居住史、电子病历和临床医学：肺移植队列的描述性研究。

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place Pub Date : 2024-06-28 DOI:10.1016/j.healthplace.2024.103306

Wayne M. Tsuang , Jacqueline Curtis

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引用次数: 0

摘要

邻里层面的健康社会决定因素通常使用患者最近的居住地进行测量。如果不考虑居住历史，从而遗漏先前社会脆弱性所累积的压力因素，可能会增加分类偏差。我们测试了这样一个假设，即电子健康记录可以记录肺移植患者--一个弱势群体--的居住史。将社会脆弱性指数（SVI）应用于个人居住史后，只有 15.4% 的患者（58/374）的最近 SVI 与第一次 SVI 相同。有必要建立包含居住历史的数据库，以便为基于地点的健康决定因素提供信息，并将其应用于患者护理。

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Residential history, the electronic health record, and clinical medicine: A descriptive study in a lung transplant cohort

Neighborhood level social determinants of health are commonly measured using a patient's most recent residential location. Not accounting for residential history, and therefore missing accumulated stressors from prior social vulnerabilities, could increase misclassification bias. We tested the hypothesis that the electronic health record could capture the residential history of lung transplant patients –a vulnerable population. After applying the Social Vulnerability Index (SVI) to individual residential histories, the most recent SVI equaled the first SVI in only 15.4% (58/374) of patients. There is a need for databases with residential histories to inform place-based determinants of health and applications to patient care.

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