d.

Introduction

As the needs of the patient population change, the United States healthcare system remains relatively unchanged. Episodes of care are still relatively low in frequency and high in acuity (Nash, Fabius, Skoufalos, & Clarke, 2016). Models of care must be changed. Treatments of chronic health conditions and preventative strategies require more frequent visits at a lower intensity (Nash, Fabius, Skoufalos, & Clarke, 2016). Continuity

of care and care transitions maintain an ongoing, consistent contact with patients throughout their lives, not only when they are ill (Nash, Fabius, Skoufalos, & Clarke, 2016). A population health perspective that focuses on chronic health conditions and prevention is needed to improve care transitions (Nash, Fabius, Skoufalos, & Clarke, 2016). Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs) are two models emerging from the Affordable Care Act (ACA) that help focus on chronic diseases and population health (Nash, Fabius, Skoufalos, & Clarke, 2016).

An underlying assumption in version population and patient-centered models is that patients will adhere to the plan they develop with their provider; however, some behaviors may be difficult for patients to change. Unhealthy behaviors such as poor diet, lack of exercise, smoking, and drug use have negative implications for health. Although many patients want to change their diet and exercise behaviors, many find it extremely difficult to do so. Health care providers must work with patients to understand what causes patients to exhibit certain behaviors and how they can be motivated to change these behaviors (Nash, Fabius, Skoufalos, & Clarke, 2016).

The American Marketing Association (AMA) (2017) defines marketing as the processes for creating, communicating, delivering, and exchanging products and services for key stakeholders and society in general. The “4 Ps”—product, place, price, and promotion—are the primarily elements of marketing. Unlike a traditional consumer product such as an automobile, a health care “product” is more difficult to define.

In population health, an example of a product could be training health care providers to reduce obesity across the population. The place refers to where the health care service will be provided, such as an office, the home of a patient, or a community health center.

The price consists of two components: 1) the actual out-of-pocket price the consumer must pay for the service and 2) the opportunity cost, such as convenience. Finally, promotion refers to the method that is used to disseminate the message such as radio, TV, print and, most recently, social media and the Internet (Nash, Fabius, Skoufalos, & Clarke, 2016). To achieve the goals of population health, community needs must first be assessed and the health care “marketing mix” tailored to the needs of that community.

Reference

American Marketing Association (AMA). (2017). About AMA: Definition of marketing. Retrieved from https://www.ama.org/AboutAMA/Pages/Definition-of- Marketing.aspx

Nash, D. B., Fabius, R. J., Skoufalos, A., & Clarke, J. L. (2016). Population health: Creating a culture of wellness (2nd ed.). Burlington, MA: Jones & Bartlett Learning.


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