Evidence map›Paper›PMID 40053728›Full record

ArticleJournal of medical Internet research2025

Perspectives on Using Artificial Intelligence to Derive Social Determinants of Health Data From Medical Records in Canada: Large Multijurisdictional Qualitative Study.

Victoria H Davis, Jinfan Rose Qiang, Itunuoluwa Adekoya MacCarthy, Dana Howse, Abigail Zita Seshie, Leanne Kosowan, Alannah Delahunty-Pike, Eunice Abaga, Jane Cooney, Marjeiry Robinson and 11 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

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

  1. Atencion primaria · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. AI Privacy and Security in Healthcare: A Systematic Literature Review.International journal of telerehabilitation · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
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

21 authors.

Victoria H DavisDepartment of Health Behavior and Health Equity, School of Public Health, University of Michigan-Ann Arbor, Ann Arbor, MI, United States.ORCID 0000-0002-7207-4629
Jinfan Rose QiangUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0000-0003-4696-1360
Itunuoluwa Adekoya MacCarthyUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0005-6456-7959
Dana HowsePrimary Healthcare Research Unit, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada.ORCID 0000-0003-0601-0659
Abigail Zita SeshieUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0002-9912-7871
Leanne KosowanDepartment of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-8401-7878
Alannah Delahunty-PikeDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-7967-0685
Eunice AbagaUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0009-3058-7803
Jane CooneyUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0004-5946-7868
Marjeiry RobinsonUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0004-3625-6689
Dorothy SeniorUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0000-0002-8253-4481
Alexander ZsagerUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0009-0004-5135-3268
Kris Aubrey-BasslerPrimary Healthcare Research Unit, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada.ORCID 0000-0001-8680-6838
Mandi IrwinDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0009-0002-1519-4218
Lois A JacksonSchool of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0003-0314-9890
Alan KatzDepartment of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-8280-7024
Emily Gard MarshallDepartment of Family Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-8327-0329
Nazeem MuhajarineDepartment of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.ORCID 0000-0001-6781-5421
Cory NeudorfDepartment of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.ORCID 0000-0003-4943-4785
Stephanie GariesDepartment of Family Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0001-8795-9553
Andrew D PintoUpstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.ORCID 0000-0003-1841-9347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the social determinants of health could be used to improve care, support quality improvement initiatives, and track progress toward health equity. However, this data collection is not widespread. Artificial intelligence (AI), specifically natural language processing and machine learning, could be used to derive social determinants of health data from electronic medical records. This could reduce the time and resources required to obtain social determinants of health data.

objectiveThis study aimed to understand perspectives of a diverse sample of Canadians on the use of AI to derive social determinants of health information from electronic medical record data, including benefits and concerns.

methodsUsing a qualitative description approach, in-depth interviews were conducted with 195 participants purposefully recruited from Ontario, Newfoundland and Labrador, Manitoba, and Saskatchewan. Transcripts were analyzed using an inductive and deductive content analysis.

resultsA total of 4 themes were identified. First, AI was described as the inevitable future, facilitating more efficient, accessible social determinants of health information and use in primary care. Second, participants expressed concerns about potential health care harms and a distrust in AI and public systems. Third, some participants indicated that AI could lead to a loss of the human touch in health care, emphasizing a preference for strong relationships with providers and individualized care. Fourth, participants described the critical importance of consent and the need for strong safeguards to protect patient data and trust.

conclusionsThese findings provide important considerations for the use of AI in health care, and particularly when health care administrators and decision makers seek to derive social determinants of health data.

Indexed as

Artificial IntelligenceElectronic Health RecordsSocial Determinants of HealthAdultAgedCanadaFemaleHumansMaleMiddle AgedNatural Language ProcessingQualitative Researchartificial intelligencemachine learningprimary carequalitative studysocial caresocial determinants of healthsocial needssociodemographic data

Identifiers

PMID40053728
PMCPMC11926464

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.