Hripcsak George, Forrest Christopher B, Brennan Patricia Flatley, Stead William W
Columbia University and NewYork-Presbyterian Hospital, New York, New York
University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
J Am Med Inform Assoc. 2015 Jul;22(4):921-4. doi: 10.1093/jamia/ocv035. Epub 2015 Apr 24.
Consistent collection and use of social and behavioral determinants of health can improve clinical care, prevention and general health, patient satisfaction, research, and public health. A recent Institute of Medicine committee defined a panel of 11 domains and 12 measures to be included in electronic health records. Incorporating the panel into practice creates a number of informatics research opportunities as well as challenges. The informatics issues revolve around standardization, efficient collection and review, decision support, and support for research. The informatics community can aid the effort by simultaneously optimizing the collection of the selected measures while also partnering with social science researchers to develop and validate new sources of information about social and behavioral determinants of health.
持续收集和使用健康的社会及行为决定因素,可改善临床护理、预防工作及整体健康状况,提高患者满意度,促进研究和公共卫生。最近,医学研究所的一个委员会确定了11个领域和12项措施,将其纳入电子健康记录。将该委员会确定的内容纳入实践,既带来了一些信息学研究机会,也带来了挑战。信息学问题围绕标准化、高效收集与审查、决策支持以及对研究的支持展开。信息学领域可通过同步优化所选措施的收集工作,并与社会科学研究人员合作,开发和验证有关健康的社会及行为决定因素的新信息来源,来助力这项工作。