Volume 224 - Issue 8

Unshrouding Social Determinants: A Case for Standardised Data in Australia's Health Information Ecosystem

Authors:  Christopher Ryan, Christine T. Shiner, Rebecca J. Harris, Carrie Lethborg, Vijaya Sundararajan

Correspondence: christopher.ryan3@svha.org.au

Med J Aust 2026 || doi: 10.5694/mja2.70259
Published online: 5 August 2026

Abstract

Australia's health information system captures clinical and administrative data with precision but overlooks social determinants of health (SDoH), such as housing and education. This deficiency limits predictive accuracy of clinical and economic models and perpetuates health inequities. Despite significant investment in digital health reforms, Australia's current strategies for data interoperability lack SDoH standards. Drawing on international benchmarks, Australia should pursue a national framework to integrate standardised SDoH measures into electronic health records. Collaborative adoption via a phased approach focused on data sovereignty, interoperability and ethical AI governance has the potential to transform Australia's healthcare into a more person-centred, equitable system.


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