Standardizing Social Determinants of Health
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Standardizing Social Determinants of Health

Would it be helpful if a standardized set of SDH data were recognized, and if so, how could that data be determined as standard? Is the recognition of a standard set of data points for SDH dependent on the population being screened?

There are at least two critical issue that must be addressed before SDH standards can be determined:

  1. Decide on the domains to include. Not only is there disagreement in the number of domains an SDH assessment tool should have, but there’s even a reason to change the terms to “social and behavioral determinants of health (SBDH)” as the Institute of Medicine recommended bit.ly/1iwMKAK.
  2. Decide on the precise wording and response scale for each data element (question-response set) that is used to measure each domain.

I suggest that these decisions be based on sound research tasked with determining the most valid, reliable, and useful assessment items/measures.

Validity and reliability should be determined by evaluating an assessment tool’s ability to accurately and dependably measure the key SDH/SBDH factors that influence a population and an individual. This may require somewhat different versions of a tool based on a person’s age, gender, culture, etc.

Usefulness, otoh, refers to a tool’s ability, e.g., to support decisions about clinical care and referrals, as well as provide insights regarding the effect of SDH/SBDH on a person’s wellness, well-being, and quality of life outcomes. bit.ly/2NYJe6i

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