Park Sinyoung, Hamadi Hanadi Y, Abdul Samira, Spaulding Aaron, Xu Jing, Zhao Mei
Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, FL, USA.
Division of Health Care Delivery Research, Mayo Clinic Robert D. and Patricia E. Kern, Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.
Health Serv Insights. 2025 May 29;18:11786329251342849. doi: 10.1177/11786329251342849. eCollection 2025.
Addressing social determinants of health in patient care helps hospitals better understand the non-medical factors influencing patients' health outcomes.
The objective of this study was to evaluate the correlation between hospital characteristics, county determinants, and the systematic recording of health-related social needs among general and surgical acute care hospitals in the United States. It focused on the hospital's routine collection of data on patients' health-related social needs, such as transportation, housing, and food insecurity.
A cross-sectional retrospective study design was utilized.
All hospitals that completed the American Hospital Association Annual survey (n = 2254) were included in the study. A series of multinomial logistic analyses were conducted.
The relative risk of hospitals routinely collecting health-related social needs data is 67% lower in for-profit hospitals and 90% higher in not-for-profit hospitals compared to government hospitals. Hospitals that are part of a system are 1.5 times more likely to routinely collect data on social needs. In addition, counties with higher household income have a statistically significant higher relative risk of hospitals collecting data on social needs, though the magnitude of the difference is small. The relative risk of hospitals collecting social needs data, but not routinely, is 2 times higher in teaching hospitals and 3 times higher among system hospitals.
Our research strongly indicates that understanding and addressing these inherent hospital-related factors are essential for effectively integrating social determinants of health into routine healthcare data collection practices. Establishing more robust guidelines and standardization in these practices may enhance hospitals' ability to document and utilize health-related social needs information, ultimately driving improved patient outcomes and supporting more equitable care.
在患者护理中关注健康的社会决定因素有助于医院更好地理解影响患者健康结果的非医疗因素。
本研究的目的是评估美国综合及外科急症护理医院的医院特征、县决定因素与健康相关社会需求的系统记录之间的相关性。它侧重于医院对患者健康相关社会需求数据的常规收集，如交通、住房和粮食不安全问题。
采用横断面回顾性研究设计。
纳入所有完成美国医院协会年度调查的医院（n = 2254）。进行了一系列多项逻辑分析。
与政府医院相比，营利性医院常规收集健康相关社会需求数据的相对风险低67%，非营利性医院则高90%。属于某个系统的医院常规收集社会需求数据的可能性是其他医院的1.5倍。此外，家庭收入较高的县，医院收集社会需求数据的相对风险在统计学上显著更高，尽管差异幅度较小。教学医院收集社会需求数据但非常规收集的相对风险是其他医院的2倍，系统医院则是3倍。
我们的研究有力地表明，理解和解决这些与医院相关的内在因素对于将健康的社会决定因素有效纳入常规医疗数据收集实践至关重要。在这些实践中建立更完善的指南和标准化可能会提高医院记录和利用健康相关社会需求信息的能力，最终改善患者结局并支持更公平的护理。
