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. 2018;29(3):949-963.
doi: 10.1353/hpu.2018.0071.

Using Health Information Technology to Bring Social Determinants of Health into Primary Care: A Conceptual Framework to Guide Research

Erika K Cottrell, Rachel Gold, Sonja Likumahuwa, Heather Angier, Nathalie Huguet, Deborah J Cohen, Khaya D Clark, Laura M Gottlieb, Jennifer E DeVoe

Using Health Information Technology to Bring Social Determinants of Health into Primary Care: A Conceptual Framework to Guide Research

Erika K Cottrell et al. J Health Care Poor Underserved. 2018.

Abstract

Several recent national initiatives have called for increased efforts to integrate social determinants of health (SDH) into health care settings using health information technology (HIT). However, there is limited evidence to guide the implementation of these recommendations in practice. Research is needed to understand what SDH information is most important to collect, how SDH information can be used to inform clinical care and referrals, and ultimately, whether and how integrating SDH screening and action into primary care affects individual and population health. We recently proposed a conceptual framework to illustrate how HIT can be used to bring SDH information into primary care. In this paper, we describe how we are putting this conceptual model into practice within the OCHIN network of community health centers by highlighting examples of ongoing research, identifying knowledge gaps, and outlining a roadmap of future research to move the field forward.

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Figure 1.
Figure 1.
Conceptual framework for using health information technology to integrate SDH into primary care.a a Adapted from: DeVoe JE, Bazemore AW, Cottrell EK, Likumahuwa-Ackman S, Grandmont J, Spach N, Gold R. Perspectives in primary care: a conceptual framework and a path for integrating social determinants of health into primary care practice. Ann Fam Med. 2016;14(2):104–8. https://doi.org/10.1370/afm.1903 PMid: 26951584
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References

    1. World Health Organization. Social determinants of health. Genever, SUI: World Health Organization, 2016. Available at: www.who.int/social_determinants/en/.
    1. McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Aff (Millwood). 2002. Mar-Apr;21(2):78–93. 10.1377/hlthaff.21.2.78 - DOI - PubMed
    1. Institute of Medicine of the National Academies Committee on the recommended social and behavioral domains and measures for electronic health records. Capturing social and behavioral domains in Electronic Health Records: phase 2. Washington, DC: The National Academies Press; 2014. - PubMed
    1. Centers for Medicare & Medicaid Services. CMS quality strategy 2016. Baltimore, MD: Centers for Medicare & Mediciad Services, 2016. Available at: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-inst....
    1. Centers for Medicare & Medicaid Services. MACRA: Delivery System Reform, Medicare Payment Reform. Baltimore, MD: Centers for Medicare & Mediciad Services, 2018. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Inst....

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