OOIR: Observatory of International Research

Papers

(The TQCC of Population Health Management is 4. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2020-11-01 to 2024-11-01.)

Article	Citations
The Opioid Epidemic Within the COVID-19 Pandemic: Drug Testing in 2020	103
Assessing the Impact of Social Needs and Social Determinants of Health on Health Care Utilization: Using Patient- and Community-Level Data	51
Trends in Food Insecurity in the United States from 2011–2017: Disparities by Age, Sex, Race/Ethnicity, and Income	48
A Review of Tools to Screen for Social Determinants of Health in the United States: A Practice Brief	45
Income Differences and COVID-19: Impact on Daily Life and Mental Health	44
Population Health Strategies to Support Hospital and Intensive Care Unit Resiliency During the COVID-19 Pandemic: The Italian Experience	43
Initiating and Implementing Social Determinants of Health Data Collection in Community Health Centers	40
Disparities in SARS-CoV-2 Positivity Rates: Associations with Race and Ethnicity	38
Health Care Professionals' Perspectives on Universal Screening of Social Determinants of Health: A Mixed-Methods Study	35
How to Respond to the COVID-19 Pandemic with More Creativity and Innovation	34
Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain	33
Consequences of the COVID-19 Pandemic: Reduced Hemoglobin A1c Diabetes Monitoring	29
Impact of Area Deprivation Index on the Performance of Claims-Based Risk-Adjustment Models in Predicting Health Care Costs and Utilization	26
Digital Health: Unlocking Value in a Post-Pandemic World	26
How Do Social Needs Cluster Among Low-Income Individuals?	22
Social Isolation Associated with Future Health Care Utilization	21
Translating Scientific Knowledge to Government Decision Makers Has Crucial Importance in the Management of the COVID-19 Pandemic	20
Prescribing Housing: A Scoping Review of Health System Efforts to Address Housing as a Social Determinant of Health	18
Mistrust, Neighborhood Deprivation, and Telehealth Use in African Americans with Diabetes	17
Social Needs, Chronic Conditions, and Health Care Utilization among Medicaid Beneficiaries	17
Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations	17
COVID-19 Testing and Social Determinants of Health Among Disadvantaged Baltimore Neighborhoods: A Community Mobile Health Clinic Outreach Model	16
Mask Up: Academic-Community-Government Partnerships to Advance Public Health During COVID-19	15
Safety Events Associated with Tramadol Use Among Older Adults with Osteoarthritis	15
Insights from Patterns of SARS-CoV-2 Immunoglobulin G Serology Test Results from a National Clinical Laboratory, United States, March–July 2020	15

