Integrating Data On Social Determinants Of Health Into Electronic Health Records
Integrating Data On Social Determinants Of Health Into Electronic Health Records
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DOI：
10.1377/hlthaff.2017.1252
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发表时间：
2018-04-01
期刊：
影响因子：
9.7
通讯作者：
Thorpe, Lorna
中科院分区：
文献类型：
--
作者：
Cantor, Michael N.;Thorpe, Lorna
随着人群健康越来越成为医疗保健的重点，医疗服务提供者意识到，传统临床结果之外的数据可以为患者健康状况的潜在驱动因素提供更广泛的视角，并可以确定提高护理有效性的方法。然而，在环境条件和教育水平等与健康的社会决定因素有关的数据像医学数据一样容易获得和可操作之前，仍然存在许多挑战。关键挑战是在电子健康记录中捕获或表示健康的社会决定因素的标准缺乏共识，而且没有足够的证据表明，一旦收集了有关这些因素的信息，就可以通过转诊或其他行动工具有效地处理这些社会决定因素。为了应对这些挑战并有效地在医疗保健环境中使用社会决定因素，我们建议创建国家标准，在电子健康记录中表示与健康的社会决定因素相关的数据，通过财务或质量措施鼓励收集数据，并扩大衡量对收集的信息采取行动的影响的研究主体。
As population health becomes more of a focus of health care, providers are realizing that data outside of traditional clinical findings can provide a broader perspective on potential drivers of a patient's health status and can identify approaches to improving the effectiveness of care. However, many challenges remain before data related to the social determinants of health, such as environmental conditions and education levels, are as readily accessible and actionable as medical data are. Key challenges are a lack of consensus on standards for capturing or representing social determinants of health in electronic health records and insufficient evidence that once information on them has been collected, social determinants can be effectively addressed through referrals or other action tools. To address these challenges and effectively use social determinants in health care settings, we recommend creating national standards for representing data related to social determinants of health in electronic health records, incentivizing the collection of the data through financial or quality measures, and expanding the body of research that measures the impact of acting on the information collected.