ArticleHealth services research2024
Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships.
Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Hospital service focus vs. breadth: Impact on hospital outcomes and the moderating role of hospital size.Health care management science · 2026Article
- Spatial distribution and associated factors of public healthcare infrastructure in tourism-oriented environments: evidence from Southwest China in the context of residential tourism.Frontiers in public health · 2026Article
- Effectiveness of Hospital-Community Partnerships in Preventive Health Care Interventions: An Exploration of Racial and Ethnic Disparities in Impact.Health equity · 2025Article
- Computational modeling and analysis of medical resource shortages in hospital alliance: A simulation-driven approach.PloS one · 2025Article
- Cross-sector collaboration practitioners weigh-in on this special issue.Health services research · 2024Article
- The big picture for this special issue: The state of the field, article highlights, and a look into the future.Health services research · 2024Article
- Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships.Health services research · 2024Article
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Abstract
objectiveThe aim was to identify hospital and county characteristics associated with variation in breadth and depth of hospital partnerships with a broad range of organizations to improve population health. DATA SOURCES: The American Hospital Association Annual Survey provided data on hospital partnerships to improve population health for the years 2017-2019.
designThe study adopts the dimensional publicness theory and social capital framework to examine hospital and county characteristics that facilitate hospital population health partnerships. The two dependent variables were number of local community organizations that hospitals partner with (breadth) and level of engagement with the partners (depth) to improve population health. The independent variables include three dimensions of publicness: Regulative, Normative and Cultural-cognitive measured by various hospital factors and presence of social capital present at county level. Covariates in the multivariate analysis included hospital factors such as bed-size and system membership.
methodsWe used hierarchical linear regression models to assess various hospital and county factors associated with breadth and depth of hospital-community partnerships, adjusting for covariates. PRINCIPAL
findingsNonprofit and public hospitals provided a greater breadth (coefficient, 1.61; SE, 0.11; p < 0.001 and coefficient, 0.95; SE, 0.14; p < 0.001) and depth (coefficient, 0.26, SE, 0.04; p < 0.001 & coefficient, 0.13; SE, 0.05; p < 0.05) of partnerships than their for-profit counterparts, partially supporting regulative dimension of publicness. At a county level, we found community social capital positively associated with breadth of partnerships (coefficient, 0.13; SE, 0.08; p < 0.001).
conclusionsAn environment that promotes collaboration between hospitals and organizations to improve population health may impact the health of the community by identifying health needs of the community, targeting social determinants of health, or by addressing patient social needs. However, findings suggest that publicness dimensions at an organizational level, which involves a culture of public value, maybe more important than county factors to achieve community building through partnerships.
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