Integrating Social and Behavioral Determinants of Health into Patient Care and Population Health at Veterans Health Administration: a Conceptual Framework and an Assessment of Available Individual and Population Level Data Sources and Evidence-based...

Overview

Journal AIMS Public Health

Specialty Public Health

Date 2019 Oct 23

PMID 31637271

Citations 13

Authors

Elham Hatef

Zachary Predmore

Elyse C Lasser

Hadi Kharrazi

Karin Nelson

Idamay Curtis

Stephan Fihn

Jonathan P Weiner

Affiliations

Soon will be listed here.

Abstract

The premise of this project was that social and behavioral determinants of health (SBDH) affect the use of healthcare services and outcomes for patients in an integrated healthcare system such as the Veterans Health Administration (VHA), and thus individual patient level socio-behavioral factors in addition to the neighborhood characteristics and geographically linked factors could add information beyond medical factors mostly considered in clinical decision making, patient care, and population health. To help VHA better address SBDH risk factors for the veterans it cares for within its primary care clinics, we proposed a conceptual and analytic framework, a set of evidence-based measures, and their data source. The framework and recommended SBDH metrics can provide a road map for other primary care-centric healthcare organizations wishing to use health analytic tools to better understand how SBDH affect health outcomes.

Citing Articles

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Opioid use in cancer patients compared with noncancer pain patients in a veteran population.

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Comprehensive Diabetes Assessment Instrument for Patients With Type 2 Diabetes.

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Automatic extraction of social determinants of health from medical notes of chronic lower back pain patients.

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