Impact of a Population Health Management Intervention on Disparities in Cardiovascular Disease Control

Journal of General Internal Medicine
Aisha JamesSteven J Atlas


Healthcare systems use population health management programs to improve the quality of cardiovascular disease care. Adding a dedicated population health coordinator (PHC) who identifies and reaches out to patients not meeting cardiovascular care goals to these programs may help reduce disparities in cardiovascular care. To determine whether a program that used PHCs decreased racial/ethnic disparities in LDL cholesterol and blood pressure (BP) control. Retrospective difference-in-difference analysis. Twelve thousdand five hundred fifty-five primary care patients with cardiovascular disease (cohort for LDL analysis) and 41,183 with hypertension (cohort for BP analysis). From July 1, 2014-December 31, 2014, 18 practices used an information technology (IT) system to identify patients not meeting LDL and BP goals; 8 practices also received a PHC. We examined whether having the PHC plus IT system, compared with having the IT system alone, decreased racial/ethnic disparities, using difference-in-difference analysis of data collected before and after program implementation. Meeting guideline concordant LDL and BP goals. At baseline, there were racial/ethnic disparities in meeting LDL (p = 0.007) and BP (p = 0.0003) goals. Comparing pra...Continue Reading


Jan 1, 1975·British Journal of Haematology·M L BeckW L Bayer
Oct 1, 1991·Journal of Photochemistry and Photobiology. B, Biology·H FriedmannS Rochkind
Jun 1, 1988·International Journal of Epidemiology·G R Howe, A M Chiarelli
Feb 25, 2003·JAMA : the Journal of the American Medical Association·Ashwini R Sehgal
Mar 29, 2006·Archives of Internal Medicine·Thomas D SequistJohn Z Ayanian
May 17, 2006·Annals of Internal Medicine·Basit ChaudhryPaul G Shekelle
Mar 5, 2009·Annals of Internal Medicine·Steven J AtlasMichael J Barry
Oct 31, 2009·Health Information Management : Journal of the Health Information Management Association of Australia·Aziz JamalMichele Clark
May 3, 2011·The American Journal of Medicine·Hayden B BosworthEugene Z Oddone
May 25, 2011·Archives of Internal Medicine·Karen E LasserJohn Z Ayanian
Aug 7, 2012·Journal of General Internal Medicine·George L JacksonHayden B Bosworth
Jan 15, 2013·Journal of the American Heart Association·Jing FangFleetwood Loustalot
Mar 23, 2013·Joint Commission Journal on Quality and Patient Safety·Sanjiv BaxiUrmimala Sarkar
Dec 11, 2014·The New England Journal of Medicine·Amal N TrivediMichael J Fine
Dec 18, 2015·The Journal of Clinical Endocrinology and Metabolism·Aaron LeongJames B Meigs
Dec 18, 2015·Circulation·Writing Group MembersStroke Statistics Subcommittee
Sep 4, 2016·Journal of the American College of Cardiology·John W McEvoyElizabeth Selvin
Nov 14, 2016·JAMA : the Journal of the American Medical Association·US Preventive Services Task ForceMichael P Pignone

Related Concepts

Cardiovascular Diseases
Primary Health Care
Retrospective Studies
Incidence Studies
Healthcare Disparities
Blood Pressure
Clinical Trials
Patient Care
Objective (Goal)
Health Services Research

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