nach oben

Journal of Community Health

Erschienen in:

11.11.2017 | Original Paper

“Top Performing” US Hospitals and the Health Status of Counties they Serve

verfasst von: Amber M. Maraccini, Wei Yang, Anthony D. Slonim

Erschienen in: Journal of Community Health | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

This study (a) examined the relationships between “top performing” US hospitals and the health status of counties they serve and (b) compared the health status of “top performing” US hospital counties versus that of remaining US counties. Statistical analyses considered US News and World Report Honor Roll ranking data, as a measure of hospital performance, and County Health Rankings (CHR) data, as a measure of county health status. “Top performing” hospital Honor Roll scores were correlated with measures of Clinical Care (p < 0.001). Counties with “top performing” US hospitals presented greater health status with regard to All Health Outcomes (p < 0.001), Length of Life (p < 0.001), Quality of Life (p < 0.001), All Health Factors (p < 0.001), Health Behaviors (p < 0.001), and Clinical Care (p < 0.001), than compared to remaining US counties. Hospital impact on county health status remains primarily recognized in clinical care and not in overall health. Also, counties that contain a “top performing” US hospital tend to present lower health risks to their citizens than compared to other US counties.

Medical Dictionary for the Health Professions and Nursing. (2017). “Health status.” Retrieved May 4, 2017 from http://medical-dictionary.thefreedictionary.com/health+status.

Healthy People 2020. General health status. Retrieved from: https://www.healthypeople.gov/2020/about/foundation-health-measures/General-Health-Status. Accessed 4 May 2017.

Healthy People 2020. Social determinants of health. Retrieved from: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health. Accessed 4 May 2017.

WHO, Commission on social determinants of health. (2008). Closing the gap in a generation: health equity through action on the social determinants of health. Retrieved November 6–7, 2008 from http://www.who.int/social_determinants/en.

Adler, N. E., Glymour, M. M., & Fielding, J. (2016). Addressing the social determinants of health and health inequalities. The Journal of the American Medical Association, 316(16), 1641–1642. https://doi.org/10.1001/jama.2016.14058.CrossRefPubMed

Koh, H. (2016). Improving health and health care in the United States toward a state of complete well-being. The Journal of the American Medical Association, 316(16), 1679–1681. https://doi.org/10.1001/jama.2016.12414.CrossRefPubMed

Goldman, L. R., Kumanyika, S. K., & Shah, N. R. (2016). Putting the health of communities and populations first. The Journal of the American Medical Association. https://doi.org/10.1001/jama.2016.14800.

Schroeder, S. A. (2007). We can do better — improving the health of the American people. New England Journal of Medicine, 357, 1221–1228. https://doi.org/10.1056/NEJMsa073350.CrossRefPubMed

Heiman, H. J., & Artiga, S. (2015). Beyond health care: The role of social determinants in promoting health and health equity. Henry J. Kaiser Family Foundation. Retrieved November 5, 2015 from: http://kff.org/disparities-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/.

10.

Shortell, S. M. (2013). Bridging the divide between health and health care. The Journal of the American Medical Association, 309(11), 1121–1122. https://doi.org/10.1001/jama.2013.887.CrossRefPubMed

11.

Rosenbaum, S. (2016). Hospital community benefit spending: Leaning in on the social determinants of health. The Millbank Quarterly, 94(2), 251–254.CrossRef

12.

Bielaszka-DuVernay, C. (2011). Taking public health approaches to care in Massachusetts. Health Affairs, 30(3), 435–438.CrossRefPubMed

13.

Braunstein, S., & Lavizzo-Mourey, R. (2011). How the health and community development sectors are combining forces to improve health and well-being. Health Affairs, 30(11), 2042–2051.CrossRefPubMed

14.

Gabow, P., Eisert, S., & Wright, R. (2003). Denver health: A model for the integration of public hospitals and community health centers. Annals of Medicine, 138(2), 143–149.CrossRef

15.

Landon, B. E., Grumback, K., & Wallace, P. (2012). Integrating public health and primary care systems: Potential strategies from an IOM report. The Journal of the American Medical Association, 308(5), 461–462. https://doi.org/10.1001/jama.2012.8227.CrossRefPubMed

16.

