在明尼苏达州医院社区建设活动的混合方法分析
Hannah MacDougall1, Robert Libal2, Lacey Loomer3
1Hannah MacDougall, PhD, MSW, is assistant professor, School of Social Work, College of Education and Human Development, University of Minnesota, St. Paul, MN, USA.
非营利性医院报告社区建设活动 (CBAs) 的支出,但报告混乱导致全国数据较低. 明尼苏达州的医院显示了各种CBA定义,这表明需要更清晰的报告准则,以准确地反映社区健康投资.
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:
- 非营利性医院必须向国税局报告社区建设活动 (CBA) 的支出.
- 综合健康评估解决了健康的社会决定因素,如住房和粮食不安全.
- 农村人口经常面临更糟糕的健康结果,这使得CBA支出至关重要.
研究的目的:
- 为了调查非营利性医院对CBA的低报告支出.
- 了解为什么CBA支出在全国范围内处于历史低位.
- 分析明尼苏达州非营利性医院的CBA支出模式.
主要方法:
- 混合方法研究使用2019年IRS纳税申报表数据的定量分析.
- 来自花费最多的医院的叙事陈述的定性案例研究.
- 分析的重点是确定报告的CBA的变化.
主要成果:
- 根据农村位置或医院系统的附属性,CBA支出没有显著差异.
- 医院如何定义和报告CBA存在实质性的差异.
- 目前的报告方法可能不准确地反映了实际的社区健康投资.
结论:
- 报告中的混乱可能导致报告的CBA支出较低.
- 为了准确的数据,需要对CBA进行标准化报告.
- 改进的报告可以让决策者了解非营利性医院社区投资.
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