Care Team Integration in Primary Care Improves One-Year Clinical and Financial Outcomes in Diabetes: A Case for Value-Based Care	15
Reckoning with Our Trustworthiness, Leveraging Community Engagement	14
Evolution of Specimen Self-Collection in the COVID-19 Era: Implications for Population Health Management of Infectious Disease	14
Screening for Social Determinants of Health Among Children: Patients' Preferences for Receiving Information to Meet Social Needs and a Comparison of Screening Instruments	13
A Literature Review of Productivity Loss Associated with Hypertension in the United States	13
From Hospital to Home: An Intensive Transitional Care Management Intervention for Patients with COVID-19	13
Public and Private Health Services: Wait Times for Health Services and the Risk of Inequality from the Italian Perspective	12
Rural, Underserved, and Minority Populations' Perceptions of COVID-19 Information, Testing, and Vaccination: Report from a Southern State	12
Health and Health Care Use Strongly Associated with Cumulative Burden of Social Determinants of Health	12
Tackling Ethnic Health Disparities Through Community Health Worker Programs: A Scoping Review on Their Utilization During the COVID-19 Outbreak	12
Onslaught of COVID-19: How Did Governments React and at What Point of the Crisis?	12
A Scoping Review of Behavioral Interventions Addressing Medical Financial Hardship	12
The Unique Challenges Facing Rural Providers in the COVID-19 Pandemic	12
Feasibility of Mobile Technology to Identify and Address Patients' Unmet Social Needs in a Primary Care Clinic	12
Return to Work: Managing Employee Population Health During the COVID-19 Pandemic	12
Model for Mitigation of Workplace Transmission of COVID-19 Through Population-Based Testing and Surveillance	11
Disparities in Telehealth Utilization in a Population of Publicly Insured Children During the COVID-19 Pandemic	11
Accountability to Population Health in the COVID-19 Pandemic: Designing Health Care Delivery Within a Social Responsibility Framework	11
For Profit, but Socially Determined: The Rise of the SDOH Industry	11
County-Level Determinants of COVID-19 Testing and Cases: Are There Racial/Ethnic Disparities in Texas?	11
Social Determinants of Health and Comorbidities Among Individuals with Atherosclerotic Cardiovascular Disease: The Behavioral Risk Factor Surveillance System Survey	11
Development of a Logic Model to Guide Implementation and Evaluation of a Mobile Integrated Health Transitional Care Program	11
Evaluating the Financial Sustainability of the School-Based Telemedicine Asthma Management Program	10
Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults	10
Interprofessional Collaborative Practice Model to Advance Population Health	10
Diagnostic Testing of Vaginitis: Improving the Value of Care	9
Trends in Medical Expenditures Prior to Diabetes Diagnosis: The Early Burden of Diabetes	9
Comparing the Predictive Effects of Patient Medication Adherence Indices in Electronic Health Record and Claims-Based Risk Stratification Models	9
Racial and Ethnic Disparities in Health Information Technology Use and Associated Trends among Individuals Living with Chronic Diseases	9
Conceptualizing and Defining Anchor Businesses to Facilitate Investments in Community Health and Well-Being	9
Evaluation of Risk Factors for Hepatitis C Virus Infection Among Philadelphia's Shelter-Bound, Homeless Population: Data from a Student-Run Hepatitis C Virus Screening Initiative	8
Toward Successful and Sustainable Statewide Screening for Social Determinants of Health: Testing the Interest of Hospitals	8
Preventing Colorectal Cancer: Pathway to Achieving an 80% Screening Goal in the United States: Overview and Proceedings of a Population Health Advisory Board	8
Clinical Integration of Community Health Workers to Reduce Health Inequities in Overburdened and Under-Resourced Populations	8
Impact of Social Needs in Electronic Health Records and Claims on Health Care Utilization and Costs Risk-Adjustment Models Within Medicaid Population	8
Electronic Health Record-Based Risk Stratification: A Potential Key Ingredient to Achieving Value-Based Care	8
Cost-Effectiveness of Outreach Strategies for Stool-Based Colorectal Cancer Screening in a Medicaid Population	7
Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization	7
Association of Unmet Social Needs with Chronic Illness: A Cross-Sectional Study	7
A Review of the MINDSPACE Framework for Nudging Health Promotion During Early Stages of the COVID-19 Pandemic	7
Cumulative Social Disadvantage and All-Cause Mortality in the United States: Findings from a National Study	6
Identifying Populations with Complex Needs: Variation in Approaches Used to Select Complex Patient Populations	6
Community Mitigation During SARS-CoV-2 Pandemic: Mission Impossible in Developing Countries	6
Avoidance of Total Knee Replacement in a Population Health Setting: Introducing a Noninvasive Biomechanical Intervention for Patients with Knee Osteoarthritis	6
Hepatitis C Screening Rates and Care Cascade in a Large US Insured Population, 2010–2016: Gaps to Elimination	6
Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives	6
Z Codes for Social Determinants of Health: A Better Predictor of Risk for Value-Based Care	6
County-Level Concentration of Selected Chronic Conditions Among Medicare Fee-for-Service Beneficiaries and Its Association with Medicare Spending in the United States, 2017	6
The Proportion of Marginalized Individuals in US Communities and Hospital Participation in Bundled Payments	6
Transitioning from In-Person to Telemedicine Within Primary Care Behavioral Health During COVID-19	6

