2019
DOI: 10.1001/amajethics.2019.273
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How Should Nonprofit Hospitals' Community Benefit Be More Responsive to Health Disparities?

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Cited by 18 publications
(10 citation statements)
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“…Rubin, Singh, and Young suggested that assessing outcomes such as community-level health measures would be a better approach than assessing inputs such as CHNAs or spending (111). Other authors have suggested that population health goals would benefit from clarifying the 'community building' category so that non-profit hospitals are better incentivized to invest in the social determinants of health (43,112).…”
Section: Policy Recommendationsmentioning
confidence: 99%
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“…Rubin, Singh, and Young suggested that assessing outcomes such as community-level health measures would be a better approach than assessing inputs such as CHNAs or spending (111). Other authors have suggested that population health goals would benefit from clarifying the 'community building' category so that non-profit hospitals are better incentivized to invest in the social determinants of health (43,112).…”
Section: Policy Recommendationsmentioning
confidence: 99%
“…In addition to population health, several articles recommended policies that facilitate better coordination of community benefit efforts. Some have noted that non-profit hospitals and local public health agencies could coordinate their efforts if their compliance activities, such as needs assessments, were better aligned (43,113). Rozier, Goold, and Singh, who offered better coordination with public health as one of four policy proposals, also suggested that health equity be made an explicit expectation of community benefit activities (43).…”
Section: Policy Recommendationsmentioning
confidence: 99%
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“…Given a hospital's expertise in clinical care, financial incentives, and the relative ease to measure investments in clinical services, it is understandable that hospitals lean heavily on spending on clinical categories of community benefit and maintaining their own profit margin. 40 However, as our findings suggest, this pattern of spending is not associated with improving county health outcomes, at least for the outcomes we have included in this analysis. Many state governments have begun to realize this and are revising their definitions of community benefit.…”
Section: Discussionmentioning
confidence: 70%
“…Finally, hospital accounting systems are designed to better track clinical spending, making it difficult to measure the impact of community health initiatives. 2 Though charity care is critical, especially in communities with high levels of medical debt, a broader perspective is needed. Clinical care is only one of many activities that influence community health and policy reforms such as the Affordable Care Act (ACA) have expanded access to health insurance, reducing the need for uncompensated care and creating a compelling (albeit unrealized) opportunity for hospitals to invest these gains back into the communities they serve.…”
mentioning
confidence: 99%