The Impact of State Community Benefit Laws on the Community Health Orientation and Health Promotion Services of Hospitals
This study examined the effect of state community benefit laws and guidelines on the community health orientation and the provision of hospital-based health promotion services in hospitals. The sample included all not-for-profit and investor-owned acute-care hospitals in the United States during the...
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| Veröffentlicht in: | Journal of health politics, policy and law policy and law, 2006-04, Vol.31 (2), p.321-344 |
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| container_title | Journal of health politics, policy and law |
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| creator | Ginn, Gregory O. Moseley, Charles B. |
| description | This study examined the effect of state community benefit laws and guidelines on the community health orientation and the provision of hospital-based health promotion services in hospitals. The sample included all not-for-profit and investor-owned acute-care hospitals in the United States during the year 2000. Multiple regression procedures were used to test the effect of community benefit laws and type of ownership while controlling for organizational and environmental variables. The results of these procedures indicated that, on average, not-for-profit hospitals in the ten states with community benefit laws/guidelines reported significantly more community health orientation activities than did not-for-profit hospitals in the forty other states. The results of the multiple regression procedures also indicated that, on average, the investor-owned hospitals in the ten states with laws/guidelines reported significantly more community health orientation activities than did the investorowned hospitals in the forty other states. The study found that community benefit laws had the effect of decreasing ownership-related differences in reported community health orientation activities. Further, Levene's test of equality of variance showed that the not-for-profit hospitals in community benefit states exhibited significantly lower variance in the community health orientation activities when compared with the not-for-profit hospitals in non-community benefit states. However, none of the statistical tests supported the hypotheses that community benefit laws compelled or induced hospitals to offer significantly more health promotion services. The study concluded that coercive measures such as community benefit laws were effective in compelling not-for-profit hospitals to report increased community orientation activities, and it also concluded that the mimetic pressures associated with these laws were effective in inducing investor-owned hospitals to report increased community orientation activities. |
| doi_str_mv | 10.1215/03616878-31-2-321 |
| format | Article |
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The sample included all not-for-profit and investor-owned acute-care hospitals in the United States during the year 2000. Multiple regression procedures were used to test the effect of community benefit laws and type of ownership while controlling for organizational and environmental variables. The results of these procedures indicated that, on average, not-for-profit hospitals in the ten states with community benefit laws/guidelines reported significantly more community health orientation activities than did not-for-profit hospitals in the forty other states. The results of the multiple regression procedures also indicated that, on average, the investor-owned hospitals in the ten states with laws/guidelines reported significantly more community health orientation activities than did the investorowned hospitals in the forty other states. The study found that community benefit laws had the effect of decreasing ownership-related differences in reported community health orientation activities. Further, Levene's test of equality of variance showed that the not-for-profit hospitals in community benefit states exhibited significantly lower variance in the community health orientation activities when compared with the not-for-profit hospitals in non-community benefit states. However, none of the statistical tests supported the hypotheses that community benefit laws compelled or induced hospitals to offer significantly more health promotion services. The study concluded that coercive measures such as community benefit laws were effective in compelling not-for-profit hospitals to report increased community orientation activities, and it also concluded that the mimetic pressures associated with these laws were effective in inducing investor-owned hospitals to report increased community orientation activities.