Publicness, Organizational Strategies, and Public Value Outcomes: An Empirical Analysis of U.S Acute Care Hospitals

Puro, Neeraj; Min, Naon; Kelly, Reena Joseph

doi:10.1080/14719037.2023.2222140

Cited by 2 publications

(2 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, we investigated whether hospital characteristics under three forms of public value institutions, regulative, normative, and cultural‐cognitive and county characteristics in the form of social capital, were associated with collaborative hospital‐community partnerships to improve population health. This is one of the few studies that advance the hospital literature by using the publicness framework to explore the role of public value institutions on public value outcomes 17,32 . Our results indicate that our hypotheses were generally supported.…”

Section: Discussionsupporting

confidence: 57%

“…This multidimensional publicness perspective has been used to study organizational operations, 23,24 managerial practices, 25–27 individual outcomes, 28 and service provision 29,30 . A few studies have explored multidimensional publicness and public value outcomes, such as university faculty outcomes in teaching, services, and research or benefits for the community by hospitals 17,31,32 . In all these studies, publicness is defined as the extent to which organizations express attachment to public values or provide for public values 13 .…”

Section: Theory and Hypothesesmentioning

confidence: 99%

See 1 more Smart Citation

Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships

Puro,

Cronin,

Franz

et al. 2023

Health Services Research

Self Cite

View full text Add to dashboard Cite

ObjectiveThe aim was to identify hospital and county characteristics associated with variation in breadth and depth of hospital partnerships with a broad range of organizations to improve population health.Data SourcesThe American Hospital Association Annual Survey provided data on hospital partnerships to improve population health for the years 2017–2019.DesignThe study adopts the dimensional publicness theory and social capital framework to examine hospital and county characteristics that facilitate hospital population health partnerships. The two dependent variables were number of local community organizations that hospitals partner with (breadth) and level of engagement with the partners (depth) to improve population health.The independent variables include three dimensions of publicness: Regulative, Normative and Cultural‐cognitive measured by various hospital factors and presence of social capital present at county level. Covariates in the multivariate analysis included hospital factors such as bed‐size and system membership.MethodsWe used hierarchical linear regression models to assess various hospital and county factors associated with breadth and depth of hospital‐community partnerships, adjusting for covariates.Principal FindingsNonprofit and public hospitals provided a greater breadth (coefficient, 1.61; SE, 0.11; p < 0.001 and coefficient, 0.95; SE, 0.14; p < 0.001) and depth (coefficient, 0.26, SE, 0.04; p < 0.001 & coefficient, 0.13; SE, 0.05; p < 0.05) of partnerships than their for‐profit counterparts, partially supporting regulative dimension of publicness. At a county level, we found community social capital positively associated with breadth of partnerships (coefficient, 0.13; SE, 0.08; p < 0.001).ConclusionsAn environment that promotes collaboration between hospitals and organizations to improve population health may impact the health of the community by identifying health needs of the community, targeting social determinants of health, or by addressing patient social needs. However, findings suggest that publicness dimensions at an organizational level, which involves a culture of public value, maybe more important than county factors to achieve community building through partnerships.

show abstract

Section: Discussionsupporting

confidence: 57%

Section: Theory and Hypothesesmentioning

confidence: 99%

Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships

Puro,

Cronin,

Franz

et al. 2023

Health Services Research

Self Cite

View full text Add to dashboard Cite

show abstract

Advanced practice nurse case managers improve efforts by US hospitals to address patient social needs

Feyereisen,

Puro

2023

Journal of Advanced Nursing

Self Cite

View full text Add to dashboard Cite

AimsUS hospitals are focussing more than ever on meeting important patient social needs. Patients often make multiple trips to hospitals related to nonmedical issues that could likely be averted through the increased integration of case management strategies. Although the percentage of hospitals using advanced practice nurses (APNs) in this role is still relatively low, we explore the idea that employing APN case managers improves hospitals' abilities to alleviate hospital overusage.DesignThe study used a cross‐sectional design.MethodsWe used the 2021 American Hospital Association data set, which includes 5855 hospitals, of which 4315 were general medical hospitals.ResultsUsing descriptive statistics and Poisson regression, we discovered that employing APN case managers in US acute care hospitals is associated with an increased likelihood that hospitals will implement strategies addressing patient social needs.ConclusionsWhen hospitals screen patients for social needs and formulate and implement internal and external strategies designed to meet patient social needs, many stakeholders stand to benefit. Should more hospitals observe such benefits when utilizing an APN case manager model, it will likely proliferate, and demand for APNs could accelerate further.ImpactFollowing the reduction in unnecessary patient visits and readmissions, hospitals' scarce resources are freed up to offer timely care to patients that are truly medically in need. Furthermore, financial performance improves under this scenario. APNs play a critical role in enabling hospitals to realize such benefits.Patient or Public ContributionNo patient or public contribution. We used archival data in this study.

show abstract

Publicness, Organizational Strategies, and Public Value Outcomes: An Empirical Analysis of U.S Acute Care Hospitals

Cited by 2 publications

References 68 publications

Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships

Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships

Advanced practice nurse case managers improve efforts by US hospitals to address patient social needs

Contact Info

Product

Resources

About