Validation of a 2-Item Food Insecurity Screen Among Adult General Medicine Outpatients	6
Prevalence of Unmet Basic Needs and Association with Diabetes Control and Care Utilization Among Insured Persons with Diabetes	6
Why Are Some US Nonprofit Hospitals Not Addressing Opioid Misuse in Their Communities?	6
Reach of a Fully Digital Diabetes Prevention Program in Health Professional Shortage Areas	6
The Role of the Private Sector in Advancing Antimicrobial Stewardship: Recommendations from the Global Chief Medical Officers' Network	6
Operationalizing the Population Health Framework: Clinical Characteristics, Social Context, and the Built Environment	5
Examining the Relationship Between Hospital-Community Partnerships and COVID-19 Case-Fatality Rates	5
Workforce Survival: Tracking Potential COVID-19 Exposure Amid Socioeconomic Activities Using Automatic Log-Keeping Apps	5
How Do You Build a “Culture of Health”? A Critical Analysis of Challenges and Opportunities from Medical Anthropology	5
Social Determinants of Health and After-Hours Electronic Health Record Documentation: A National Survey of US Physicians	5
Weight Loss in a Digital Diabetes Prevention Program for People in Health Professional Shortage and Rural Areas	5
Implementing Value-Based Primary Care Delivery in Federally Qualified Health Centers	5
The Patient-Centered Outcomes Research Network Antibiotics and Childhood Growth Study: Implementing Patient Data Linkage	5
Patient-Provider Communication and Adherence to Cholesterol Management Advice: Findings from a Cross-Sectional Survey	5
Association Between Physician Risk Assessment, Hierarchical Condition Categories, and Utilization of Medical Services	5
Genetic Variant Reinterpretation: Economic and Population Health Management Challenges	5
An Integrated Mobile Acute Care Service Enhances Value	5
Population-Level Reach of Cardiovascular Disease Prevention Interventions in a Rural Community: Findings from the Heart of New Ulm Project	5
COVID-19 Deaths and the Impact of Health Disparities, Hospital Characteristics, Community, Social Distancing, and Health System Competition	5
Health Care Worker Burnout and Perceived Capacity to Address Social Needs	5
Full-Risk Population Health Programs for Older Adults Like PACE Benefit from COVID-19	4
Diabetes Education Desert: Regional Disparity Between Diabetes Prevalence and Diabetes Self-Management Education Programs in Texas	4
Pandemic Makes Chronic Disease Prevention a Priority	4
Exploring the Relationship Between Local Governmental Spending on the Social Determinants of Health and Health Care Costs of Privately Insured Adults	4
The Impact of a Workforce Mental Health Program on Employer Medical Plan Spend: An Application of Cost Efficiency Measurement for Mental Health Care	4
Care Management of Comorbid Medical and Psychiatric Illness: A Conceptual Framework for Improving Equity of Care	4
Relationship of Clinician Care Team Composition and Diabetes Quality Outcomes	4
Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity	4
Facing the COVID-19 Pandemic in France: From Managerialism to Business Logistics	4
Neighborhood-level Social Determinants of Health Improve Prediction of Preventable Hospitalization and Emergency Department Visits Beyond Claims History	4
Hepatitis C Antibody Screening Among Baby Boomers by a Community-Based Health Insurance Company	4
Local Health and Social Services Spending to Reduce Preventable Hospitalizations	4
Imported Novel Coronavirus Infections: Observation on Active and Passive Case Detection in Thailand	4
Stratifying for Value: An Updated Population Health Risk Stratification Approach	4
The Impact of Expanding Telehealth-Delivered Dietary Interventions on Long-Term Cardiometabolic Health	4
Strengthening the Public Health Partnership and Telehealth Infrastructure to Reduce Health Care Disparities	4
Addressing the Social Needs of Medicaid Enrollees Through Managed Care: Lessons and Promising Practices from the Field	4
An Increase in the Use of ICD-10 Z-Codes for Social Risks and Social Needs: 2015 to 2019	4
What Is a Center of Excellence?	4
Mobile Medical Clinics in the United States Post-Affordable Care Act: An Integrative Review	4
Multiple Electronic Health Record-Based Measures of Social Determinants of Health to Predict Return to the Emergency Department Following Discharge	4
Association Between Broadband Capacity and Social Vulnerability Factors in the United States: A County-Level Spatial Analysis	4