Adjusting quality measures for social risk factors can promote equity in health care

David R. Nerenz, J. Matthew Austin, Daniel Deutscher, Karen E.Joynt Maddox, Eugene J. Nuccio, Christie Teigland, Eric Weinhandl, Laurent G. Glance

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Risk adjustment of quality measures using clinical risk factors is widely accepted; risk adjustment using social risk factors remains controversial. We argue here that social risk adjustment is appropriate and necessary in defined circumstances and that social risk adjustment should be the default option when there are valid empirical arguments for and against adjustment for a given measure. Social risk adjustment is an important way to avoid exacerbating inequity in the health care system.

Original languageEnglish
Pages (from-to)637-644
Number of pages8
JournalHealth Affairs
Volume40
Issue number4
DOIs
StatePublished - Apr 2021

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