The Magnitude of a Community’s Health Needs and Nonprofit Hospitals’ Progress in Meeting Those Needs: Are We Faced With a Paradox?

Singh, Sukhpal; Cramer, Geri Rosen; Young, Gary J.

doi:10.1177/0033354917739581

Cited by 17 publications

(18 citation statements)

References 13 publications

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“…Another did not investigate vulnerable populations but the most vulnerable communities. Singh, Cramer, and Young found that hospitals in communities with the lowest health needs based on County Health Rankings were more likely to have completed CHNA activities than hospitals in communities with the greatest health needs (59). For those interested in community benefit as a mechanism for addressing inequity, this data point could be concerning.…”

Section: Community Assessment: Processmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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Section: Community Assessment: Processmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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“…Research shows that social capital—the networks and shared values that reflect community level trust needed to pursue shared objectives—is key to understanding and shaping change efforts ( Putnam, 1995 , 2002 ). Although engaging hospitals to participate in broader public health networks is critical, there is still considerable variation in the number of hospitals who are partnering with public health and community organizations and in the types of relationships developed to improve health outcomes and reduce health disparities ( Hogg & Varda, 2016 ; Singh, Cramer, & Young, 2018 ). This paper examines hospitals’ decisions to partner with public health and other community organizations using the theoretical framework of social capital.…”

Section: Introductionmentioning

confidence: 99%

Population health partnerships and social capital: Facilitating hospital-community partnerships

Cronin

Franz

Garlington

2021

SSM - Population Health

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Social capital refers to the social norms and networks that build trust and enable individuals to pursue shared objectives; it can vary considerably between communities and across time. Considerable evidence suggests that the presence of social capital at the local or state level is associated with improved individual health and lower community-level mortality, chronic illness, and diseases of despair such as substance abuse. Social capital may influence health outcomes because community-engaged institutions are more common in communities with strong social bonds and cross-sector partnerships are more easily leveraged. This study examines the impact of social capital on the effectiveness of health care organizations, specifically hospitals, in establishing population health partnerships which are critical for addressing health disparities and reducing preventable deaths. In a national sample of hospitals, we find that in communities with high social capital, hospitals are more likely to hold partnerships with public health and social service agencies. Social capital within communities may create the conditions in which hospitals are able to easily identify possible partnerships and engage in collaborative efforts to improve population health.

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“…This study excludes public hospitals because they usually reside inherently in a different context from their counterparts [42]. Many public hospitals primarily serve special groups, such as Native Americans, military personnel, and veterans, not the general public.…”

Section: Sample and Data Sourcesmentioning

confidence: 99%

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

Han

Lee

2021

Healthcare

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In the wake of growing attempts to assess the validity of public reporting, much research has examined the effectiveness of public reporting regarding cost or quality of care. However, relatively little is known about whether transparency through public reporting significantly influences hospital efficiency despite its emerging expectations for providing value-based care. This study aims to identify the dynamics that transparency brought to the healthcare market regarding hospital technical efficiency, taking the role of competition into account. We compare the two public reporting schemes, All-Payer Claims Database (APCD) and Hospital Compare. Employing Data Envelopment Analysis (DEA) and a cross-sectional time-series Tobit regression analysis, we found that APCD is negatively associated with hospital technical efficiency, while hospitals facing less competition responded significantly to increasingly transparent information by enhancing their efficiency relative to hospitals in more competitive markets. We recommend that policymakers take market mechanisms into consideration jointly with the introduction of public reporting schemes in order to produce the best outcomes in healthcare.

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The Magnitude of a Community’s Health Needs and Nonprofit Hospitals’ Progress in Meeting Those Needs: Are We Faced With a Paradox?

Abstract: Hospitals serving communities with the greatest health needs face high demand for free and reduced-cost care, which may limit their ability to invest more of their community benefit dollars in initiatives aimed at improving the health of the community.

Cited by 17 publications

References 13 publications

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Population health partnerships and social capital: Facilitating hospital-community partnerships

The Impact of Public Reporting Schemes and Market Competition on Hospital Efficiency

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