National Overview of Nonprofit Hospitals’ Community Benefit Programs to Address Housing

Bibliographic Data

ID9103526
AuthorsAnnalise Celano (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Pauline Keselman (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Timothy Barley (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Ryan Schnautz (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Benjamin Piller (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Dylan Nunn (Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio), Maliek Scott (Ohio University Heritage College of Osteopathic Medicine, Dublin, Ohio, corresponding author), Cory E Cronin (0000-0001-6381-9695, Ohio University), Cory Cronin (Ohio University), B Franz (0000-0003-2091-1891, Ohio University)
Year2024
Volume62
Issue6
Pages359-366
Publication date2024-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001984
PMID38728676
OpenAlexW4396829169
LanguageEN
Citations received4
References cited38

BACKGROUND: Housing is a critical social determinant of health that can be addressed through hospital-supported community benefit programming. OBJECTIVES: To explore the prevalence of hospital-based programs that address housing-related needs, categorize the specific actions taken to address housing, and determine organizational and community-level factors associated with investing in housing. RESEARCH DESIGN: This retrospective, cross-sectional study examined a nationally representative dataset of administrative documents from nonprofit hospitals that addressed social determinants of health in their federally mandated community benefit implementation plans. We conducted descriptive statistics and bivariate analyses to examine hospital and community characteristics associated with whether a hospital invested in housing programs. Using an inductive approach, we categorized housing investments into distinct categories. MEASURES: The main outcome measure was a dichotomous variable representing whether a hospital invested in one or more housing programs in their community. RESULTS: Twenty percent of hospitals invested in one or more housing programs. Hospitals that addressed housing in their implementation strategies were larger on average, less likely to be in rural communities, and more likely to be serving populations with greater housing needs. Housing programs fell into 1 of 7 categories: community partner collaboration (34%), social determinants of health screening (9%), medical respite centers (4%), community social determinants of health liaison (11%), addressing specific needs of homeless populations (16%), financial assistance (21%), and targeting high-risk populations (5%). CONCLUSIONS: Currently, a small subset of hospitals nationally are addressing housing. Hospitals may need additional policy support, external partnerships, and technical assistance to address housing in their communities

Business · Descriptive statistics · Economic growth · Economics · Environmental health · Public health · Public housing · Respite care · Social determinants of health · Supportive housing · Geriatric Care and Nursing Homes · Health disparities and outcomes · Homelessness and Social Issues · Medicine · Nursing