-to-improve-chronic-disease-outcomes-in-federally-qualified-health-centers-in-maryland
#19
Erica A Smith, Judy Lapinski, Judy Lichty-Hess, Kristi Pier
Federally Qualified Health Centers provide health care services to underserved communities and vulnerable populations. In Maryland, the burden of chronic disease is high among Federally Qualified Health Center patients. Electronic health records (EHRs) are becoming more widely used, and effective use of EHR data may improve chronic disease outcomes. This article describes the process of developing a data aggregation and analytics platform to support health centers in using population health data based on standardized clinical quality measures...
December 29, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28032240/impact-of-the-china-healthy-cities-initiative-on-urban-environment
#20
Dahai Yue, Shiman Ruan, Jin Xu, Weiming Zhu, Luyu Zhang, Gang Cheng, Qingyue Meng
The China Healthy Cities initiative, a nationwide public health campaign, has been implemented for 25 years. As "Healthy China 2030" becomes the key national strategy for improving population health, this initiative is an important component. However, the effects of the initiative have not been well studied. This paper aims to explore its impact on urban environment using a multiple time series design. We adopted a stratified and systematic sampling method to choose 15 China healthy cities across the country...
December 28, 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
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