{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:25:14Z","timestamp":1781270714228,"version":"3.54.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>National attention has focused on increasing clinicians\u2019 responsiveness to the social determinants of health, for example, food security. A key step toward designing responsive interventions includes ensuring that information about patients\u2019 social circumstances is captured in the electronic health record (EHR). While prior work has assessed levels of EHR \u201csocial risk\u201d documentation, the extent to which documentation represents the true prevalence of social risk is unknown. While no gold standard exists to definitively characterize social risks in clinical populations, here we used the best available proxy: social risks reported by patient survey.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We compared survey results to respondents\u2019 EHR social risk documentation (clinical free-text notes and International Statistical Classification of Diseases and Related Health Problems [ICD-10] codes).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Surveys indicated much higher rates of social risk (8.2%-40.9%) than found in structured (0%-2.0%) or unstructured (0%-0.2%) documentation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Ideally, new care standards that include incentives to screen for social risk will increase the use of documentation tools and clinical teams\u2019 awareness of and interventions related to social adversity, while balancing potential screening and documentation burden on clinicians and patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>EHR documentation of social risk factors currently underestimates their prevalence.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocad261","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:22:25Z","timestamp":1705105345000},"page":"714-719","source":"Crossref","is-referenced-by-count":10,"title":["Structured and unstructured social risk factor documentation in the electronic health record underestimates patients\u2019 self-reported risks"],"prefix":"10.1093","volume":"31","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 , San Francisco, CA, United States"},{"name":"Social Interventions Research and Evaluation Network, University of California, San Francisco , San Francisco, CA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Rivas","sequence":"additional","affiliation":[{"name":"Social Interventions Research and Evaluation Network, University of California, San Francisco , San Francisco, CA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M","family":"Gottlieb","sequence":"additional","affiliation":[{"name":"Social Interventions Research and Evaluation Network, University of California, San Francisco , San Francisco, CA, United States"},{"name":"Center for Health and Community, University of California, San Francisco , San Francisco, CA, United States"},{"name":"Department of Family and Community Medicine, University of California, San Francisco , San Francisco, CA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Adler-Milstein","sequence":"additional","affiliation":[{"name":"Center for Clinical Informatics and Improvement Research, University of California, San Francisco , San Francisco, CA, United States"},{"name":"Department of Medicine, University of California, San Francisco , San Francisco, CA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S","family":"Pantell","sequence":"additional","affiliation":[{"name":"Center for Health and Community, University of California, San Francisco , San Francisco, CA, United States"},{"name":"Department of Pediatrics, University of California, San Francisco , San Francisco, CA, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"2024021710225884800_ocad261-B1","volume-title":"Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation\u2019s Health","author":"National Academies of Sciences, Medicine","year":"2020"},{"issue":"2","key":"2024021710225884800_ocad261-B2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1370\/afm.2774","article-title":"Social risk factors and desire for assistance among patients receiving subsidized health care insurance in a US-based integrated delivery system","volume":"20","author":"Tuzzio","year":"2022","journal-title":"Ann Fam Med"},{"issue":"1","key":"2024021710225884800_ocad261-B3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.annemergmed.2022.07.027","article-title":"Social risk factor documentation in emergency 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