Peer-Reviewed Publication
J Am Med Dir Assoc2025;26(5):105524.May 1, 2025Journal Article

Using Machine Learning to Identify Social Determinants of Health that Impact Discharge Disposition for Hospitalized Patients.

He Ren1, Chun Wang1, David J Weiss2, Kathryn Bowles3, Gongjun Xu4, Tamra Keeney5, Andrea L Cheville6
1School of Psychology, University of Washington, Seattle, WA, USA.
2Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
3Department of Biobehavioral Health Sciences, University of Pennsylvania, Philadelphia, PA, USA.
4Department of Statistics, University of Michigan, Ann Arbor, MI, USA.
5Mongan Institute, Mass General Research Institute, Harvard Medical School, Boston, MA, USA.
6Department of Physical Medicine and Rehabiltiation, Mayo Clinic School of Medicine, MN, USA. Electronic address: Cheville.andrea@mayo.edu.

Abstract

OBJECTIVE: To identify self-reported social determinants of health (SDOH) among hospitalized patients that predict discharge to a skilled nursing facility (SNF). DESIGN: A retrospective cohort analysis of 134,807 hospitalized patients from electronic medical records. SETTING AND PARTICIPANTS: All patients admitted to hospitals within a large multistate tertiary health system. METHODS: The prima…

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