Journal article
The Role Of Nonprofit Hospitals In Identifying And Addressing Health Inequities In Cities
Health affairs Web exclusive, v 36(6), pp 1102-1109
01 Jun 2017
PMID: 28583970
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
For nonprofit hospitals to maintain their tax-exempt status, the Affordable Care Act requires them to conduct a community health needs assessment, in which they evaluate the health needs of the community they serve, and to create an implementation strategy, in which they propose ways to address these needs. We explored the extent to which nonprofit urban hospitals identified equity among the health needs of their communities and proposed health equity strategies to address this need. We conducted a content analysis of publicly available community health needs assessments and implementation strategies from 179 hospitals in twenty-eight US cities in the period August-December 2016. All of the needs assessments included at least one implicit health equity term (such as
,
,
, or
), while 65 percent included at least one explicit health equity term (
,
,
, or
). Thirty-five percent of implementation strategies included one or more explicit health equity terms, but only 9 percent included an explicit activity to promote health equity. While needs assessment reporting requirements have the potential to encourage urban nonprofit hospitals to address health inequities in their communities, hospitals need incentives and additional capacity to invest in strategies that address the underlying structural social and economic conditions that cause health inequities.
Metrics
Details
- Title
- The Role Of Nonprofit Hospitals In Identifying And Addressing Health Inequities In Cities
- Creators
- Amy Carroll-Scott - Drexel UniversityRosie Mae Henson - Drexel UniversityJennifer Kolker - Drexel UniversityJonathan Purtle - Drexel University
- Publication Details
- Health affairs Web exclusive, v 36(6), pp 1102-1109
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy; Community Health and Prevention
- Web of Science ID
- WOS:000404980600019
- Scopus ID
- 2-s2.0-85020295707
- Other Identifier
- 991019168173704721
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- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services