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Clinical Population Medicine is the conscientious, explicit, and judicious application of population health approaches to care for individual patients and design health care systems. Clinical Population Medicine is: a deliberate practice applied by practitioners and institutions
engaged health care institutions that reduce health inequity through improved access, health promotion, and disease prevention
using patient and population level data to deliver immediate and accessible indicators for clinical decisions and system design that are responsive to changing community health needs
grounded in the science of epidemiology and medicine, and the practices of public health and clinical care
Clinical Population Medicine is not: a threat to patient-centered clinical care through rationing or under-mining patient or clinician autonomy
a substitute for comprehensive, multi-sector public health practice
limited to partnerships between public health institutions and health care institutions
a new medical specialty or discipline limited to specially trained practitioners
the same as health services research or quality improvement
- Table 2
Characterizing Clinical Population Medicine (CPM) Articles to the CDC Public Health Core Functions and PHAC Essential Functions of Public Health
CDC Core Function and Definition CPM Exemplars in This Virtual Issue PHAC Essential Function Assessment Monitor health status to identify and solve community health problems
Diagnose and investigate health problems and health hazards in the community
Williamson et al, 2014. Validating the 8 CPCSSN case definitions for chronic disease surveillance in a primary care data base of electronic health records9 Health Surveillance Sloane et al, 2006. Syndromic surveillance for emerging infections in office practice using billing data10 Health Surveillance Naessens et al, 2005. Predicting persistently high primary care use11 Population Health assessment Trachtenberg et al, 2014. Inequities in ambulatory care and the relationship between socioeconomic status and respiratory hospitalizations: a population-based study of a Canadian city12 Population Health Assessment Policy Development Inform, educate, and empower people about health issues
Mobilize community partnerships to identify and solve health problems
Develop policies and plans that support individual and community health efforts
Thom et al, 2013. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial13 Health Promotion Mainous et al, 2009. A community intervention to decrease antibiotics used for self-medication among Latino adults14 Health Promotion Rosenblatt, 2005. Ecological change and the future of the human species: can physicians make a difference?15 Disease and Injury Prevention Assurance Enforce laws and regulations that protect health and ensure safety
Link people to needed personal health services and assure the provision of health care when otherwise unavailable
Assure competent public and personal health care workforce
Evaluate effectiveness, accessibility, and quality of personal and population-based health services
Research for new insights and innovative solutions to health problems
Kiran et al, 2014. Effect of payment incentives on cancer screening in Ontario primary care16 Disease and Injury Prevention Roetzheim et al, 2004. A randomized controlled trial to increase cancer screening among attendees of community health centers17 Health Protection Jerant et al, 2012. Primary care attributes and mortality: a national person-level study18 Population Health Assessment CDC = Centers for Disease Control and Prevention; PHAC = Public Health Agency of Canada.
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