Evidence map›Paper›PMID 29940946›Full record

ArticleBMC health services research2018

How U.S. children's hospitals define population health: a qualitative, interview-based study.

Daniel Skinner, Berkeley Franz, Matthew Taylor, Chantelle Shaw, Kelly J Kelleher

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Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Daniel SkinnerHeritage College of Osteopathic Medicine, Department of Social Medicine, Ohio University, 6775 Bobcat Way, MEB1-452, Dublin, OH, 43016, USA.
Berkeley FranzHeritage College of Osteopathic Medicine, Department of Social Medicine, Ohio University, Grosvenor 311, Athens, OH, 45701, USA. franzb@ohio.edu.ORCID 0000-0003-2091-1891
Matthew TaylorHeritage College of Osteopathic Medicine, Ohio University, 6775 Bobcat Way, Dublin, OH, 43016, USA.
Chantelle ShawHeritage College of Osteopathic Medicine, Ohio University, 6775 Bobcat Way, Dublin, OH, 43016, USA.
Kelly J KelleherCenter for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Funding

Ohio University Heritage College of Osteopathic Medicine N/A
6 · The paper itself

Abstract

backgroundThe literature suggests that although adult hospitals are establishing population health programs around the country, there is considerable definitional ambiguity regarding whether interventions are aimed at the social determinants of health or the management of existing patient populations. U.S. children's hospitals also undertake population health programs, but less is known about how they define population health. The purpose of this study is to understand how U.S. children's hospitals define population health, and how institutions are adjusting to new preventive health care models.

methodsWe conducted semi-structured interviews with key stakeholders at ten hospitals with the highest amount of staff time dedicated to population health activities as reported in the 2016 Children's Hospital Association's population health survey. Using a semi-structured interview guide, we interviewed representatives from each hospital. Verbatim interview notes were coded and analyzed using the data analysis software Dedoose. Data analysis followed a modified constructivist grounded theory approach.

resultsOur results suggest that even population health innovators employ a variety of approaches that span both population health management and public health. We present further evidence that U.S. children's hospitals are actively debating the definition and focus of population health.

conclusionsDefinitional debates are ongoing even within children's hospitals that are dedicating significant resources to population health. Increased clarity on the conceptual boundaries between population health and population health management could help preserve the theoretical differences between the two concepts, especially insofar as they mark two quite different long-term visions for health care. Without agreement about the meaning of population health within and among institutions, hospitals will not be able to know whether projects aimed at addressing the social determinants of health are likely to improve the health of populations.

Indexed as

Interviews as TopicPopulation HealthQualitative ResearchChildDatabases, FactualFemaleHealth Services ResearchHospitals, PediatricHumansMaleQuality Indicators, Health CareRecordsSoftwareUnited StatesChildren’s hospitalsCommunity benefitHospitalsPopulation healthPopulation health management

Identifiers

PMID29940946
PMCPMC6019316

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.