首页> 外文学位 >What role do charitable, nonprofit hospitals have in community building activities post-2010 Patient Protection and Affordable Care Act Reforms? Leadership perspectives from an exploratory, intrinsic case study of persistent poverty leaver counties in rural New Mexico.
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What role do charitable, nonprofit hospitals have in community building activities post-2010 Patient Protection and Affordable Care Act Reforms? Leadership perspectives from an exploratory, intrinsic case study of persistent poverty leaver counties in rural New Mexico.

机译:慈善的非营利性医院在2010年《患者保护和平价医疗法案》改革后的社区建设活动中扮演什么角色?从对新墨西哥州农村地区持续贫困的贫困县进行的探索性内在案例研究中得出的领导观点。

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摘要

Strengthening the community benefit practices of charitable, nonprofit community hospitals remains an urgent healthcare policy issue. Current literature suggests the comparative difference between nonprofit and for-profit hospitals continues to shrink, and policymakers may ask the nonprofit hospital industry to make tax concessions post-Patient Protection and Affordable Care Act (ACA) accordingly. This dissertation examines the perceived community benefit of charitable, nonprofit hospitals in two rural New Mexico persistent poverty counties through an exploratory, intrinsic case study. Community building activities are defined as tax-exemptible community benefit provided by the hospital. The hospital community building programs that are reported on IRS Form 990 Schedule H: Part II may be the last legitimate, distinguishable difference between the operating outcomes of nonprofit and for-profit community hospitals. Key informant interview data did not reveal major differences between the views of the nonprofit hospital CEOs and other local leaders on how a nonprofit, charitable hospital can best benefit a county. There was strong agreement between both groups of leaders that more transparency of the nonprofit hospital tax exemptions would be welcomed by the public. Better understanding the current, diverse perspectives of key local constituencies on the inherent value of a charitable, nonprofit hospital can help frame future discussions and decisions by healthcare boards, hospital administrators, community leaders, policymakers and taxpayers.
机译:加强慈善,非营利性社区医院的社区福利做法仍然是紧迫的医疗保健政策问题。当前文献表明,非营利性医院与营利性医院之间的相对差异不断缩小,政策制定者可能会要求非营利性医院行业在《患者保护和负担得起的医疗法案》(ACA)之后做出税收减免。本文通过探索性的内在案例研究,考察了新墨西哥州两个农村贫困县的慈善,非营利性医院对社区的感知收益。社区建设活动定义为医院提供的免税社区福利。在IRS 990表格H附表H:第二部分中报告的医院社区建设计划可能是非营利性和营利性社区医院的运营结果之间的最后合法,可区别的区别。关键的受访者访谈数据并未揭示非营利性医院首席执行官与其他地方领导人关于非营利性慈善医院如何最好地使一个县受益的观点之间的重大差异。两组领导人之间都强烈同意,公众将欢迎非营利医院免税的更高透明度。更好地了解主要地方选民对慈善性非营利医院的内在价值的当前不同观点,可以帮助制定医疗保健委员会,医院管理人员,社区负责人,政策制定者和纳税人的未来讨论和决策。

著录项

  • 作者

    Woodring, Mark Joseph.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Health care management.;Economics.;Public policy.
  • 学位 Dr.P.H.
  • 年度 2014
  • 页码 103 p.
  • 总页数 103
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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