Journal article
Social Determinant of Health Documentation Trends and Their Association with Emergency Department Admissions
AMIA ... Annual Symposium proceedings, Vol.2020, pp.823-832
2020
PMCID: PMC8075477
PMID: 33936457
Abstract
Research has shown that health outcomes are significantly driven by patient's social and economic needs and environment, commonly referred to as the social determinants of health (SDoH). Standardized documentation of social and economic needs in healthcare are underutilized. This study examines the prevalence of documented social and economic needs (Z-codes) in a nationwide inpatient database and the association with emergency department (ED) admissions. Multivariate logistic regression was used to assess the effect of social and economic Z-codes on hospital admission through the ED. Payer source, gender, age at admission, comorbidity count, and median ZIP code income quartile covariates were included in the logistic regression analyses. Patients with documented social and economic Z-codes were significantly more likely to be admitted through the ED than those without documented social and economic needs, after adjusting for covariates. Standardized and widespread collection of these valuable Z-codes within EHR systems or administrative claims databases can help with targeted resource allocation to alleviate possible barriers to care and mitigate ED utilization.
Details
- Title: Subtitle
- Social Determinant of Health Documentation Trends and Their Association with Emergency Department Admissions
- Creators
- Leigh A McCormack - University of Tennessee at KnoxvilleCharisse Madlock-Brown - University of Tennessee at Knoxville
- Resource Type
- Journal article
- Publication Details
- AMIA ... Annual Symposium proceedings, Vol.2020, pp.823-832
- PMID
- 33936457
- PMCID
- PMC8075477
- ISSN
- 1942-597X
- eISSN
- 1942-597X
- Language
- English
- Date published
- 2020
- Academic Unit
- Nursing
- Record Identifier
- 9984446740202771
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