Diaz Heather J-M, Ainsworth Dale, Schmidtlein Mathew C
1 Sacramento State University, Sacramento, CA, USA.
Health Promot Pract. 2019 Jul;20(4):616-623. doi: 10.1177/1524839918771977. Epub 2018 May 9.
The Patient Protection and Affordable Care Act of 2010 mandated nonprofit hospitals to complete community health needs assessments (CHNAs) every 3 years to identify priority health needs for the community they serve. The CHNA must include input from the community in the determination of health needs. Large variation exists across CHNAs on methods used in the integration of quantitative and qualitative data both in the determination and prioritization of health needs and those needs chosen by the hospital for community benefit funding. An important part of the CHNA is the prioritization of the needs identified, as it can influence hospital community benefit funding decisions. This article describes a method for clearly integrating qualitative and quantitative data in the CHNA process offering a best practice strategy for conducting CHNAs. The method uses an approach based on flexible, objective decision points that can be used to both generate a list of significant health needs and a prioritization of those needs based on community input, influencing funding priorities of the hospital. The method provides a standard approach useful across multiple hospital CHNAs in both rural and urban settings, and in collaborative-based CHNAs (local public health departments and hospitals) as well.
2010年的《患者保护与平价医疗法案》规定非营利性医院每三年完成一次社区健康需求评估（CHNA），以确定其服务社区的优先健康需求。社区健康需求评估必须纳入社区意见以确定健康需求。在社区健康需求评估中，无论是在确定和排列健康需求的优先顺序方面，还是在医院选择用于社区福利资金的需求方面，整合定量和定性数据所采用的方法都存在很大差异。社区健康需求评估的一个重要部分是对所确定需求进行优先排序，因为这会影响医院社区福利资金的决策。本文介绍了一种在社区健康需求评估过程中清晰整合定性和定量数据的方法，为开展社区健康需求评估提供了一种最佳实践策略。该方法采用基于灵活、客观决策点的方法，可用于生成重要健康需求清单，并根据社区意见对这些需求进行优先排序，从而影响医院的资金优先分配。该方法提供了一种标准方法，适用于农村和城市地区的多家医院进行社区健康需求评估，也适用于基于合作的社区健康需求评估（地方公共卫生部门和医院）。
