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Updated: Nov 10, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Adjusting Quality Measures For Social Risk Factors Can Promote Equity In Health Care
David R Nerenz1, J Matthew Austin2, Daniel Deutscher3
1David R. Nerenz (dnerenz1@hfhs.org) is the director emeritus of the Center for Health Policy and Health Services Research, Henry Ford Health System, in Detroit, Michigan.
Abstract:
Risk adjustment of quality measures using clinical risk factors is widely accepted; risk adjustment using social risk factors remains controversial. We argue here that social risk adjustment is appropriate and necessary in defined circumstances and that social risk adjustment should be the default option when there are valid empirical arguments for and against adjustment for a given measure. Social risk adjustment is an important way to avoid exacerbating inequity in the health care system.
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