</description><identifier>ISSN: 0361-6878</identifier><identifier>EISSN: 1527-1927</identifier><identifier>DOI: 10.1215/03616878-31-2-321</identifier><identifier>PMID: 16638834</identifier><identifier>CODEN: JHPLDN</identifier><language>eng</language><publisher>United States: Duke University Press</publisher><subject>Access to health care ; Community Services ; Community-Institutional Relations ; Health Care Services ; Health Education ; Health Promotion ; Health services ; Hospitals ; Hospitals, Voluntary - legislation & jurisprudence ; Hospitals, Voluntary - organization & administration ; Indigent care ; Investors ; Law ; Medicine and Health ; Non-profit organizations ; Nonprofit hospitals ; Nonprofit Organizations ; Ownership ; Policy studies ; Political Science ; Politics ; Privatization ; Public health ; Public Health and Health Policy ; Public Policy ; State Government ; Statutes ; Studies ; United States ; United States of America</subject><ispartof>Journal of health politics, policy and law, 2006-04, Vol.31 (2), p.321-344</ispartof><rights>Copyright Duke University Press 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-c02c34ea641614be74154398006ccf5b4f6def660ba2e818b65922f454fe6ec3</citedby><cites>FETCH-LOGICAL-c526t-c02c34ea641614be74154398006ccf5b4f6def660ba2e818b65922f454fe6ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27866,27924,27925,33774,33775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16638834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ginn, Gregory O.</creatorcontrib><creatorcontrib>Moseley, Charles B.</creatorcontrib><title>The Impact of State Community Benefit Laws on the Community Health Orientation and Health Promotion Services of Hospitals</title><title>Journal of health politics, policy and law</title><addtitle>J Health Polit Policy Law</addtitle><description>This study examined the effect of state community benefit laws and guidelines on the community health orientation and the provision of hospital-based health promotion services in hospitals. The sample included all not-for-profit and investor-owned acute-care hospitals in the United States during the year 2000. Multiple regression procedures were used to test the effect of community benefit laws and type of ownership while controlling for organizational and environmental variables. The results of these procedures indicated that, on average, not-for-profit hospitals in the ten states with community benefit laws/guidelines reported significantly more community health orientation activities than did not-for-profit hospitals in the forty other states. The results of the multiple regression procedures also indicated that, on average, the investor-owned hospitals in the ten states with laws/guidelines reported significantly more community health orientation activities than did the investorowned hospitals in the forty other states. The study found that community benefit laws had the effect of decreasing ownership-related differences in reported community health orientation activities. Further, Levene's test of equality of variance showed that the not-for-profit hospitals in community benefit states exhibited significantly lower variance in the community health orientation activities when compared with the not-for-profit hospitals in non-community benefit states. However, none of the statistical tests supported the hypotheses that community benefit laws compelled or induced hospitals to offer significantly more health promotion services. The study concluded that coercive measures such as community benefit laws were effective in compelling not-for-profit hospitals to report increased community orientation activities, and it also concluded that the mimetic pressures associated with these laws were effective in inducing investor-owned hospitals to report increased community orientation activities.</description><subject>Access to health care</subject><subject>Community Services</subject><subject>Community-Institutional Relations</subject><subject>Health Care Services</subject><subject>Health Education</subject><subject>Health Promotion</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Hospitals, Voluntary - legislation & jurisprudence</subject><subject>Hospitals, Voluntary - organization & administration</subject><subject>Indigent care</subject><subject>Investors</subject><subject>Law</subject><subject>Medicine and Health</subject><subject>Non-profit organizations</subject><subject>Nonprofit hospitals</subject><subject>Nonprofit Organizations</subject><subject>Ownership</subject><subject>Policy studies</subject><subject>Political Science</subject><subject>Politics</subject><subject>Privatization</subject><subject>Public health</subject><subject>Public Health and Health Policy</subject><subject>Public Policy</subject><subject>State Government</subject><subject>Statutes</subject><subject>Studies</subject><subject>United States</subject><subject>United States of America</subject><issn>0361-6878</issn><issn>1527-1927</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>7UB</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkk-P0zAQxS0EYsvCB-CCIg7cAv47To5QsXSlSou0vVuOO1GzNHGwnUX99jjbrhYhoeLLSDO_92ZkPULeMvqRcaY-UQEMKl2VgpW8FJw9IwumuC5ZzfVzspjn5QxckFcx3tH8BIOX5IIBiKoSckEOmx0W1_1oXSp8W9wmm7BY-r6fhi4dii84YNulYm1_xcIPRdr9OV2h3addcRM6HLKwy4Adto_t78H3_qF5i-G-cxjnDSsfxy7ZfXxNXrS54JtTvSSbq6-b5apc33y7Xn5el05xSKWj3AmJFiQDJhvUkikp6opScK5VjWxhiy0AbSzHilUNqJrzVirZIqATl-TD0XYM_ueEMZm-iw73ezugn6IBXVOhuTwPMlBUS_ofYIZ0XZ0FVa2BMsHPggKkVlDPN77_C7zzUxjy9xkuuNKVqusMsSPkgo8xYGvG0PU2HAyjZs6NecyNEcxwk3OTNe9OxlPT4_ZJcQpKBuQR2E4_cBoDxvi0-9--vwG04MzO</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Ginn, Gregory O.