{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:40:01Z","timestamp":1746837601784,"version":"3.40.5"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":250,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Yearb Med Inform"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>\n          Introduction: Precision and personalised medicine requires comprehensive genetic, epigenetic, lifestyle, social, community and environmental knowledge of the patient. This approach highlights the importance of the social determinants of health (SDoH), described by the World Health Organization (WHO) as \u2018the non-medical factors that influence health outcomes, the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life such as economic policies and systems, development agendas, social norms, social policies and political systems\u2019.<\/jats:p><jats:p>\n          Methods: This study examined if countries collect SDoH indicators and, if they do, the quality of the data and whether they are fit for clinical and population health purposes. The sources of data were EHR networks and, where not available, national data collections.<\/jats:p><jats:p>\n          Results: While demographic details (age, gender) and rurality were well documented in most countries, we found that data availability and quality for education, occupation, income, socio-economic status, and residential care varied considerably between countries. Data for smoking, obesity, alcohol use, mental health, and substance use were generally poorly recorded.<\/jats:p><jats:p>\n          Conclusion: Recommendations include a universal set of indicators and taxonomy for SDoH; common data model and metadata standards for national and global harmonisation and monitoring; benchmarks for data quality and fitness-for-purpose; capacity building at national and subnational levels in data collection, data analysis, communication and dissemination of results; ethical and transparent data stewardship; and governance, leadership and diplomacy across multiple sectors to co-create an enabling policy and regulatory environment.<\/jats:p>","DOI":"10.1055\/s-0044-1800716","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T22:30:51Z","timestamp":1744151451000},"page":"032-044","source":"Crossref","is-referenced-by-count":0,"title":["Primary Care EHR data on Social Determinants of Health: Quality and Fitness for Purpose in Precision\/Personalised Medicine"],"prefix":"10.1055","volume":"33","author":[{"given":"Anthony Paulo","family":"Sunjaya","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, UNSW Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myron Anthony","family":"Godinho","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitendra","family":"Jonnagaddala","sequence":"additional","affiliation":[{"name":"School of Population Health, UNSW Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Kuziemsky","sequence":"additional","affiliation":[{"name":"MacEwan University, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Tu","sequence":"additional","affiliation":[{"name":"University of Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafiqul","family":"Islam","sequence":"additional","affiliation":[{"name":"Kyushu University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasuku","family":"Okui","sequence":"additional","affiliation":[{"name":"Kyushu University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Kyushu University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Silva-Valencia","sequence":"additional","affiliation":[{"name":"Telehealth Unit Department, National University of San Marcos, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Rojas-Mezarina","sequence":"additional","affiliation":[{"name":"Telehealth Unit Department, National University of San Marcos, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvin","family":"Marcelo","sequence":"additional","affiliation":[{"name":"University of the Philippines, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina Wong Kay","family":"Wye","sequence":"additional","affiliation":[{"name":"Clinical Research Unit, Nanyang Technological University, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien-Yeh","family":"Hsu","sequence":"additional","affiliation":[{"name":"Taipei Medical University, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uy","family":"Hoang","sequence":"additional","affiliation":[{"name":"Department of Primary Care Health Sciences, University of Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Westfall","sequence":"additional","affiliation":[{"name":"University of Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"de Lusignan","sequence":"additional","affiliation":[{"name":"Department of Primary Care Health Sciences, University of Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siaw-Teng","family":"Liaw","sequence":"additional","affiliation":[{"name":"School of Population Health, UNSW Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,8]]},"container-title":["Yearbook of Medical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1800716.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T23:59:57Z","timestamp":1746835197000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1800716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,4,8]]},"published-print":{"date-parts":[[2024,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1800716","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0943-4747","2364-0502"],"issn-type":[{"type":"print","value":"0943-4747"},{"type":"electronic","value":"2364-0502"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}