ArticleJournal of the American Medical Informatics Association : JAMIA2023
Partner-developed electronic health record tools to facilitate social risk-informed care planning.
Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
Who cites it
10 citing papers in PubMed.
- Social Risk-Informed Decision Support and Blood Pressure Control in a Primary Care Cluster Randomized Controlled Trial.Annals of family medicine · 2026Trial
- Help us document what we already do: pilot study of clinical decision support tools targeting social risk-informed care.JAMIA open · 2025Article
- "The start of something that I hope could be greater": Health information technology tools for social care.SSM. Qualitative research in health · 2025Article
- Lessons learned on social health integration: evaluating a novel social health integration and social risk-informed care online continuing professional development course for primary care providers.BMC medical education · 2025Article
- Applying Realist Retroduction to EHR-Based Clinical Decision Support Tool Development.International journal of qualitative methods · 2025Article
- Food and Housing Insecurity, COVID-19 Pandemic Effects on Health-Related Activities, and Care Plans for Children with Obesity.Academic pediatrics · 2025Article
- Comparison of social determinants of health in Medicaid vs commercial health plans.Health affairs scholar · 2023Article
- "We Need to Know These Things": Use Cases for Combined Social and Clinical Data Among Primary Care-Based Clinical and Social Care Providers.Journal of primary care & community healthArticle
- Optimizing the Collection, Integration, and Use of Health-Related Social Needs Data in the Primary Care Setting: Recommendations Derived From Key Interest-Holders.Journal of primary care & community healthArticle
- Qualitative Study to Inform Social Context-Informed Treatment of Children With Obesity.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectiveIncreased social risk data collection in health care settings presents new opportunities to apply this information to improve patient outcomes. Clinical decision support (CDS) tools can support these applications. We conducted a participatory engagement process to develop electronic health record (EHR)-based CDS tools to facilitate social risk-informed care plan adjustments in community health centers (CHCs). MATERIALS AND
methodsWe identified potential care plan adaptations through systematic reviews of hypertension and diabetes clinical guidelines. The results were used to inform an engagement process in which CHC staff and patients provided feedback on potential adjustments identified in the guideline reviews and on tool form and functions that could help CHC teams implement these suggested adjustments for patients with social risks.
resultsPartners universally prioritized tools for social risk screening and documentation. Additional high-priority content included adjusting medication costs and changing follow-up plans based on reported social risks. Most content recommendations reflected partners' interests in encouraging provider-patient dialogue about care plan adaptations specific to patients' social needs. Partners recommended CDS tool functions such as alerts and shortcuts to facilitate and efficiently document social risk-informed care plan adjustments. DISCUSSION AND
conclusionCDS tools were designed to support CHC providers and staff to more consistently tailor care based on information about patients' social context and thereby enhance patients' ability to adhere to care plans. While such adjustments occur on an ad hoc basis in many care settings, these are among the first tools designed both to systematize and document these activities.
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Registered trials
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