Evidence map›Paper›PMID 40085013›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Patient and clinician acceptability of automated extraction of social drivers of health from clinical notes in primary care.

Serena Jinchen Xie, Carolin Spice, Patrick Wedgeworth, Raina Langevin, Kevin Lybarger, Angad Preet Singh, Brian R Wood, Jared W Klein, Gary Hsieh, Herbert C Duber and 1 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Atencion primaria · 2026
    Pooled it
  2. 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

11 authors.

Serena Jinchen XieBiomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA 98195, United States.ORCID 0000-0003-1826-7005
Carolin SpiceBiomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA 98195, United States.
Patrick WedgeworthBiomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA 98195, United States.
Raina LangevinBiomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA 98195, United States.
Kevin LybargerInformation Sciences and Technology, George Mason University, Fairfax, VA 22030, United States.ORCID 0000-0001-5798-2664
Angad Preet SinghDepartment of Medicine, University of Washington, Seattle, WA 98195, United States.ORCID 0009-0000-9956-038X
Brian R WoodDepartment of Medicine, University of Washington, Seattle, WA 98195, United States.
Jared W KleinDepartment of Medicine, University of Washington, School of Medicine, Seattle, WA 98195, United States.
Gary HsiehHuman Centered Design & Engineering, University of Washington, Seattle, WA 98195, United States.
Herbert C DuberWashington State Department of Health, Olympia, WA 98501, United States.
Andrea L HartzlerBiomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA 98195, United States.ORCID 0000-0003-4932-7314

Funding

University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
NLM NIH HHS T15 LM007442University of Washington Population Health #STUDY00015691University of Washington Population Health Initiative Tier 1 #STUDY00015691
6 · The paper itself

Abstract

objectiveArtificial Intelligence (AI)-based approaches for extracting Social Drivers of Health (SDoH) from clinical notes offer healthcare systems an efficient way to identify patients' social needs, yet we know little about the acceptability of this approach to patients and clinicians. We investigated patient and clinician acceptability through interviews. MATERIALS AND

methodsWe interviewed primary care patients experiencing social needs (n = 19) and clinicians (n = 14) about their acceptability of "SDoH autosuggest," an AI-based approach for extracting SDoH from clinical notes. We presented storyboards depicting the approach and asked participants to rate their acceptability and discuss their rationale.

resultsParticipants rated SDoH autosuggest moderately acceptable (mean = 3.9/5 patients; mean = 3.6/5 clinicians). Patients' ratings varied across domains, with substance use rated most and employment rated least acceptable. Both groups raised concern about information integrity, actionability, impact on clinical interactions and relationships, and privacy. In addition, patients raised concern about transparency, autonomy, and potential harm, whereas clinicians raised concern about usability. DISCUSSION: Despite reporting moderate acceptability of the envisioned approach, patients and clinicians expressed multiple concerns about AI systems that extract SDoH. Participants emphasized the need for high-quality data, non-intrusive presentation methods, and clear communication strategies regarding sensitive social needs. Findings underscore the importance of engaging patients and clinicians to mitigate unintended consequences when integrating AI approaches into care.

conclusionAlthough AI approaches like SDoH autosuggest hold promise for efficiently identifying SDoH from clinical notes, they must also account for concerns of patients and clinicians to ensure these systems are acceptable and do not undermine trust.

Indexed as

Artificial IntelligenceAttitude of Health PersonnelElectronic Health RecordsPrimary Health CareSocial Determinants of HealthAdultAgedFemaleHumansInterviews as TopicMaleMiddle Agedartificial intelligenceelectronic health recordsinterviewsocial determinants of healthstakeholder participation

Identifiers

PMID40085013
PMCPMC12012364

What OpenQuestion holds

Textmetadata
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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.