Franz Berkeley, Skinner Daniel, Kelleher Kelly
Heritage College of Osteopathic Medicine, Department of Social Medicine, Ohio University, Athens, OH, USA.
Heritage College of Osteopathic Medicine, Department of Social Medicine, Ohio University, Dublin, OH, USA.
J Eval Clin Pract. 2017 Aug;23(4):882-887. doi: 10.1111/jep.12749. Epub 2017 Apr 3.
In recent years, policy developments in the United States have dramatically changed how nonprofit hospitals interact with surrounding communities. However, despite the importance of these changes encoded in Internal Revenue Service regulations, little is known about how these requirements have affected how nonprofit hospitals are approaching community health evaluation. We present qualitative findings from interviews with hospital employees and consultants overseeing preliminary rounds of community health needs assessments, as required by the Affordable Care Act. The sample comes from the Appalachian region of Ohio, an area targeted because of significant health challenges. Our findings suggest that the Affordable Care Act has led hospitals to formalize their processes, focus on developing an evidence base, cultivate local partnerships, and reflect on the role of the hospital in public health.
近年来，美国的政策发展极大地改变了非营利性医院与周边社区互动的方式。然而，尽管美国国税局的规定中明确了这些变化的重要性，但对于这些要求如何影响非营利性医院进行社区健康评估的方式却知之甚少。我们展示了根据《平价医疗法案》要求，对负责社区健康需求初步评估轮次的医院员工和顾问进行访谈所得到的定性研究结果。样本来自俄亥俄州的阿巴拉契亚地区，该地区因面临重大健康挑战而成为目标区域。我们的研究结果表明，《平价医疗法案》促使医院将其流程正规化，专注于建立证据基础，培育当地合作伙伴关系，并思考医院在公共卫生中的作用。
