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Research ArticleOriginal ResearchA

Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment

Siobhan M. Phillips, Russell E. Glasgow, Ghalib Bello, Marcia G. Ory, Beth A. Glenn, Sherri N. Sheinfeld-Gorin, Roy T. Sabo, Suzanne Heurtin-Roberts, Sallie Beth Johnson and Alex H. Krist
The Annals of Family Medicine November 2014, 12 (6) 505-513; DOI: https://doi.org/10.1370/afm.1717
Siobhan M. Phillips
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD, MPH
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  • For correspondence: smphillips@northwestern.edu
Russell E. Glasgow
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD
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Ghalib Bello
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD
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Marcia G. Ory
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD, MPH
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Beth A. Glenn
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD
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Sherri N. Sheinfeld-Gorin
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD
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Roy T. Sabo
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
PhD
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Suzanne Heurtin-Roberts
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
MA, PhD, MSW
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Sallie Beth Johnson
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
MPH, MCHES
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Alex H. Krist
Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
MD, MPH
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Article Information

vol. 12 no. 6 505-513
DOI 
https://doi.org/10.1370/afm.1717
PubMed 
25384812

Published By 
The Annals of Family Medicine
Print ISSN 
1544-1709
Online ISSN 
1544-1717
History 
  • Received for publication March 27, 2014
  • Revision received September 15, 2014
  • Accepted for publication September 17, 2014
  • Published online November 10, 2014.

Copyright & Usage 
© 2014 Annals of Family Medicine, Inc.

Author Information

  1. Siobhan M. Phillips, PhD, MPH⇑,
  2. Russell E. Glasgow, PhD,
  3. Ghalib Bello, PhD,
  4. Marcia G. Ory, PhD, MPH,
  5. Beth A. Glenn, PhD,
  6. Sherri N. Sheinfeld-Gorin, PhD,
  7. Roy T. Sabo, PhD,
  8. Suzanne Heurtin-Roberts, MA, PhD, MSW,
  9. Sallie Beth Johnson, MPH, MCHES and
  10. Alex H. Krist, MD, MPH
  11. for the MOHR Study Group
  1. Implementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
  1. CORRESPONDING AUTHOR, Siobhan M. Phillips, PhD, MPH, Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, smphillips{at}northwestern.edu

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Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment
Siobhan M. Phillips, Russell E. Glasgow, Ghalib Bello, Marcia G. Ory, Beth A. Glenn, Sherri N. Sheinfeld-Gorin, Roy T. Sabo, Suzanne Heurtin-Roberts, Sallie Beth Johnson, Alex H. Krist
The Annals of Family Medicine Nov 2014, 12 (6) 505-513; DOI: 10.1370/afm.1717

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Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment
Siobhan M. Phillips, Russell E. Glasgow, Ghalib Bello, Marcia G. Ory, Beth A. Glenn, Sherri N. Sheinfeld-Gorin, Roy T. Sabo, Suzanne Heurtin-Roberts, Sallie Beth Johnson, Alex H. Krist
The Annals of Family Medicine Nov 2014, 12 (6) 505-513; DOI: 10.1370/afm.1717
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Subjects

  • Domains of illness & health:
    • Acute illness
  • Person groups:
    • Older adults
  • Methods:
    • Quantitative methods
  • Core values of primary care:
    • Coordination / integration of care

Keywords

  • primary care
  • health risk appraisal
  • patient-centered care

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