Association between hospital community services and county population health in the USA

Emma Apatu, Hanadi Hamadi, Jasmine A. Abrams, Isha W. Metzger, Aaron Spaulding

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Little research has utilized population level data to test the association between community health outcomes and (i) hospital-sponsored community services that facilitate access to care and (ii) hospital-sponsored community building services in the USA. Therefore, the purpose of this study was to examine these relationships. METHODS: A secondary data analysis of the 2016 County Health Rankings and American Hospital Association databases was conducted via zero-truncated negative Binomial regression. RESULTS: Findings indicate a statistically significant difference between the number of community healthcare access services and community building services with county's rank of health behavior. However, no statistically significant differences were found between the number of community healthcare access services and community building services with county rankings of length of life, quality of life or clinical care. CONCLUSIONS: Our findings suggest that quality measures of services may play a more important role in community health improvement and that there is opportunity for hospitals to revamp the way in which community health needs assessments are conducted. Additional federal action is needed to standardize hospital sponsored community health service data reporting so that practitioners, hospital administrators and researchers can more specifically define hospitals' role in public health protection in the USA.

Original languageEnglish (US)
Pages (from-to)71-79
Number of pages9
JournalJournal of public health (Oxford, England)
Volume41
Issue number1
DOIs
StatePublished - Mar 1 2019

Fingerprint

Social Welfare
Community Health Services
Health
Population
American Hospital Association
Quality of Life
Hospital Administrators
Needs Assessment
Health Behavior
Research Design
Public Health
Research Personnel
Databases
Research

Keywords

  • health services
  • population-based and preventative services
  • social determinants

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Association between hospital community services and county population health in the USA. / Apatu, Emma; Hamadi, Hanadi; Abrams, Jasmine A.; Metzger, Isha W.; Spaulding, Aaron.

In: Journal of public health (Oxford, England), Vol. 41, No. 1, 01.03.2019, p. 71-79.

Research output: Contribution to journalArticle

Apatu, Emma ; Hamadi, Hanadi ; Abrams, Jasmine A. ; Metzger, Isha W. ; Spaulding, Aaron. / Association between hospital community services and county population health in the USA. In: Journal of public health (Oxford, England). 2019 ; Vol. 41, No. 1. pp. 71-79.
@article{2bd9cca37eaa43c9b52e94c7fb73284e,
title = "Association between hospital community services and county population health in the USA",
abstract = "OBJECTIVES: Little research has utilized population level data to test the association between community health outcomes and (i) hospital-sponsored community services that facilitate access to care and (ii) hospital-sponsored community building services in the USA. Therefore, the purpose of this study was to examine these relationships. METHODS: A secondary data analysis of the 2016 County Health Rankings and American Hospital Association databases was conducted via zero-truncated negative Binomial regression. RESULTS: Findings indicate a statistically significant difference between the number of community healthcare access services and community building services with county's rank of health behavior. However, no statistically significant differences were found between the number of community healthcare access services and community building services with county rankings of length of life, quality of life or clinical care. CONCLUSIONS: Our findings suggest that quality measures of services may play a more important role in community health improvement and that there is opportunity for hospitals to revamp the way in which community health needs assessments are conducted. Additional federal action is needed to standardize hospital sponsored community health service data reporting so that practitioners, hospital administrators and researchers can more specifically define hospitals' role in public health protection in the USA.",
keywords = "health services, population-based and preventative services, social determinants",
author = "Emma Apatu and Hanadi Hamadi and Abrams, {Jasmine A.} and Metzger, {Isha W.} and Aaron Spaulding",
year = "2019",
month = "3",
day = "1",
doi = "10.1093/pubmed/fdy007",
language = "English (US)",
volume = "41",
pages = "71--79",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Association between hospital community services and county population health in the USA

AU - Apatu, Emma

AU - Hamadi, Hanadi

AU - Abrams, Jasmine A.

AU - Metzger, Isha W.

AU - Spaulding, Aaron

PY - 2019/3/1

Y1 - 2019/3/1

N2 - OBJECTIVES: Little research has utilized population level data to test the association between community health outcomes and (i) hospital-sponsored community services that facilitate access to care and (ii) hospital-sponsored community building services in the USA. Therefore, the purpose of this study was to examine these relationships. METHODS: A secondary data analysis of the 2016 County Health Rankings and American Hospital Association databases was conducted via zero-truncated negative Binomial regression. RESULTS: Findings indicate a statistically significant difference between the number of community healthcare access services and community building services with county's rank of health behavior. However, no statistically significant differences were found between the number of community healthcare access services and community building services with county rankings of length of life, quality of life or clinical care. CONCLUSIONS: Our findings suggest that quality measures of services may play a more important role in community health improvement and that there is opportunity for hospitals to revamp the way in which community health needs assessments are conducted. Additional federal action is needed to standardize hospital sponsored community health service data reporting so that practitioners, hospital administrators and researchers can more specifically define hospitals' role in public health protection in the USA.

AB - OBJECTIVES: Little research has utilized population level data to test the association between community health outcomes and (i) hospital-sponsored community services that facilitate access to care and (ii) hospital-sponsored community building services in the USA. Therefore, the purpose of this study was to examine these relationships. METHODS: A secondary data analysis of the 2016 County Health Rankings and American Hospital Association databases was conducted via zero-truncated negative Binomial regression. RESULTS: Findings indicate a statistically significant difference between the number of community healthcare access services and community building services with county's rank of health behavior. However, no statistically significant differences were found between the number of community healthcare access services and community building services with county rankings of length of life, quality of life or clinical care. CONCLUSIONS: Our findings suggest that quality measures of services may play a more important role in community health improvement and that there is opportunity for hospitals to revamp the way in which community health needs assessments are conducted. Additional federal action is needed to standardize hospital sponsored community health service data reporting so that practitioners, hospital administrators and researchers can more specifically define hospitals' role in public health protection in the USA.

KW - health services

KW - population-based and preventative services

KW - social determinants

UR - http://www.scopus.com/inward/record.url?scp=85064811041&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064811041&partnerID=8YFLogxK

U2 - 10.1093/pubmed/fdy007

DO - 10.1093/pubmed/fdy007

M3 - Article

VL - 41

SP - 71

EP - 79

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 1

ER -