Nonprofit Hospitals' Approach to Community Health Needs Assessment
Nonprofit Hospitals' Approach to Community Health Needs Assessment
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DOI：
10.2105/ajph.2014.302286
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发表时间：
2015-03-01
影响因子：
12.7
通讯作者：
Matarrita-Cascante, David
中科院分区：
文献类型：
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作者：
Pennel, Cara L.;McLeroy, Kenneth R.;Matarrita-Cascante, David
目标。我们希望更好地了解非营利性医院如何履行2010年患者保护和平价医疗法案中的社区卫生需求评估(CHNA)条款，以开展CHNA并制定CHNA和实施战略报告。通过对2013年12月1日至2014年1月5日期间在德克萨斯州进行的179家非营利性医院的互联网搜索，我们确定并审查了95份CHNA和实施战略报告。我们用特定的标准对报告进行了评估和评分。我们分析了医院相关和其他报告的特点，以了解与报告质量的关系。CHNA的方法和报告质量有广泛的多样性。顾问主导的CHNA流程和与当地卫生部门的合作与更高质量的报告相关。在进行本研究时，国税局尚未发布CHNA要求的最终条例。这为加强CHNA对最终条例的指导提供了机会，澄清了评估和规划进程和报告的目的，并通过公共卫生框架更好地协调评估和规划活动。
Objectives. We sought a better understanding of how nonprofit hospitals are fulfilling the community health needs assessment (CHNA) provision of the 2010 Patient Protection and Affordable Care Act to conduct CHNAs and develop CHNA and implementation strategies reports.Methods. Through an Internet search of an estimated 179 nonprofit hospitals in Texas conducted between December 1, 2013, and January 5, 2014, we identified and reviewed 95 CHNA and implementation strategies reports. We evaluated and scored reports with specific criteria. We analyzed hospital-related and other report characteristics to understand relationships with report quality.Results. There was wide-ranging diversity in CHNA approaches and report quality. Consultant-led CHNA processes and collaboration with local health departments were associated with higher-quality reports.Conclusions. At the time of this study, the Internal Revenue Service had not yet issued the final regulations for the CHNA requirement. This provides an opportunity to strengthen the CHNA guidance for the final regulations, clarify the purpose of the assessment and planning process and reports, and better align assessment and planning activities through a public health framework.