Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.
Department of Clinical & Applied Movement Sciences, Brooks College of Health, University of North Florida, Jacksonville, Florida, USA.
Popul Health Manag. 2023 Apr;26(2):121-127. doi: 10.1089/pop.2023.0002. Epub 2023 Feb 28.
Hospitals and health systems are forming partnerships to develop an integrated social network of services that better address the needs of their surrounding communities and their social determinants of health (SDOH). There is little research on the association of these partnered services with hospital outcomes. This study examined the association between hospital social need partnerships and activities to improve hospital and community outcomes. A secondary cross-sectional design to analyze 2021 census data of nonfederal short-term acute care hospitals in the United States was utilized. Data were obtained from the American Hospital Association. Four multilevel logistic regression models were used to analyze data from 1005 hospitals. The authors found that hospital partnership type differed in association to social need outcomes. They found that hospitals with a partnership with health insurance providers were more likely to have better health outcomes. Hospitals partnered with health insurance providers, local organizations addressing housing insecurity, local businesses, or chambers of commerce were more likely to have decreased health care costs. Hospitals partnered with health care providers, health insurance providers, local organizations providing legal assistance, or law enforcement/safety forces were more likely to have decreased utilization of hospital services. However, hospitals partnered with other local or state government or social service organizations were less likely to indicate decreased utilization of services. Many hospitals and health systems across the United States are screening for SDOH and are advancing health care delivery and improving the community's overall health and well-being by identifying unmet social needs and partnering with the community to address them.
医院和医疗系统正在结成伙伴关系，以开发一个综合的服务社会网络，更好地满足其周边社区及其健康社会决定因素（SDOH）的需求。关于这些伙伴关系服务与医院结果之间的关联，研究甚少。本研究调查了医院社会需求伙伴关系与改善医院和社区结果的活动之间的关联。采用了二次横断面设计来分析美国非联邦短期急性护理医院 2021 年的普查数据。数据来自美国医院协会。使用了四个多层次逻辑回归模型来分析来自 1005 家医院的数据。作者发现，医院的伙伴关系类型与社会需求结果有关。他们发现，与医疗保险提供商建立伙伴关系的医院更有可能获得更好的健康结果。与医疗保险提供商、解决住房不安全问题的当地组织、当地企业或商会建立伙伴关系的医院更有可能降低医疗保健成本。与医疗保健提供者、医疗保险提供商、提供法律援助的当地组织或执法/安全部队建立伙伴关系的医院更有可能降低医院服务的利用率。然而，与其他地方或州政府或社会服务组织建立伙伴关系的医院则不太可能表示服务利用率降低。美国许多医院和医疗系统都在对 SDOH 进行筛查，并通过识别未满足的社会需求并与社区合作来解决这些问题，从而推进医疗保健服务的提供并改善社区的整体健康和福祉。
