From Health Affairs Today <[email protected]>
Subject Area Deprivation Index Limitations
Date May 10, 2023 8:05 PM
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Neighborhood Atlas ADI For Measuring Socioeconomic Status: An
Overemphasis On Home Value
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Wednesday, May 10, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Health Affairs Scholar is now accepting submissions. Visit the Health
Affairs Scholar
<[link removed]>
site to find detailed information about the new journal's scope and
purpose, its open access model, and author guidelines.

Area Deprivation Index Limitations

The Area Deprivation Index (ADI) measures socioeconomic disadvantage by
capturing social risk factors that are not available in typical clinical
registries but affect health outcomes.

The Neighborhood Atlas web portal makes the ADI available to researchers
and policy makers in a readily accessible and usable format.

In their new Health Affairs paper, Edward Hannan and coauthors find that
Neighborhood Atlas-computed ADI scores
<[link removed]>
for New York block groups overweight median home value, potentially
harming already disadvantaged communities.

"This can be especially problematic when considering quality assessment,
funding, and resource allocation in regions with large variations in
cost of living, and it may result in underresourcing for disadvantaged
communities with high housing prices," the authors explain.

These issues "have significant implications but are not fatal flaws,"
write Hannan and coauthors. "Standardization could be remedied easily by
conversion of all variables to standard normal before computing the ADI
block group indices."

In their Perspective on Hannan and coauthors' article, David Rehkopf
and Robert Phillips recommend revising the Neighborhood Atlas ADI
<[link removed]>
to standardize variable units. They also outline five steps to avoid
future errors in the creation of area deprivation measures.

Read More
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Share This Post!

Tell your network about this important work

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Elsewhere At Health Affairs

Today in Forefront, Ezekiel Emanuel continues a series
<[link removed]>
exploring megatrends in US health care and identifies trends related to
system reconfiguration
<[link removed]>,
including hospital concentration and increased automation.

Jeremy Cantor and coauthors discuss the new policies implemented by
multiple states
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requiring Medicaid managed care plans to reinvest a percentage of
revenue or profit back into the communities they serve.

Read more on Forefront
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and learn more about how you can contribute
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to the publication.

 

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Daily Digest

The Neighborhood Atlas Area Deprivation Index For Measuring
Socioeconomic Status: An Overemphasis On Home Value
<[link removed]>

Edward L. Hannan et al.

Nine Health Care Megatrends, Part 2: System Reconfiguration
<[link removed]>

Ezekiel J. Emanuel

Medicaid Reinvestment Requirements Can Improve Community Health And
Equity
<[link removed]>

Jeremy Cantor et al.

The Neighborhood Atlas Area Deprivation Index And Recommendations For
Area-Based Deprivation Measures
<[link removed]>

David H. Rehkopf and Robert L. Phillips Jr.

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Health Affairs is launching a contest! The premise is simple. Finish the
statement "You're A Health Policy Wonk If..."

We'll share some of the submissions on Forefront in July, and the
first-place winner of the contest will receive a Health Affairs tumbler
and a free Unlimited membership
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for a year. Submit by May 31
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About Health Affairs

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is available in print and online. Late-breaking content is also found
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