Lawrence GostinGeverifieerd account

Yes professional clinical and public health medicine provide the leadership and most of the solution if it is not undermined and fragmente by private medicine and health management and contacting out health services

Great article!! Thank you for sharing!!!

Community health centers have been collecting this data for a long time and use it to advocate on a more macro level for their patients

And most of governance leaders think of having medicines and medical equipments without thinking about social determinants of health which contribute to PH and need to be looked at.

Not sure what to think. Pop health seems like a paradigm shift to get medicine thinking more broadly about health, consistent with Alma Ata. Also worthwhile to get hospitals to invest in communities more productively. The metrics movemebtbis something else and truly wasteful.

Some EMRs do not have a place for discrete data around Social Determinants of Health. ICD 10 codes have a few codes, but could do a lot more to get at the granular SODH issues

"With few exceptions, population health management is silent about the upstream institutional, systemic, and public policy drivers of population health problems and distributional disparities." @MilbankFund

There is a difference between upstream efforts aimed at increasing affordable housing within gentrifying urban neighborhoods and downstream efforts that provide supportive housing to chronically homeless individuals.

.. a difference between broad public education system reform and patient-centered interventions focused on health literacy. .. a difference between advocating for policies aimed at ..income security and screening patients for trouble paying for their scripts or utility bills.