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首页> 外文期刊>Journal of health care for the poor and underserved >Non-profit hospital community benefit spending based on local sociodemographics
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Non-profit hospital community benefit spending based on local sociodemographics

机译：非营利性医院社区福利支出基于当地社会学学

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Non-profit hospitals are facing greater pressure to address the social determinants of health. Since 2012, with new requirements for greater transparency and community health needs assessments, non-profit tax exemption requirements are believed to incentivize investments in the community, particularly for vulnerable populations. We conducted a cross-sectional analysis of community benefit spending by private, acute care, non-profit hospitals from 2012-2014 to measure if hospitals have begun to address local community needs. We measured total community benefit spending and two subsets of spending-health care-related expenditures and community-directed contributions-as the proportion of their total expenditure. We obtained sociodemographic characteristics for their community, defined by ZIP code. In unadjusted and adjusted analyses using hospital-level and community-level covariates, community benefit spending has not varied and community-directed contribution amounts did not reflect local needs. Stronger incentives-tax-based or otherwise-are needed to steer non-profit hospitals to invest in community health.
机译：非营利医院面临更大的压力，以解决健康的社会决定因素。自2012年以来，为更高的透明度和社区健康需求评估的新要求，据信，非营利税豁免要求旨在激励社区的投资，特别是对于弱势群体。我们对2012-2014的私人，急性护理，非营利医院的社区福利支出进行了横断面分析，以衡量医院是否已开始解决当地社区需求。我们衡量了全社区福利支出和两套支出保健相关支出和社区导向捐款 - 作为其总支出的比例。我们获得了由邮政编码定义的社区的社会渗目特征。在使用医院和社区层面的协变者不断调整和调整的分析中，社区福利支出并未变化，社区导向缴款金额没有反映当地需求。强大的激励措施 - 基于税收或其他方式 - 必须引导非营利性医院投资社区健康。

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