</creator><creator>Moseley, Charles B.</creator><general>Duke University Press</general><general>Duke University Press, NC & IL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>7U3</scope><scope>7U4</scope><scope>7UB</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DHY</scope><scope>DON</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>The Impact of State Community Benefit Laws on the Community Health Orientation and Health Promotion Services of Hospitals</title><author>Ginn, Gregory O. ; Moseley, Charles B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-c02c34ea641614be74154398006ccf5b4f6def660ba2e818b65922f454fe6ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Access to health care</topic><topic>Community Services</topic><topic>Community-Institutional Relations</topic><topic>Health Care Services</topic><topic>Health Education</topic><topic>Health Promotion</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Hospitals, Voluntary - legislation & jurisprudence</topic><topic>Hospitals, Voluntary - organization & administration</topic><topic>Indigent care</topic><topic>Investors</topic><topic>Law</topic><topic>Medicine and Health</topic><topic>Non-profit organizations</topic><topic>Nonprofit hospitals</topic><topic>Nonprofit Organizations</topic><topic>Ownership</topic><topic>Policy studies</topic><topic>Political Science</topic><topic>Politics</topic><topic>Privatization</topic><topic>Public health</topic><topic>Public Health and Health Policy</topic><topic>Public Policy</topic><topic>State Government</topic><topic>Statutes</topic><topic>Studies</topic><topic>United States</topic><topic>United States of America</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ginn, Gregory O.</creatorcontrib><creatorcontrib>Moseley, Charles B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Worldwide Political Science Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health politics, policy and law</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ginn, Gregory O.</au><au>Moseley, Charles B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of State Community Benefit Laws on the Community Health Orientation and Health Promotion Services of Hospitals</atitle><jtitle>Journal of health politics, policy and law</jtitle><addtitle>J Health Polit Policy Law</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>31</volume><issue>2</issue><spage>321</spage><epage>344</epage><pages>321-344</pages><issn>0361-6878</issn><eissn>1527-1927</eissn><coden>JHPLDN</coden><abstract>This study examined the effect of state community benefit laws and guidelines on the community health orientation and the provision of hospital-based health promotion services in hospitals. 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The study found that community benefit laws had the effect of decreasing ownership-related differences in reported community health orientation activities. Further, Levene's test of equality of variance showed that the not-for-profit hospitals in community benefit states exhibited significantly lower variance in the community health orientation activities when compared with the not-for-profit hospitals in non-community benefit states. However, none of the statistical tests supported the hypotheses that community benefit laws compelled or induced hospitals to offer significantly more health promotion services. 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| ispartof | Journal of health politics, policy and law, 2006-04, Vol.31 (2), p.321-344 |
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| source | MEDLINE; PAIS Index; Worldwide Political Science Abstracts; Business Source Complete; Sociological Abstracts; Political Science Complete |
| subjects | Access to health care Community Services Community-Institutional Relations Health Care Services Health Education Health Promotion Health services Hospitals Hospitals, Voluntary - legislation & jurisprudence Hospitals, Voluntary - organization & administration Indigent care Investors Law Medicine and Health Non-profit organizations Nonprofit hospitals Nonprofit Organizations Ownership Policy studies Political Science Politics Privatization Public health Public Health and Health Policy Public Policy State Government Statutes Studies United States United States of America |
| title | The Impact of State Community Benefit Laws on the Community Health Orientation and Health Promotion Services of Hospitals |
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