Institute of Health Policy and Management, Seoul National University Medical Research Center, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Division of Health Policy and Management, School of Public Health, University of Minnesota, 420 Delaware St. S.E., Minneapolis, MN, 55455, USA.
Public Health. 2022 Apr;205:55-57. doi: 10.1016/j.puhe.2022.01.020. Epub 2022 Feb 27.
This study identifies the internal characteristics of hospitals located in counties with poor socioeconomic conditions that develop collaborative partnerships with a wide range of community organizations, including non-health organizations.
Cross-sectional study that conducted Chi-square and logistic regression analyses.
Chi-square tests and logistic regression analyses were performed in this cross-sectional research to identify the internal hospital characteristics associated with non-health sector partnership development for hospitals located in U.S. counties in the worst quartile of performance across three socioeconomic conditions. The 2015 American Hospital Association Population Health Survey provided data on hospitals' collaborative arrangements and internal characteristics, including hospital size, teaching status, ownership type, and system affiliation (n = 1,238). The 2014 County Health Rankings were used to identify counties in the worst quartile of performance on educational attainment, unemployment, and child poverty.
Chi-square analyses show that larger hospitals, teaching hospitals, hospitals that belong to a system, and not-for profit hospitals are significantly and positively correlated with non-health sector collaborative partnerships across one or more of the county indicators of poor socioeconomic conditions. Logistic regression results show that the only significant internal hospital characteristic associated with such partnerships is hospital size, in counties with poor educational attainment and those with high child poverty.
Larger hospitals are more likely to have the resources and strategic perspectives to address community health in counties with poor socioeconomic conditions.
本研究确定了位于社会经济条件较差的县的医院的内部特征，这些医院与广泛的社区组织建立了合作关系，包括非卫生组织。
横断面研究，进行卡方检验和逻辑回归分析。
本横断面研究采用卡方检验和逻辑回归分析，确定与美国社会经济条件最差四分之一的县的医院与非卫生部门建立伙伴关系相关的内部医院特征。2015 年美国医院协会人口健康调查提供了关于医院合作安排和内部特征的数据，包括医院规模、教学地位、所有权类型和系统隶属关系（n=1238）。2014 年县卫生排名用于确定在教育程度、失业率和儿童贫困方面表现最差的四分之一的县。
卡方分析表明，规模较大、教学医院、属于系统的医院和非营利医院与一个或多个县的社会经济条件较差的指标显著正相关，与非卫生部门的合作伙伴关系。逻辑回归结果表明，与这些伙伴关系相关的唯一显著的内部医院特征是医院规模，在教育程度较差和儿童贫困率较高的县。
规模较大的医院更有可能拥有资源和战略视角，以解决社会经济条件较差的县的社区健康问题。