Department of the Treasury (US). (2014). Additional requirements for charitable hospitals; community health needs assessments for charitable hospitals; requirement of a Sect. 4959 excise tax return and time for filing the return. Fed Regist 79, 78954.

17.

Rosenbaum, S., Kindig, D. A., Bao, J., et al. (2015). The value Of the nonprofit hospital tax exemption was $24.6 Billion In 2011. Health Affairs, 34(7), 1225–1233. https://doi.org/10.1377/hlthaff.2014.1424.CrossRefPubMed

18.

Principe, K., Adams, K., Maynard, J., & Becker, E. R. (2012). The impact of the individual mandate and Internal Revenue Service Form 990 Schedule H on community benefits from nonprofit hospitals. American Journal of Public Health, 102(2), 229–237.CrossRefPubMedPubMedCentral

19.

Singh, S. R., Young, G. J., Shoou-Yiu, D. L., et al. (2015). Analysis of hospital community benefit expenditures’ alignment with community health needs: Evidence from a national investigation of tax-exempt hospitals. American Journal of Public Health, 105(5), 914–921.CrossRefPubMedPubMedCentral

20.

Gray, B. H., & Schlesinger, M. (2009). Charitable expectations of nonprofit hospitals: Lessons from Maryland. Health Affairs, 28(5), w809–w821.CrossRef

21.

Singh, S. R. (2013). Community benefit in exchange for non-profit hospital tax exemption: current trends and future outlook. Journal of Health Care Finance, 39(3), 32–41.PubMed

22.

U.S. News & World Report. (2017). U.S. News hospitals rankings and ratings. Retrieved from: http://health.usnews.com/best-hospitals. Accessed 4 May 2017.

23.

Olmsted, M. G., Geisen, E., Murphy, J., et al. (2017). Methodology: US News & World Report 2016–2017 best hospitals: Specialty rankings. Retrieved March 15, 2017 from http://static.usnews.com/documents/health/best-hospitals/BH_Methodology_2016-17.pdf.

24.

Dougherty, G., George, A., Calkins, K., et al. (2017). Methodology: US News & World Report 2016–2017 best hospitals: procedures and conditions. Retrieved March 15, 2017 from http://static.usnews.com/documents/health/best-hospitals/BHPC_Methodology_2016-17.pdf.

25.

County Health Rankings & Roadmaps; A Robert Wood Johnson Foundation Program. (2016). County Health Rankings National Data. Retrieved March 15, 2017 from http://www.countyhealthrankings.org/rankings/data.

26.

Remington, P. L., Catlin, B. B., & Gennuso, K. (2015). The County Health Rankings: Rationale and methods. Population Health Metrics, 13(1), 11. https://doi.org/10.1186/s12963-015-0044-2.CrossRefPubMedPubMedCentral

27.

Peppard, P. E., Kindig, D. A., Dranger, E., et al. (2008). Ranking community health status to stimulate discussion of local public health issues: The Wisconsin County Health Rankings. American Journal of Public Health, 98(2), 209–212. https://doi.org/10.2105/AJPH.2006.092981.CrossRefPubMedPubMedCentral

28.

Maraccini, A. M., Galiatsatos, P., Harper, M., & Slonim, A. D. (2017). Creating clarity: Distinguishing between community and population health. American Journal of Accountable Care, 5(3), 27–32.

Titel: “Top Performing” US Hospitals and the Health Status of Counties they Serve
verfasst von: Amber M. Maraccini
Wei Yang
Anthony D. Slonim
Publikationsdatum: 11.11.2017
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 3/2018
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-017-0440-6

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2018

Differences by Sexual Orientation in Perceptions of Neighborhood Cohesion: Implications for Health

Best Practices in Global Health Practicums: Recommendations from the Association of Pacific Rim Universities

Using Population Based Hospitalization Data to Monitor Increases in Conditions Causing Morbidity Among Persons Who Inject Drugs

Use of a Unique Farmers’ Market Program Targeting Lower-Income Community Members

Perceived Benefits of Participation and Risks of Soil Contamination in St. Louis Urban Community Gardens

Correction to: Smoking Policy Change Within Permanent Supportive Housing