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Bridging the Impactibility Gap in Population Health Management: a Systematic Review by Andi Orlowski; Sally Snow; Heather Humphreys; Wayne Smith; Rebecca Siân Jones; Rachel Ashton; Jackie Buck; Alex Bottle is a Medicine article available to read on EtoBox.

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## Objectives Assess whether impactibility modelling is being used to refine risk stratification for preventive health interventions. ## Design Systematic review. ## Setting Primary and secondary healthcare populations. ## Papers Articles published from 2010 to 2020 on the use or implementation of impactibility modelling in population health management, reported with the terms ‘intervenability’, ‘amenability’, and ‘propensity to succeed’ (PTS) and associated with the themes ‘care sensitivity’, ‘characteristic responders’, ‘needs gap’, ‘case finding’, ‘patient selection’ and ‘risk stratification’. ## Interventions Qualitative synthesis to identify themes for approaches to impactibility modelling. ## Results Of 1244 records identified, 20 were eligible for inclusion. Identified themes were ‘health conditions amenable to care’ (n=6), ‘PTS modelling’ (n=8) and ‘comparison or combination with clinical judgement’ (n=6). For the theme ‘health conditions amenable to care’, changes in practice did not reduce admissions, particularly for ambulatory care sensitive conditions, and sometimes increased them, with implementation noted as a possible issue. For ‘PTS modelling’, high costs and needs

Who reads Bridging the Impactibility Gap in Population Health Management: a Systematic Review?

Author

Andi Orlowski; Sally Snow; Heather Humphreys; Wayne Smith; Rebecca Siân Jones; Rachel Ashton; Jackie Buck; Alex Bottle

Publisher

BMJ

Published

2021

Language

EN

Field

Medicine (Health Sciences)