ArticleJournal of the American Medical Informatics Association : JAMIA2024
Structured and unstructured social risk factor documentation in the electronic health record underestimates patients' self-reported risks.
Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The trial behind it
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Who cites it
12 citing papers in PubMed.
- From exchange to action: how hospitals receive and use health-related social needs data from external sources.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Posttraumatic Stress Disorder, Health-Related Social Needs, and Cognitive Outcomes in US Veterans.JAMA network open · 2026Article
- Article
- Neighborhood Stress in Relation to Mental Health Symptoms and the Moderating Role of Perceived Stress in US Young Adults.Journal of racial and ethnic health disparities · 2026Article
- Adolescent outcomes of Post-operative opioid EXposure (APEX): Protocol for a multisite observational study.Journal of substance use and addiction treatment · 2026Article
- Documentation of Adverse Social Drivers of Health in US Emergency Departments.Journal of the American College of Emergency Physicians open · 2025Article
- Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Performance of 4 Methods to Assess Health-Related Social Needs.JAMA network open · 2025Article
- Use of Z-codes related to social determinants of health among adult inpatients in France: a nationwide study from 2014 to 2022.BMC public health · 2025Observational
- Physician Documentation of Social Determinants of Health: Results from Two National Surveys.Journal of general internal medicine · 2025Article
- The role of routine and structured social needs data collection in improving care in US hospitals.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Primary Care EHR data on Social Determinants of Health: Quality and Fitness for Purpose in Precision/Personalised Medicine.Yearbook of medical informatics · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesNational attention has focused on increasing clinicians' responsiveness to the social determinants of health, for example, food security. A key step toward designing responsive interventions includes ensuring that information about patients' social circumstances is captured in the electronic health record (EHR). While prior work has assessed levels of EHR "social risk" documentation, the extent to which documentation represents the true prevalence of social risk is unknown. While no gold standard exists to definitively characterize social risks in clinical populations, here we used the best available proxy: social risks reported by patient survey. MATERIALS AND
methodsWe compared survey results to respondents' EHR social risk documentation (clinical free-text notes and International Statistical Classification of Diseases and Related Health Problems [ICD-10] codes).
resultsSurveys indicated much higher rates of social risk (8.2%-40.9%) than found in structured (0%-2.0%) or unstructured (0%-0.2%) documentation. DISCUSSION: Ideally, new care standards that include incentives to screen for social risk will increase the use of documentation tools and clinical teams' awareness of and interventions related to social adversity, while balancing potential screening and documentation burden on clinicians and patients.
conclusionEHR documentation of social risk factors currently underestimates their prevalence.
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