Social Determinants of Health Documentation Among Individuals With Rheumatic and Musculoskeletal Conditions in an Integrated Care Management Program
Authors' conclusion
Nearly half of this sample of complex care management patients with rheumatic/musculoskeletal conditions had SDoH documented within EHR notes; financial insecurity was the most prevalent.
Study context
- Population
- Individuals with ≥1 ICD-9/10 code for a rheumatic/musculoskeletal condition enrolled in a multihospital integrated care management program for medically and/or psychosocially complex individuals
- Participants
- 558 individuals
- Outcome
- Prevalence and documentation of SDoH-related needs (financial needs, food insecurity, housing instability, transportation, medication access) in electronic health records (EHRs)
Methodological detailsrandom selection, multihospital, EHR note review, multivariable logistic regression
- Random selection
- Multihospital
- EHR note review
- Multivariable logistic regression
Main finding
As reported in the abstract
≥1 SDoH need documented in EHR notes
- ≥1 social determinants of health (SDoH) need documented in EHR notes
- 249 (45%)
- Financial insecurity
- 171 (31%)
- Transportation needs
- 105 (19%)
- Food insecurity
- 94 (17%)
- ≥1 related Z code
- 5%
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Odds of ≥1 SDoH need by demographic factors (multivariable model)Blackvs White | 2.45 (1.17–5.11) | |
| 0.20.5125Odds ratio (log scale) |
Odds of ≥1 SDoH need by demographic factors (multivariable model)
- Significantly higher odds for Medicaid or Medicare beneficiaries vs commercially insured
Original publication
Social Determinants of Health Documentation Among Individuals With Rheumatic and Musculoskeletal Conditions in an Integrated Care Management Program. Arthritis Care Res (Hoboken). Published 7 August 2023. doi:10.
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