A national overview of nonprofit hospital community benefit programs to address the social determinants of health

dc.contributor.authorFranz, Berkeley
dc.contributor.authorBurns, Ashlyn
dc.contributor.authorKueffner, Kristin
dc.contributor.authorBhardwaj, Meeta
dc.contributor.authorYeager, Valerie A.
dc.contributor.authorSingh, Simone
dc.contributor.authorPuro, Neeraj
dc.contributor.authorCronin, Cory E.
dc.contributor.departmentHealth Policy and Management, Richard M. Fairbanks School of Public Health
dc.date.accessioned2024-08-02T08:44:21Z
dc.date.available2024-08-02T08:44:21Z
dc.date.issued2023-12-06
dc.description.abstractDecades of research have solidified the crucial role that social determinants of health (SDOH) play in shaping health outcomes, yet strategies to address these upstream factors remain elusive. The aim of this study was to understand the extent to which US nonprofit hospitals invest in SDOH at either the community or individual patient level and to provide examples of programs in each area. We analyzed data from a national dataset of 613 hospital community health needs assessments and corresponding implementation strategies. Among sample hospitals, 69.3% (n = 373) identified SDOH as a top-5 health need in their community and 60.6% (n = 326) reported investments in SDOH. Of hospitals with investments in SDOH, 44% of programs addressed health-related social needs of individual patients, while the remaining 56% of programs addressed SDOH at the community level. Hospitals that were major teaching organizations, those in the Western region of the United States, and hospitals in counties with more severe housing problems had greater odds of investing in SDOH at the community level. Although many nonprofit hospitals have integrated SDOH-related activities into their community benefit work, stronger policies are necessary to encourage greater investments at the community-level that move beyond the needs of individual patients.
dc.eprint.versionFinal published version
dc.identifier.citationFranz B, Burns A, Kueffner K, et al. A national overview of nonprofit hospital community benefit programs to address the social determinants of health. Health Aff Sch. 2023;1(6):qxad078. Published 2023 Dec 6. doi:10.1093/haschl/qxad078
dc.identifier.urihttps://hdl.handle.net/1805/42559
dc.language.isoen_US
dc.publisherOxford University Press
dc.relation.isversionof10.1093/haschl/qxad078
dc.relation.journalHealth Affairs Scholar
dc.sourcePMC
dc.subjectCommunity Health Needs Assessment (CHNA)
dc.subjectCommunity benefit
dc.subjectHealth-related social need (HRSN)
dc.subjectNonprofit hospitals
dc.subjectSocial determinants of health (SDOH)
dc.titleA national overview of nonprofit hospital community benefit programs to address the social determinants of health
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Franz2023National-CCBYNC.pdf
Size:
263.26 KB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.04 KB
Format:
Item-specific license agreed upon to submission
Description: