Objectives: To assess the strategies that nonprofit hospitals are adopting to address opioid abuse after requirements for community engagement expanded in the Affordable Care Act. Methods: We constructed a dataset of implementation activities for a 20% random sample of nonprofit hospitals in the United States. Using logistic regression, we assessed the extent to which strategies adopted are new, existing, or primarily partnerships. Using negative binomial regression, we assessed the total number of strategies adopted. We controlled for hospital and community characteristics as well as state policies related to opioid abuse. Results: Most strategies adopted by hospitals were new and clinical in nature and the most common number of strategies adopted was one. Hospitals in the Northeast were more likely to adopt a higher number of strategies and to partner with community-based organizations. Hospitals that partner with community-based organizations were more likely to adopt strategies that engage in harm reduction, targeted risk education, or focus on addressing social determinants of health. Conclusions: Community, institutional, and state policy characteristics predict hospital involvement in addressing opioid abuse. These findings underscore several opportunities to support hospital-led interventions to address opioid abuse.
From the environmental and economic points of view, substitute fuel production has become one of the biggest concerns over the past decades. This work presents two photocatalytic nanocomposites, which can be utilized to generate hydrogen, an alternative fuel source. Fe2O3 and Fe3O4 were supported on carbon nitride nanotubes (C3N4 NTs) via the impregnation method for hydrogen generation under visible-light irradiation. The photocatalytic activity of C3N4 NTs, Fe2O3/C3N4 NTs, and Fe3O4/C3N4 NTs for hydrogen generation was evaluated at various percentages of loaded Fe2O3 and Fe3O4. Fe3O4/C3N4 NTs with 3% mass content of Fe3O4 has been shown to yield the highest photocatalytic performance, 1.9-fold that of the bare C3N4 NTs, and also showed exceptional stability with almost no change after three runs. The improved activity of Fe3O4/C3N4 NTs compared to that of Fe2O3/C3N4 NTs could be credited to the higher usage of visible-light radiation and efficient electron–hole pair separation, which is supported by comprehensive characterization results, leading to a lower recombination rate. The possible mechanism of the composite was also elucidated.
Cross-sector collaboration is critical to improving population health, but data on partnership activities by children’s hospitals are limited, and there is a need to identify service delivery gaps for families. The aim of this study is to use public community benefit reports for all children’s hospitals in the United States to assess the extent to which children’s hospitals partner with external organizations to address five key health needs: health care access, chronic disease, social needs, mental health, and substance abuse. Strategies that involved partnering with community organizations were most common in addressing social needs and substance abuse. When adjusted for institutional and community characteristics hospitals in a multilevel regression model, hospitals had higher odds of partnering to address chronic illness and social needs. To encourage hospital engagement with complex social and behavioral health needs and promote health equity, support should be provided to help hospitals establish local population health networks.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.