Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic review.

Journal of the American Medical Informatics Association : JAMIA
Min ChenRema Padman

Abstract

This integrative review identifies and analyzes the extant literature to examine the integration of social determinants of health (SDoH) domains into electronic health records (EHRs), their impact on risk prediction, and the specific outcomes and SDoH domains that have been tracked. In accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a literature search in the PubMed, CINAHL, Cochrane, EMBASE, and PsycINFO databases for English language studies published until March 2020 that examined SDoH domains in the context of EHRs. Our search strategy identified 71 unique studies that are directly related to the research questions. 75% of the included studies were published since 2017, and 68% were U.S.-based. 79% of the reviewed articles integrated SDoH information from external data sources into EHRs, and the rest of them extracted SDoH information from unstructured clinical notes in the EHRs. We found that all but 1 study using external area-level SDoH data reported minimum contribution to performance improvement in the predictive models. In contrast, studies that incorporated individual-level SDoH data reported improved predictive performance of various outcomes s...Continue Reading

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Citations

Nov 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Suzanne Bakken
Jun 23, 2021·Journal of the American Medical Informatics Association : JAMIA·Cheryl R ClarkIrene Dankwa-Mullan
Jun 27, 2021·Journal of Biomedical Informatics·Ruth M ReevesWendy Chapman
Sep 23, 2021·Journal of the American Medical Informatics Association : JAMIA·Michael WangJulia Adler-Milstein
Oct 7, 2021·Journal of the American Medical Informatics Association : JAMIA·Braja G PatraJyotishman Pathak

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