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For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S
Hospitals serve as anchor institutions in many U.S. communities and make contributions to bolster population health and reduce preventable death. Most studies to date have focused on nonprofit hospitals, but there may be significant opportunity for for-profits to fill this role in both urban and rur...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058557/ https://www.ncbi.nlm.nih.gov/pubmed/33898208 http://dx.doi.org/10.1016/j.pmedr.2021.101372 |
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author | Cronin, Cory E. Franz, Berkeley Choyke, Kelly Rodriguez, Vanessa Gran, Brian K. |
author_facet | Cronin, Cory E. Franz, Berkeley Choyke, Kelly Rodriguez, Vanessa Gran, Brian K. |
author_sort | Cronin, Cory E. |
collection | PubMed |
description | Hospitals serve as anchor institutions in many U.S. communities and make contributions to bolster population health and reduce preventable death. Most studies to date have focused on nonprofit hospitals, but there may be significant opportunity for for-profits to fill this role in both urban and rural communities. Using 2017–2018 data, we calculated descriptive statistics and a multivariate regression model to assess economic and health characteristics for all U.S. counties that contain for-profit as compared to nonprofit or public hospitals (n = 4,622). After controlling for hospital and county characteristics, we found a significant and positive relationship between for-profit hospital presence and higher county unemployment, higher uninsured rates, and the number of residents reporting poor/fair health. For-profit hospitals were also less likely to be located in states that had expanded Medicaid or which had certificate-of-need laws. Our findings suggest that there is substantial opportunity for for-profit hospitals to serve as anchor institutions in many U.S. communities, despite this label more traditionally being applied to nonprofit hospitals. Given that there is not currently a regular reporting mechanism for documenting the community health contributions of for-profit hospitals, policymakers and researchers should evaluate the current state of these contributions and develop incentives to encourage more anchor activities to benefit economically vulnerable communities in the U.S. |
format | Online Article Text |
id | pubmed-8058557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
record_format | MEDLINE/PubMed |
spelling | pubmed-80585572021-04-23 For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S Cronin, Cory E. Franz, Berkeley Choyke, Kelly Rodriguez, Vanessa Gran, Brian K. Prev Med Rep Regular Article Hospitals serve as anchor institutions in many U.S. communities and make contributions to bolster population health and reduce preventable death. Most studies to date have focused on nonprofit hospitals, but there may be significant opportunity for for-profits to fill this role in both urban and rural communities. Using 2017–2018 data, we calculated descriptive statistics and a multivariate regression model to assess economic and health characteristics for all U.S. counties that contain for-profit as compared to nonprofit or public hospitals (n = 4,622). After controlling for hospital and county characteristics, we found a significant and positive relationship between for-profit hospital presence and higher county unemployment, higher uninsured rates, and the number of residents reporting poor/fair health. For-profit hospitals were also less likely to be located in states that had expanded Medicaid or which had certificate-of-need laws. Our findings suggest that there is substantial opportunity for for-profit hospitals to serve as anchor institutions in many U.S. communities, despite this label more traditionally being applied to nonprofit hospitals. Given that there is not currently a regular reporting mechanism for documenting the community health contributions of for-profit hospitals, policymakers and researchers should evaluate the current state of these contributions and develop incentives to encourage more anchor activities to benefit economically vulnerable communities in the U.S. 2021-04-03 /pmc/articles/PMC8058557/ /pubmed/33898208 http://dx.doi.org/10.1016/j.pmedr.2021.101372 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Regular Article Cronin, Cory E. Franz, Berkeley Choyke, Kelly Rodriguez, Vanessa Gran, Brian K. For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title | For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title_full | For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title_fullStr | For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title_full_unstemmed | For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title_short | For-profit hospitals have a unique opportunity to serve as anchor institutions in the U.S |
title_sort | for-profit hospitals have a unique opportunity to serve as anchor institutions in the u.s |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058557/ https://www.ncbi.nlm.nih.gov/pubmed/33898208 http://dx.doi.org/10.1016/j.pmedr.2021.101372 |
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