关于社区效益评估的新见解:使用社区卫生实施评估框架来评估医院正在测量什么
Health care management review
|May 22, 2024
概括
非营利性医院通常通过跟踪服务利用率而不是健康结果来评估社区利益战略. 这种关注错过了最大化社区影响和有效地通知资源分配的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 非营利性的管理管理.
背景情况:
- 非营利性医院有义务每三年进行一次社区卫生需求评估 (CHNA).
- 他们必须制定实施计划,解决确定社区需求,并评估战略影响.
研究的目的:
- 评估非营利性医院如何评估CHNA知情的社区福利举措的影响.
- 使用社区卫生实施评估框架 (CHIEF) 进行评估.
主要方法:
- 对83家医院CHNA报告评估结果的内容分析.
- 以CHIEF框架为指导的定性审查.
- 样本来自美国613家非营利性医院.
主要成果:
- 确定了485种策略,其中行为健康 (26%),获取 (17%),肥胖/营养/不活动 (14%) 是最常见的目标.
- 评估结果主要集中在系统利用 (71%),系统实施 (35%) 和项目管理 (34%) 上.
- 在34%的战略中报告了社会成果.
结论:
- 医院CHNA的评估高度强调服务利用指标.
- 在评估社区利益战略的社会和健康结果方面存在重大差距.
- 这种低估值限制了优化资源配置和最大化社区影响的见解.
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