Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Oct 7:27:e78794.
doi: 10.2196/78794.

The Role of Data in Public Health and Health Innovation: Perspectives on Social Determinants of Health, Community-Based Data Approaches, and AI

Affiliations

The Role of Data in Public Health and Health Innovation: Perspectives on Social Determinants of Health, Community-Based Data Approaches, and AI

Kaakpema Yelpaala et al. J Med Internet Res. .

Abstract

Public health is undergoing profound transformation driven by data from the global health sector and related fields. To address systemic health disparities, scholars and health practitioners are increasingly applying a data equity lens, an approach that has become even more urgent as the United States faces the erosion of public health data infrastructure. This paper summarizes insights from an April 2024 convening by the Yale School of Public Health-The Role of Data in Public Health Equity and Innovation-with intersectoral stakeholders from academia, government (local, state, and federal), health care, and private industry. The convening included keynote presentations and roundtables regarding the depiction of social determinants of health in data; effects of artificial intelligence (AI) on health data equity; and community-based models for data, providing a framework for cross-cutting discussions. Through a narrative synthesis, themes were identified and synthesized from systematically gathered information from presentations and roundtables. This process led to a set of actionable, cross-cutting recommendations to guide inclusive and impactful data practices for policymakers, public health professionals, and health innovators across diverse contexts: (1) enable big data and interoperability connecting social determinants of health and health outcomes; (2) include diverse, nontechnical voices in AI and health discussions; (3) fund research on data equity and AI in health sciences; (4) modernize the Health Insurance Portability and Accountability Act (HIPAA) with new guidelines for AI and big data; and (5) research and conceptual frameworks are needed to elucidate interconnections between data equity and health equity.

Keywords: AI; HIPAA; Health Insurance Portability and Accountability Act; SDOH; artificial intelligence; community-based data approaches; data equity; health policy; social determinants of health.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: TM is an associate editor of the Journal of Medical Internet Research. The other authors declare no conflicts of interest.

References

    1. Shilo S, Rossman H, Segal E. Axes of a revolution: challenges and promises of big data in healthcare. Nat Med. 2020 Jan;26(1):29–38. doi: 10.1038/s41591-019-0727-5. doi. Medline. - DOI - PubMed
    1. Wiens J, Spector-Bagdady K, Mukherjee B. Toward realizing the promise of AI in precision health across the spectrum of care. Annu Rev Genomics Hum Genet. 2024 Aug;25(1):141–159. doi: 10.1146/annurev-genom-010323-010230. doi. Medline. - DOI - PubMed
    1. Advancing data equity: an action-oriented framework. World Economic Forum. 2024. [30-10-2024]. https://www.weforum.org/publications/advancing-data-equity-an-action-ori... URL. Accessed.
    1. Social determinants of health (SDOH) CDC. [30-10-2024]. https://www.cdc.gov/about/priorities/why-is-addressing-sdoh-important.html URL. Accessed.
    1. Jarrín OF, Nyandege AN, Grafova IB, Dong X, Lin H. Validity of race and ethnicity codes in Medicare administrative data compared with gold-standard self-reported race collected during routine home health care visits. Med Care. 2020 Jan;58(1):e1–e8. doi: 10.1097/MLR.0000000000001216. doi. Medline. - DOI - PMC - PubMed

LinkOut - more resources