The Role of Community Health Needs Assessments in Medicalizing Poverty
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is considered by many to be the most significant healthcare overhaul since the 1960s, but part of its promise — improvement of population health through requirements for non-profit hospitals to provide “community benefit” — has no...
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| Published in: | The Journal of law, medicine & ethics Vol. 46; no. 3; pp. 615 - 621 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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Los Angeles, CA
SAGE Publications
01-09-2018
Cambridge University Press |
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| Abstract | The Patient Protection and Affordable Care Act (ACA), passed in 2010, is considered by many to be the most significant healthcare overhaul since the 1960s, but part of its promise — improvement of population health through requirements for non-profit hospitals to provide “community benefit” — has not been met. This paper examines the history of community benefit legislation, how community benefit dollars are allocated, and innovative practices by a few hospitals and communities that are addressing primarily non-medical factors that influence health such as social disadvantage, attitudes, beliefs, risk exposure, and social inequalities. |
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| AbstractList | The Patient Protection and Affordable Care Act (ACA), passed in 2010, is considered by many to be the most significant healthcare overhaul since the 1960s, but part of its promise — improvement of population health through requirements for non-profit hospitals to provide “community benefit” — has not been met. This paper examines the history of community benefit legislation, how community benefit dollars are allocated, and innovative practices by a few hospitals and communities that are addressing primarily non-medical factors that influence health such as social disadvantage, attitudes, beliefs, risk exposure, and social inequalities. |
| Author | Pointer, Carolyn Steward, David Vohra, Sameer Caffrey, Arden |
| Author_xml | – sequence: 1 givenname: Arden surname: Caffrey fullname: Caffrey, Arden organization: was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine – sequence: 2 givenname: Carolyn surname: Pointer fullname: Pointer, Carolyn organization: was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine – sequence: 3 givenname: David surname: Steward fullname: Steward, David organization: was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine – sequence: 4 givenname: Sameer surname: Vohra fullname: Vohra, Sameer organization: was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30336107$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.2307/795444 10.1001/jama.2016.9797 10.3945/jn.109.112573 10.2105/AJPH.2009.185652 10.1017/S0021088900020350 10.1377/hlthaff.2017.1028 10.1377/hlthaff.26.5.1253 10.4135/9781412983969 10.31478/201710c 10.2337/diacare.24.3.561 10.58948/2331-3528.1366 10.1016/S2255-4823(13)70494-6 10.1377/hlthaff.2014.1424 10.1377/hpb20160225.954803 10.1093/heapol/czn022 10.1136/jech.53.1.55 10.1289/ehp.113-a310 10.1093/heapro/15.1.87 10.5195/PJEPHL.2008.7 10.1016/j.amepre.2017.05.011 |
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| Copyright | 2018 American Society of Law, Medicine & Ethics Copyright © American Society of Law, Medicine and Ethics 2018 |
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| DOI | 10.1177/1073110518804212 |
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| Snippet | The Patient Protection and Affordable Care Act (ACA), passed in 2010, is considered by many to be the most significant healthcare overhaul since the 1960s, but... |
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| SubjectTerms | Community Health Health Expenditures Health technology assessment Hospitals Hospitals, Community - economics Humans Indigent care Legislation Medicalization Needs Assessment Nonprofit organizations Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act Poverty Social Determinants of Health Social inequality Socioeconomic factors United States |
| Title | The Role of Community Health Needs Assessments in Medicalizing Poverty |
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