{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:15:44Z","timestamp":1776039344828,"version":"3.50.1"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Healthcare organizations are increasing social determinants of health (SDH) screening and documentation in the electronic health record (EHR). Physicians may use SDH data for medical decision-making and to provide referrals to social care resources. Physicians must be aware of these data to use them, however, and little is known about physicians\u2019 awareness of EHR-based SDH documentation or documentation capabilities. We therefore leveraged national physician survey data to measure level of awareness and variation by physician, practice, and EHR characteristics to inform practice- and policy-based efforts to drive medical-social care integration. We identify higher levels of social needs documentation awareness among physicians practicing in community health centers, those participating in payment models with social care initiatives, and those aware of other advanced EHR functionalities. Findings indicate that there are opportunities to improve physician education and training around new EHR-based SDH functionalities.<\/jats:p>","DOI":"10.1093\/jamia\/ocac154","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T14:22:20Z","timestamp":1662560540000},"page":"2110-2116","source":"Crossref","is-referenced-by-count":19,"title":["Physician awareness of social determinants of health documentation capability in the electronic health record"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9784-0521","authenticated-orcid":false,"given":"Bradley E","family":"Iott","sequence":"first","affiliation":[{"name":"Center for Clinical Informatics and Improvement Research, University of California, San Francisco (UCSF) , San Francisco, California, USA"},{"name":"Social Interventions Research and Evaluation Network, UCSF , San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew S","family":"Pantell","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, UCSF , San Francisco, California, USA"},{"name":"Center for Health and Community, UCSF , San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Adler-Milstein","sequence":"additional","affiliation":[{"name":"Center for Clinical Informatics and Improvement Research, University of California, San Francisco (UCSF) , San Francisco, California, USA"},{"name":"Department of Medicine, UCSF , San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura M","family":"Gottlieb","sequence":"additional","affiliation":[{"name":"Social Interventions Research and Evaluation Network, UCSF , San Francisco, California, USA"},{"name":"Center for Health and Community, UCSF , San Francisco, California, USA"},{"name":"Department of Family and Community Medicine, UCSF , San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"2022111607592945700_ocac154-B1","article-title":"Recent progress in the value journey: growth of ACOs and value-based payment models in 2018 | Health affairs","author":"Muhlestein","year":"2018","journal-title":"Heatlh Aff Blog"},{"issue":"6 Suppl 1","key":"2022111607592945700_ocac154-B2","doi-asserted-by":"crossref","first-page":"S47","DOI":"10.1016\/j.amepre.2019.07.018","article-title":"Improving social needs intervention research: key questions for advancing the field","volume":"57","author":"Fichtenberg","year":"2019","journal-title":"Am J Prev Med"},{"issue":"4","key":"2022111607592945700_ocac154-B3","first-page":"243","article-title":"Social determinants of health: what\u2019s a healthcare system to do?","volume":"64","author":"Gottlieb","year":"2019","journal-title":"J Healthc Manag"},{"issue":"20","key":"2022111607592945700_ocac154-B4","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1001\/jama.2012.14834","article-title":"Linking performance with payment: implementing the physician value-based payment modifier","volume":"308","author":"VanLare","year":"2012","journal-title":"Jama"},{"issue":"1","key":"2022111607592945700_ocac154-B5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s11606-016-3869-x","article-title":"The impact of disability and social determinants of health on condition-specific readmissions beyond medicare risk adjustments: a cohort study","volume":"32","author":"Meddings","year":"2017","journal-title":"J Gen Intern Med"},{"issue":"10","key":"2022111607592945700_ocac154-B6","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1001\/jamainternmed.2017.3317","article-title":"Social determinants of health in managed care payment formulas","volume":"177","author":"Ash","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2022111607592945700_ocac154-B7","author":"Healthcare Intelligence Network"},{"issue":"2","key":"2022111607592945700_ocac154-B8","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.amepre.2014.07.009","article-title":"Moving electronic medical records upstream: incorporating social determinants of health","volume":"48","author":"Gottlieb","year":"2015","journal-title":"Am J Prev Med"},{"issue":"8","key":"2022111607592945700_ocac154-B9","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1056\/NEJMp1413945","article-title":"Patients in context \u2013 EHR capture of social and behavioral determinants of health","volume":"372","author":"Adler","year":"2015","journal-title":"N Engl J Med"},{"key":"2022111607592945700_ocac154-B10","volume-title":"Capturing Social and Behavioral Domains in Electronic Health Records: Phase 1","author":"Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records; 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