国家遵守社区对非营利性医院的贡献社区福利活动
Ashlyn Burns1,2, Brian Kim3, Cory Cronin4,5
1Department of Psychiatry, Indiana University School of Medicine, Indianapolis.
JAMA network open
|January 7, 2026
概括
非营利性医院对"负担得起的医疗法案"的遵守率很低 (10.5%).
科学领域:
- 卫生政策 卫生政策
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 患者保护和可负担医疗法案 (ACA) 要求非营利性医院进行社区卫生需求评估 (CHNA) 并制定实施策略 (IS).
- 这些社区福利 (CB) 活动要求医院通过书面评论征求和纳入社区的意见.
- 这些投入旨在改善医院对人口健康的投资,并确保与社区需求保持一致.
研究的目的:
- 评估非营利性医院是否遵守ACA的社区投入要求.
- 确定医院在CHNA和IS中采用哪些方法来征求和考虑社区反.
主要方法:
- 一项横截面研究分析了来自美国543家非营利性医院的20%分层随机样本中的CHNA和IS (2018-2021数据).
- 合规性是由征求输入,接收评论,并将其纳入CHNA/IS的描述来定义的.
- 两变量分析 (χ2测试) 比较了合规和不合规医院的组织特征.
主要成果:
- 只有10.5% (53所医院中有57所) 满足了社区投入要求.
- 征求投入的常见方法包括纸质调查 (47.4%),基于网络的调查 (35.1%) 和面对面的事件 (22.8%).
- 在合规和不合规医院之间,没有发现组织特征的显著差异.
结论:
- 在非营利性医院的CB文件中观察到,ACA对社区投入要求的遵守率很低.
- 这表明,医院确定的需求和战略可能并不完全反映社区的优先事项.
- 政策改进是必要的,以改善医院的合规性,透明度和CB活动中的问责制,以更好地满足社区需求.
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