Introducing a Measure of Hospital Community Orientation

Policymakers have long sought to encourage hospitals to assume a more collaborative role in improving community health. By urging hospitals to interact with community stakeholders, more integrative relationships may result that can better address local health issues. This study establishes a composi...

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Bibliographic Details
Published in:Medical care research and review 2024-04, Vol.81 (2), p.96-106
Main Authors: Stabler, Henry S., Beebe, Timothy, White, Katie
Format: Article
Language:English
Subjects:
Community
Community health
Community hospitals
Community resources
Confirmatory factor analysis
Factor analysis
Health
Hospitals
Hospitals, Community
Humans
Measurement
Measures
Organizations, Nonprofit
Orientation
Policy making
Public Health
Regulation
Regulations
Stakeholders
Surveys and Questionnaires
Citations: Items that this one cites
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Summary:Policymakers have long sought to encourage hospitals to assume a more collaborative role in improving community health. By urging hospitals to interact with community stakeholders, more integrative relationships may result that can better address local health issues. This study establishes a composite measure of hospital community orientation, defined as the extent to which a hospital uses community resources and knowledge in its community benefit (CB) work, based on an expansion of CB regulations that require nonprofit hospitals (NPHs) to develop strategies to address prioritized health issues. We collected data on each proposed intervention from 125 randomly selected NPHs over three reporting periods. Confirmatory factor analysis was used to assess how well a single-factor model approximated community orientation. We conclude that using hospital community orientation measurement is a useful metric to assess the effects of expanded CB regulations, as well as to determine how NPHs have interacted with communities over time.
ISSN:1077-5587
1552-6801
DOI:10.1177/10775587231225795