Department of Pediatrics, University of California, San Francisco, California, USA.
Center for Health and Community, University of California, San Francisco, California, USA.
J Am Med Inform Assoc. 2020 Nov 1;27(11):1798-1801. doi: 10.1093/jamia/ocaa175.
As evidence of the associations between social factors and health outcomes continues to mount, capturing and acting on social determinants of health (SDOH) in clinical settings has never been more relevant. Many professional medical organizations have endorsed screening for SDOH, and the U.S. Office of the National Coordinator for Health Information Technology has recommended increased capacity of health information technology to integrate and support use of SDOH data in clinical settings. As these efforts begin their translation to practice, a new subfield of health informatics is emerging, focused on the application of information technologies to capture and apply social data in conjunction with health data to advance individual and population health. Developing this dedicated subfield of informatics-which we term social informatics-is important to drive research that informs how to approach the unique data, interoperability, execution, and ethical challenges involved in integrating social and medical care.
随着社会因素与健康结果之间关联的证据不断积累，在临床环境中获取和应对健康的社会决定因素（SDOH）从未如此重要。许多专业医学组织都认可对 SDOH 的筛查，美国国家卫生信息技术协调办公室已建议增强卫生信息技术的能力，以整合和支持在临床环境中使用 SDOH 数据。随着这些努力开始付诸实践，健康信息学的一个新子领域正在出现，专注于应用信息技术来捕获和应用社会数据，并结合健康数据来促进个人和人群的健康。发展这一专门的信息学子领域——我们称之为社会信息学——对于推动研究具有重要意义，该研究为如何处理整合社会和医疗保健所涉及的独特数据、互操作性、执行和伦理挑战提供了信息。
