Unlocking the power of population health management to strengthen primary health care
El poder de la gestión poblacional de la salud para fortalecer la atención primaria de salud
Cerezo-Cerezo J. de Manuel-Keenoy E. Alton D. Bruijnzeels M. Jurgutis A. Jakab M.
July 2025Elsevier Espana S.L.U
Atencion Primaria
2025#57Issue 7
Population health management (PHM) is a people-centred, data-driven and proactive approach to improving the health and well-being of a defined population, considering the differences within that population and their social determinants of health. By using quantitative and qualitative data insights, PHM helps primary care providers identify population cohorts with similar needs or ‘at risk’ of a given negative outcome/s. This enables primary care providers to address their needs in a targeted, tailored, proactive and holistic way through coordination with other care levels and sectors. PHM can be summarized conceptually in a cycle of five steps: defining and identifying the population; health assessment and segmentation; risk stratification and impactibility; tailored service delivery; and evaluation and improvement. The relationship between primary health care (PHC) and PHM is that of a virtuous circle. PHM helps make PHC more effective and many elements of a strong PHC-oriented model of care are essential for effective PHM.
Delivery of health care , Health care reform , Population health management , Primary care , Primary health care , Social determinants of health
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WHO European Centre for Primary Health Care, Almaty, Kazakhstan
Former CEO, Biosistemak, Institute for Health Systems Research, Biscay, Barakaldo, Spain
National Clinical Advisor on Population Health Management, NHS England, United Kingdom
Department of Public Health & Primary Care, Leiden University Medical Center, Leiden, Netherlands
WHO European Centre for Primary Health Care
Former CEO
National Clinical Advisor on Population Health Management
Department of Public Health & Primary Care
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026