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Social Determinants of Health

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Determination of Marital Status of Patients from Structured and Unstructured Electronic Healthcare Data.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Social Determinants of Health, including marital status, are becoming increasingly identified as key drivers of health care utilization. This paper describes a robust method to determine the marital status of patients using structured and unstructure...

Value of Neighborhood Socioeconomic Status in Predicting Risk of Outcomes in Studies That Use Electronic Health Record Data.

JAMA network open
IMPORTANCE: Data from electronic health records (EHRs) are increasingly used for risk prediction. However, EHRs do not reliably collect sociodemographic and neighborhood information, which has been shown to be associated with health. The added contri...

Representation of Social History Factors Across Age Groups: A Topic Analysis of Free-Text Social Documentation.

AMIA ... Annual Symposium proceedings. AMIA Symposium
As individuals age, there is potential for dramatic changes in the social and behavioral determinants that affect health status and outcomes. The importance of these determinants has been increasingly recognized in clinical decision-making. We sought...

Towards the Inference of Social and Behavioral Determinants of Sexual Health: Development of a Gold-Standard Corpus with Semi-Supervised Learning.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Social and behavioral determinants of health (SBDH) are environmental and behavioral factors that are increasingly recognized for their impact on health outcomes. We describe ongoing research to extract SBDH related to sexual health from clinical doc...

HarborBot: A Chatbot for Social Needs Screening.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Accessing patients' social needs is a critical challenge at emergency departments (EDs). However, most EDs do not have extra staff to administer screeners, and without personnel administration, response rates are low especially for low health literac...

Identifying Patients with Significant Problems Related to Social Determinants of Health with Natural Language Processing.

Studies in health technology and informatics
Social and behavioral factors influence health but are infrequently recorded in electronic health records (EHRs). Here, we demonstrate that psychosocial vital signs can be extracted from EHR data. We processed structured and unstructured EHR data usi...

Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments.

BMC public health
BACKGROUND: Risk adjustment models are employed to prevent adverse selection, anticipate budgetary reserve needs, and offer care management services to high-risk individuals. We aimed to address two unknowns about risk adjustment: whether machine lea...

Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning.

International journal of environmental research and public health
The goals of this study were to develop a risk prediction model in unmet dental care needs and to explore the intersection between social determinants of health and unmet dental care needs in the United States. Data from the 2016 Medical Expenditure ...

Patient safety and quality improvement: Ethical principles for a regulatory approach to bias in healthcare machine learning.

Journal of the American Medical Informatics Association : JAMIA
Accumulating evidence demonstrates the impact of bias that reflects social inequality on the performance of machine learning (ML) models in health care. Given their intended placement within healthcare decision making more broadly, ML tools require a...