RT Journal Article
T1 Analysis of the impact of social determinants and primary care morbidity on population health outcomes by combining big data: A research protocol
A1 Couso Viana, Sabela
A1 Bentué Martínez, Carmen
A1 Delgado Martín, María Victoria
A1 Cabeza Irigoyen, Elena
A1 León Latre, Montserrat
A1 Concheiro Guisán, Ana
A1 Rodríguez Álvarez, María Xosé
A1 Román Rodríguez, Miguel
A1 Roca Pardiñas, Javier
A1 Zúñiga Antón, María
A1 García Flaquer, Ana
A1 Pau Pericàs-Pulido, 
A1 Sánchez Recio, Raquel
A1 Gonzalez Álvarez, Beatriz
A1 Rodríguez Pastoriza, Sara
A1 Gómez Gómez, Irene
A1 Emma Motrico, Sara
A1 Jiménez Murillo, José Luís
A1 Rabanaque, Isabel
A1 Clavería, Ana
AB Background: In recent years, different tools have been developed to facilitate analysis of social determinants of health (SDH) and apply this to health policy. The possibility of generating predictive models of health outcomes which combine a wide range of socioeconomic indicators with health problems is an approach that is receiving increasing attention. Our objectives are twofold: (1) to predict population health outcomes measured as hospital morbidity, taking primary care (PC) morbidity adjusted for SDH as predictors; and (2) to analyze the geographic variability of the impact of SDH-adjusted PC morbidity on hospital morbidity, by combining data sourced from electronic health records and selected operations of the National Statistics Institute (Instituto Nacional de Estadística/INE). Methods: The following will be conducted: a qualitative study to select socio-health indicators using RAND methodology in accordance with SDH frameworks, based on indicators published by the INE in selected operations; and a quantitative study combining two large databases drawn from different Spain’s Autonomous Regions (ARs) to enable hospital morbidity to be ascertained, i.e., PC electronic health records and the minimum basic data set (MBDS) for hospital discharges. These will be linked to socioeconomic indicators, previously selected by geographic unit. The outcome variable will be hospital morbidity, and the independent variables will be age, sex, PC morbidity, geographic unit, and socioeconomic indicators. Analysis: To achieve the first objective, predictive models will be used, with a test-and-training technique, fitting multiple logistic regression models. In the analysis of geographic variability, penalized mixed models will be used, with geographic units considered as random effects and independent predictors as fixed effects. Discussion: This study seeks to show the relationship between SDH and population health, and the geographic differences determined by such determinants. The main limitations are posed by the collection of data for healthcare as opposed to research purposes, and the time lag between collection and publication of data, sampling errors and missing data in registries and surveys. The main strength lies in the project’s multidisciplinary nature (family medicine, pediatrics, public health, nursing, psychology, engineering, geography).
PB Frontiers
SN 10.3389/fmed.2022.1012437
YR 2022
FD 2022-12-16
LK https://hdl.handle.net/10347/39223
UL https://hdl.handle.net/10347/39223
LA eng
NO Sec. Family Medicine and Primary Care Volume 9 - 2022 | https://doi.org/10.3389/fmed.2022.1012437
DS Minerva
RD 29 abr 2026