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Posted on March 2, 2026 by Dr. David Edward Marcinko MBA MEd CMP™
Health Capital Consultants, LLC
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Five years after telehealth use surged 300-fold at the onset of the COVID-19 pandemic, virtual care has settled into a quieter but durable role in primary care delivery. New data from Epic Research, drawn from over 411 million primary care encounters, show that telehealth utilization has held steady at approximately 6% of visits since 2023 – a stabilization that suggests the modality has found its post-pandemic baseline. At the same time, Congress has once again extended Medicare telehealth flexibilities rather than making them permanent, this time through December 31, 2027.
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This Health Capital Topics article examines current telehealth utilization trends across specialties and patient populations, and the evolving legislative landscape governing Medicare reimbursement for virtual care. (Read more…)
Posted on March 2, 2026 by Dr. David Edward Marcinko MBA MEd CMP™
Dr. David Edward Marcinko; MBBS DPM MBA MEd
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Podiatric public health and podiatric population health overlap, but they are not the same. Public health focuses on systems, policies, and community-wide protections, while population health focuses on measurable outcomes in specific groups.
DEFINITIONS
Public health is the organized effort of society to protect and improve the health of entire populations. It focuses on preventing disease, prolonging life, and promoting well‑being through collective action rather than individual medical care. Core activities include monitoring health trends, controlling outbreaks, ensuring safe food and water, promoting healthy behaviors, and reducing environmental and social risks. Public health also develops policies, strengthens health systems, and works to eliminate health inequities. Public health aims to create environments where people can live healthier, longer, and more productive lives.
Population health refers to the health outcomes of a defined group of people and the factors that influence those outcomes. It emphasizes understanding patterns of health within specific populations—such as communities, regions, or demographic groups—and addressing the social, economic, behavioral, and environmental determinants that shape those patterns. Population health integrates data, clinical care, public health strategies, and community partnerships to improve overall well‑being and reduce disparities. It focuses on measurable outcomes, such as disease rates or life expectancy, and seeks coordinated interventions across sectors. Population health aims to improve health results for entire groups, not just individuals receiving medical care.
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Differences Between Podiatric Public Health and Podiatric Population Health
Primary Focus — Public health emphasizes community-wide foot health protection; population health emphasizes outcomes in defined groups.
Scope of Action — Public health works through policy, regulation, and community programs; population health works through data-driven interventions for specific populations.
Level of Prevention — Public health prioritizes broad prevention strategies; population health balances prevention with targeted management of existing foot conditions.
Target Groups — Public health targets entire communities; population health targets groups with shared characteristics (e.g., diabetics, older adults, athletes).
Data Use — Public health uses surveillance systems; population health uses risk stratification and predictive analytics.
Outcome Measures — Public health measures community-level indicators (e.g., amputation rates); population health measures group-specific outcomes (e.g., ulcer recurrence in diabetics).
Intervention Type — Public health interventions are policy or environment-based; population health interventions are clinical or care-coordination based.
Responsibility — Public health is often government or public-agency driven; population health is often healthcare-system or provider-driven.
Funding Sources — Public health relies on public funding; population health often uses healthcare reimbursement models tied to outcomes.
Time Horizon — Public health focuses on long-term societal change; population health focuses on medium-term measurable improvements.
Approach to Inequities — Public health addresses structural inequities; population health addresses disparities within specific patient groups.
Role of Podiatrists — Public health podiatrists contribute to policy and community education; in population health, they manage risk and coordinate care for defined cohorts.
Examples of Programs — Public health: community foot screenings; population health: diabetic foot risk management programs.
Evaluation Metrics — Public health uses population-level epidemiology; population health uses clinical performance metrics.
Partnerships — Public health partners with government and community organizations; population health partners with health systems and insurers.
Intervention Scale — Public health interventions are broad and environmental; population health interventions are individualized within a group.
Primary Goal — Public health aims to protect and promote foot health for all; population health aims to optimize outcomes for specific groups.
Use of Technology — Public health uses surveillance databases; population health uses electronic health records and predictive tools.
Risk Management — Public health manages community-level risks (e.g., access to foot care); population health manages individual risk factors within a group.
Success Indicators — Public health success is reduced community burden of disease; population health success is improved outcomes for targeted populations.
ASSESSMENT
There is a complex relationship between podiatric public and population health so that any evaluation should be aware of these different perspectives.
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CONCLUSION
And so, do you appreciate the difference between public and population health and more importantly, how well do you execute it in your podiatry practice?
READINGS
Marcinko, DE and Hetico, HR: Dictionary of Health Insurance and Managed Care. Springer Publishing, NY, 2006.
Marcinko, DE and Hetico, HR: The Business of Medical Practice [3rd Edition]. Springer Publishing, New York, 2010.
Marcinko, DE and Hetico, HR: Hospitals & Healthcare Organizations [Management Strategies, Operational Techniques, Tools, Templates & Case Studies]. Productivity Press, New York, 2012.
Marcinko, DE and Hetico, HR: Financial Management Strategies for Hospitals and Healthcare Organizations. Productivity Press, New York, 2013.
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