Ohio University, Athens, OH, USA.
New York University, New York, NY, USA.
Med Care Res Rev. 2021 Dec;78(6):771-779. doi: 10.1177/1077558720968999. Epub 2020 Oct 26.
Cross-sector collaboration is critical to improving population health, but data on partnership activities by children's hospitals are limited, and there is a need to identify service delivery gaps for families. The aim of this study is to use public community benefit reports for all children's hospitals in the United States to assess the extent to which children's hospitals partner with external organizations to address five key health needs: health care access, chronic disease, social needs, mental health, and substance abuse. Strategies that involved partnering with community organizations were most common in addressing social needs and substance abuse. When adjusted for institutional and community characteristics hospitals in a multilevel regression model, hospitals had higher odds of partnering to address chronic illness and social needs. To encourage hospital engagement with complex social and behavioral health needs and promote health equity, support should be provided to help hospitals establish local population health networks.
跨部门合作对于改善人口健康至关重要，但有关儿童医院伙伴关系活动的数据有限，需要确定家庭服务提供方面的差距。本研究的目的是使用美国所有儿童医院的公共社区福利报告，评估儿童医院与外部组织合作解决以下五个关键健康需求的程度：医疗保健获取、慢性病、社会需求、心理健康和药物滥用。在解决社会需求和药物滥用方面，涉及与社区组织合作的策略最为常见。在多层次回归模型中，根据机构和社区特征进行调整后，医院在与慢性病和社会需求合作方面的可能性更高。为了鼓励医院参与复杂的社会和行为健康需求并促进健康公平，应提供支持，帮助医院建立当地人口健康网络。
