非营利性医院中社区福利活动的评估,2018-2021年
Valerie A Yeager1, Ashlyn Burns, Simone R Singh
1Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana (Dr Yeager and Ms Burns); School of Public Health, University of Michigan, Ann Arbor, Michigan (Dr Singh); and College of Health Sciences and Professions (Dr Cronin) and Heritage College of Osteopathic Medicine (Dr Franz), Ohio University, Athens, Ohio.
非营利性医院在社区卫生需求评估中经常提及评估,但很少报告社会/健康结果. 这种错过的机会限制了资源分配和项目扩展,以使社区受益.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 非营利性医院有权评估社区的健康需求并计划干预措施.
- 评估社区利益活动的影响对于优化医疗保健资源至关重要.
研究的目的:
- 分析非营利性医院如何在社区卫生需求评估/实施计划 (CHNA/IP) 过程中评估社区福利活动.
- 确定与报告评估措施和社会/健康结果相关的因素.
主要方法:
- 来自美国非营利性医院的503个CHNA/IP的内容分析 (2018-2021).
- 评价内容分为:没有提及,仅描述,覆盖范围报告或社会/健康结果.
- 后勤回归用于比较评估措施和结果的报告.
主要成果:
- 71.4%的人提到评估,但49.7%的人报告没有具体措施.
- 只有16.5%的人报告了社会/健康结果; 67.2%的报告措施只报告了影响力.
- 雇佣顾问和系统成员的医院显示,报告评估措施和结果的可能性更高.
结论:
- 尽管有要求,但大多数非营利性医院未能报告社区福利活动的社会/健康结果.
- 这种缺乏成果报告,阻碍了有效的资源配置和成功举措的扩展.
- 加强对社会/健康结果的报告对于最大限度地使社区受益并为公共卫生战略提供信息至关重要.
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