检查医院社区福利与社区社会脆弱性之间的关系
Hossein Zare1, Darrell J Gaskin2, Danielle Bargo2
1Department of Health Policy and Management, School of Business, Johns Hopkins Bloomberg School of Public Health, University of Maryland Global Campus, Baltimore, MD, USA. hzare1@jhu.edu.
Journal of general internal medicine
|November 20, 2025
概括
需要高的地区的医院在社区福利方面花费更多,特别是那些具有较低社会经济地位和更多种族少数群体的人. 这表明社会脆弱性和医院社区福利分配之间存在正相关性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 非营利性医院的目标是改善社区健康,尤其是弱势群体.
- 医院社区福利计划与社区需求的战略协调至关重要,但并不总是实现.
- 了解支出模式是最大化影响的关键.
研究的目的:
- 将医院社区福利支出与社区社会需求进行比较.
- 为了测试假设,在社会需求较大地区的医院分配更多的资源.
- 确定影响社区福利分配的因素.
主要方法:
- 美国国税局第990表H表和AHA年度调查数据 (2011-2021) 的分析.
- 定义的社区福利,包括慈善照顾,无偿的经费照顾和社区建设活动.
- 使用CDC社会脆弱性指数 (SVI) 来衡量县级社会需求,并使用回归模型来评估与医院支出的关联.
主要成果:
- 医院平均花费4.4%的费用用于社区福利.
- 社会经济地位和种族少数群体的百分比预测了增加的支出.
- 高SVI地区 (SVI>0.65) 的医院花费几乎是低SVI地区 (SVI ≤0.65) 的两倍.
结论:
- 医院社区福利支出与社区的社会需求有关.
- 在社会脆弱地区的医院将更多的资源用于社区福利.
- 建议IRS和CMS修改监测,以确保重点放在有利于社区的服务上.
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