Evidence map›Paper›PMID 27170802›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Community Vital Signs: Taking the Pulse of the Community While Caring for Patients.

Lauren S Hughes, Robert L Phillips, Jennifer E DeVoe, Andrew W Bazemore

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03327896 (The Impact of Patient Complexity on Healthcare Utilization), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03327896 unknown statusnot on this map

The Impact of Patient Complexity on Healthcare Utilization

TypeobservationalSponsorOCHIN, Inc.Ran2017 to 2018Enrolled200,000ConditionsPrimary Care Quality Metrics, Well Child Visits in First 15 Months of Life NQF 1392, Diabetes Mellitus NQF 0059, Colorectal Cancer Screening NQF 0034ArmsCharlson score and Community Social Deprivation
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Emergence of Gun Violence as a Patient Priority.Journal of the American Board of Family Medicine : JABFM · 2022
    Article
  8. Article
  9. Implementing social interventions in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  10. Neighborhood-Level Lead Paint Hazard for Children under 6: A Tool for Proactive and Equitable Intervention.International journal of environmental research and public health · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Lauren S HughesFrom the Pennsylvania Department of Health, Harrisburg (LSH); the American Board of Family Medicine, Lexington, KY (RLP); OCHIN, Inc., Portland, OR (JED); Department of Family Medicine, Oregon Health & Science University, Portland (JED); and The Robert Graham Center, Washington, DC (AWB). laurenshughes@gmail.com.
Robert L PhillipsFrom the Pennsylvania Department of Health, Harrisburg (LSH); the American Board of Family Medicine, Lexington, KY (RLP); OCHIN, Inc., Portland, OR (JED); Department of Family Medicine, Oregon Health & Science University, Portland (JED); and The Robert Graham Center, Washington, DC (AWB).
Jennifer E DeVoeFrom the Pennsylvania Department of Health, Harrisburg (LSH); the American Board of Family Medicine, Lexington, KY (RLP); OCHIN, Inc., Portland, OR (JED); Department of Family Medicine, Oregon Health & Science University, Portland (JED); and The Robert Graham Center, Washington, DC (AWB).
Andrew W BazemoreFrom the Pennsylvania Department of Health, Harrisburg (LSH); the American Board of Family Medicine, Lexington, KY (RLP); OCHIN, Inc., Portland, OR (JED); Department of Family Medicine, Oregon Health & Science University, Portland (JED); and The Robert Graham Center, Washington, DC (AWB).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2014 both the Institute of Medicine and the National Quality Forum recommended the inclusion of social determinants of health data in electronic health records (EHRs). Both entities primarily focus on collecting socioeconomic and health behavior data directly from individual patients. The burden of reliably, accurately, and consistently collecting such information is substantial, and it may take several years before a primary care team has actionable data available in its EHR. A more reliable and less burdensome approach to integrating clinical and social determinant data exists and is technologically feasible now. Community vital signs-aggregated community-level information about the neighborhoods in which our patients live, learn, work, and play-convey contextual social deprivation and associated chronic disease risks based on where patients live. Given widespread access to "big data" and geospatial technologies, community vital signs can be created by linking aggregated population health data with patient addresses in EHRs. These linked data, once imported into EHRs, are a readily available resource to help primary care practices understand the context in which their patients reside and achieve important health goals at the patient, population, and policy levels.

Indexed as

Electronic Health RecordsSocial Determinants of HealthChronic DiseaseCultural DeprivationHealth Insurance Portability and Accountability ActHumansInformation SystemsPatient-Centered CarePrimary Health CareResidence CharacteristicsSocioeconomic FactorsUnited StatesPopulation CharacteristicsPublic HealthResidence CharacteristicsSocial Determinants of Health

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.