Evidence map›Paper›PMID 28720625›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Developing Electronic Health Record (EHR) Strategies Related to Health Center Patients' Social Determinants of Health.

Rachel Gold, Erika Cottrell, Arwen Bunce, Mary Middendorf, Celine Hollombe, Stuart Cowburn, Peter Mahr, Gerardo Melgar

Abstract read
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. Cited by 121 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023
    Pooled it
  2. Trial
  3. Trial
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  5. Article
  6. Article
  7. Article
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  9. Article
  10. Review
  11. How High-Performing Community Health Clinics Accomplish Social Risk Screening.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  12. Article
  13. Article
  14. Heterogeneity in associations between food insecurity and diabetes outcomes.Journal of epidemiology and community health · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rachel GoldFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM). rachel.gold@kpchr.org.
Erika CottrellFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Arwen BunceFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Mary MiddendorfFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Celine HollombeFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Stuart CowburnFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Peter MahrFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).
Gerardo MelgarFrom the Center for Health Research, Kaiser Permanente Northwest, Portland, OR (RG, AB, CH); OCHIN, Inc., Portland (RG, EC, MM, SC); the Multnomah County Health Department, Portland (PM); and the Cowlitz Family Health Center, Longview, WA (GM).

Funding

Assess Social determinantS using EHRs in Safety net clinicS: Diabetes OutcomesR18DK105463 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GOLD, RACHEL · 2015 to 2016
$595k
NIDDK NIH HHS R18 DK105463
6 · The paper itself

Abstract

background"Social determinants of heath" (SDHs) are nonclinical factors that profoundly affect health. Helping community health centers (CHCs) document patients' SDH data in electronic health records (EHRs) could yield substantial health benefits, but little has been reported about CHCs' development of EHR-based tools for SDH data collection and presentation.

methodsWe worked with 27 diverse CHC stakeholders to develop strategies for optimizing SDH data collection and presentation in their EHR, and approaches for integrating SDH data collection and the use of those data (eg, through referrals to community resources) into CHC workflows.

resultsWe iteratively developed a set of EHR-based SDH data collection, summary, and referral tools for CHCs. We describe considerations that arose while developing the tools and present some preliminary lessons learned.

conclusionStandardizing SDH data collection and presentation in EHRs could lead to improved patient and population health outcomes in CHCs and other care settings. We know of no previous reports of processes used to develop similar tools. This article provides an example of 1 such process. Lessons from our process may be useful to health care organizations interested in using EHRs to collect and act on SDH data. Research is needed to empirically test the generalizability of these lessons.

Indexed as

Community Health CentersElectronic Health RecordsSocial Determinants of HealthHumansReferral and ConsultationCommunity Health CentersData CollectionElectronic Health RecordsPrimary Health CareReferral and ConsultationSocial Determinants of Health

Identifiers

PMID28720625
PMCPMC5618800

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.