Integration of Principles in Population Health Management
The health-care and patient care outcomes for poly chronic conditions can be improved through the integration of multiple domains of the population health management approach and comprehensive coordination across multiple levels utilizing interdisciplinary care teams and appropriate applications of health information technology. Patient identification and risk stratification enable health-care providers to focus the appropriate resources on the patients with the greatest needs. By preventing acute events and worsening health status in higher-risk patients and providing preventative and wellness services for lower-risk patients, care management efforts can achieve optimal impact on health outcomes and cost-effectiveness. This chapter highlights the need for integrating contextual (macrolevel) and individual personalized care (microlevel) approaches to population health in solving multimorbidities.
KeywordsMultimorbidities Personalized care Identification Risk Integration Interdisciplinary approach
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