评估EHR中的冗余性和偏差 卫生数据查的社会决定因素
medRxiv : the preprint server for health sciences
|February 27, 2026
概括
医疗机构现在可以评估健康的社会决定因素 (SDOH) 查问题冗余和人口偏差. 这有助于简化工作流程并提高数据准确性,以改善患者护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 临床信息学 临床信息学
背景情况:
- 医疗机构越来越多地选健康的社会决定因素 (SDOH),因为它们对患者的结果的影响.
- 评估SDOH查工具的有效性和公平性对于优化护理提供至关重要.
研究的目的:
- 开发和介绍评估SDOH问题中的风险信息冗余性的方法.
- 在SDOH查问题上的管理和患者反应中识别人口偏差.
主要方法:
- 分析了UNC健康的180万名患者的SDOH查数据.
- 评估SDOH问题之间的响应协议,以确定信息冗余.
- 应用物流回归模型来检测人口偏差的问题问和拒绝回答.
主要成果:
- 在与粮食和金融不安全有关的问题之间发现了显著的冗余性.
- 某些人口群体,包括女性和白人患者,更有可能被问到特定的SDOH问题.
- 美国印第安人或阿拉斯加土著和西班牙裔或拉丁裔患者显示,拒绝回答问题的可能性较低.
结论:
- 该研究为医疗机构提供了评估其SDOH查协议的实用方法.
- 获得的洞察力可以通过消除冗余的问题来减少临床工作流的负担.
- 系统查协议可以减轻SDOH数据收集中的偏见,从而实现更公平的护理.
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