Incorporation of socioeconomic status indicators into policies for the meaningful use of electronic health records
- PMID: 24509007
- PMCID: PMC3951370
- DOI: 10.1353/hpu.2014.0040
Incorporation of socioeconomic status indicators into policies for the meaningful use of electronic health records
Abstract
Socioeconomic status (SES) has an important effect on health. Individuals with lower SES experience more chronic disease, are less likely to receive preventive care, and have shorter life expectancies. As the Affordable Care Act is implemented and increasing numbers of previously uninsured people gain access to health care, the imperative to recognize patients' SES and develop health initiatives that account for the social determinants of health increases. Health care providers across the nation are adopting electronic health records (EHRs). Policies such as Meaningful Use offer opportunities systematically to incorporate the collection of standardized SES indicators into EHRs in ways that improve health, increase the understanding of the relationship between SES and health, and inform future policies. This paper examines the use of SES indicators in research, national surveys, and federal programs and finds adding an income question is the most feasible and optimal SES indicator for the inclusion in EHRs.
Figures
Similar articles
-
DEVELOPMENT AND PERFORMANCE OF TEXT-MINING ALGORITHMS TO EXTRACT SOCIOECONOMIC STATUS FROM DE-IDENTIFIED ELECTRONIC HEALTH RECORDS.Pac Symp Biocomput. 2017;22:230-241. doi: 10.1142/9789813207813_0023. Pac Symp Biocomput. 2017. PMID: 27896978 Free PMC article.
-
Adding home health care to the discussion on health information technology policy.Home Health Care Serv Q. 2013;32(3):149-62. doi: 10.1080/01621424.2013.813884. Home Health Care Serv Q. 2013. PMID: 23937673
-
Socioeconomic disparities in health: pathways and policies.Health Aff (Millwood). 2002 Mar-Apr;21(2):60-76. doi: 10.1377/hlthaff.21.2.60. Health Aff (Millwood). 2002. PMID: 11900187 Review.
-
Rural primary care practices and meaningful use of electronic health records: the role of Regional Extension Centers.J Rural Health. 2014 Summer;30(3):244-51. doi: 10.1111/jrh.12050. Epub 2013 Sep 30. J Rural Health. 2014. PMID: 24118180
-
Impact of Socioeconomic Status and Race on Sepsis Epidemiology and Outcomes.J Appl Lab Med. 2021 Jan 12;6(1):194-209. doi: 10.1093/jalm/jfaa151. J Appl Lab Med. 2021. PMID: 33241269 Review.
Cited by
-
Social Determinants of Health and Limitation of Life-Sustaining Therapy in Neurocritical Care: A CHoRUS Pilot Project.Neurocrit Care. 2024 Jun 6. doi: 10.1007/s12028-024-02007-0. Online ahead of print. Neurocrit Care. 2024. PMID: 38844599
-
Automating data collection methods in electronic health record systems: a Social Determinant of Health (SDOH) viewpoint.Health Syst (Basingstoke). 2022 May 19;12(4):472-480. doi: 10.1080/20476965.2022.2075796. eCollection 2023. Health Syst (Basingstoke). 2022. PMID: 38235302 Free PMC article. Review.
-
Racial disparities between measures of area deprivation and financial toxicity, and uterine volume in myomectomy patients.BMC Womens Health. 2023 Nov 14;23(1):603. doi: 10.1186/s12905-023-02761-x. BMC Womens Health. 2023. PMID: 37964227 Free PMC article.
-
The Association of Frailty and Neighborhood Disadvantage with Emergency Department Visits and Hospitalizations in Older Adults.J Gen Intern Med. 2024 Mar;39(4):643-651. doi: 10.1007/s11606-023-08503-x. Epub 2023 Nov 6. J Gen Intern Med. 2024. PMID: 37932543
-
Assessing Progress Toward the Vision of a Comprehensive, Shared Electronic Care Plan: Scoping Review.J Med Internet Res. 2022 Jun 10;24(6):e36569. doi: 10.2196/36569. J Med Internet Res. 2022. PMID: 35687382 Free PMC article. Review.
References
-
- Feinstein J. The relationship between socioeconomic status and health: A review of the literature. The Milbank Quarterly. 1993;71( 2):279–322. - PubMed
-
- U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. National Healthcare disparities report 2011. Rockville, MD: U.S., Agency for Healthcare Research and Quality; 2012. (AHRQ Pub. no. 12-0005)
-
- Berenson J, Doty M, Abrams M, Shih A. Achieving better quality of care for low-income populations: The roles of health insurance and the medical home in reducing health inequities. The Commonwealth Fund. 2012 May;16:11. - PubMed
-
- Pappas G, Queen S, Hadden W, Fisher G. The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. The New England Journal of Medicine. 1993 Jul 8;329(2):103–109. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials