Validation of Administrative Measures of Social and Behavioral Risk in Veterans Affairs Medical Records
A growing body of research indicates that social and behavioral risk factors, such as social isolation and marginal housing, influence health outcomes.1 Unfortunately, obtaining such risk factors from administrative records remains a challenge.2 We assessed the fidelity of administrative coding of six social and behavioral risk factors (lives alone, marginal housing, alcohol and drug abuse, use of substance abuse services, and violence) through chart validation of hospitalized patients within the Veterans Health Administration (VA).
Key Wordssocial risk factors health policy veterans affairs
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- 1.NQF: Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors. http://www.qualityforum.org/Publications/2014/08/Risk_Adjustment_for_Socioeconomic_Status_or_Other_Sociodemographic_Factors.aspx. Accessed October 31, 2018.
- 3.Determinants of Health and Longevity | Agency for Healthcare Research & Quality. https://www.ahrq.gov/professionals/education/curriculum-tools/population-health/adler.html Published September 15, 2015. Accessed October 31, 2018.