Examining the relationship between hospital ownership and population health efforts

J Health Organ Manag. 2018 Nov 19;32(8):934-942. doi: 10.1108/JHOM-02-2018-0042. Epub 2018 Oct 1.

Abstract

Purpose: The purpose of this paper is to investigate the relationship between ownership type and population health initiatives adopted by hospitals using the 2015 American Hospital Association data.

Design/methodology/approach: Hospitals of various sizes, ownership structures and geographic locations are represented in the survey. The outcome variables of interest include measures of hospital population health activities.

Findings: Findings indicate that nonprofit hospitals are most likely to express commitment to population health and participate in population health activities, with for-profit hospitals being least likely. Implications for policy and practice are discussed.

Research limitations/implications: This study demonstrates that discrepancies in population health approaches exist across ownership status - particularly, nonprofit hospitals appear to be the most likely to be involved in population health efforts.

Practical implications: As we continue to push for population health management in the hospital setting, grappling with the definition and purpose of population health management will be essential.

Social implications: Overall, these results suggest that nonprofit hospitals are more likely to be implementing population health efforts than for-profit or government-owned hospitals.

Originality/value: Although there are several studies on population health in hospitals, this study is the first to investigate the relationship between ownership type and population health initiatives adopted by hospitals.

Keywords: For profit; Hospitals; Not for profit; Population health; USA.

MeSH terms

  • Health Surveys
  • Hospitals*
  • Ownership*
  • Population Health*
  • United States