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Caffrey A, Pointer C, Steward D, Vohra S. The Role of Community Health Needs Assessments in Medicalizing Poverty. THE JOURNAL OF LAW, MEDICINE & ETHICS : A JOURNAL OF THE AMERICAN SOCIETY OF LAW, MEDICINE & ETHICS 2018; 46:615-621. [PMID: 30336107 DOI: 10.1177/1073110518804212] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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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Affiliation(s)
- Arden Caffrey
- Arden Caffrey was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine. Carolyn Pointer, J.D., is Director of Policy, Department of Population Science and Policy, Southern Illinois University School of Medicine. David Steward, M.D., M.P.H., is Vice Chair of Diversity, Inclusion, and Community Engagement in Internal Medicine, Southern Illinois University School of Medicine. Sameer Vohra, M.D., J.D., M.A., F.A.A.P., is Executive Director, Department of Population Science and Policy, Southern Illinois University School of Medicine
| | - Carolyn Pointer
- Arden Caffrey was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine. Carolyn Pointer, J.D., is Director of Policy, Department of Population Science and Policy, Southern Illinois University School of Medicine. David Steward, M.D., M.P.H., is Vice Chair of Diversity, Inclusion, and Community Engagement in Internal Medicine, Southern Illinois University School of Medicine. Sameer Vohra, M.D., J.D., M.A., F.A.A.P., is Executive Director, Department of Population Science and Policy, Southern Illinois University School of Medicine
| | - David Steward
- Arden Caffrey was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine. Carolyn Pointer, J.D., is Director of Policy, Department of Population Science and Policy, Southern Illinois University School of Medicine. David Steward, M.D., M.P.H., is Vice Chair of Diversity, Inclusion, and Community Engagement in Internal Medicine, Southern Illinois University School of Medicine. Sameer Vohra, M.D., J.D., M.A., F.A.A.P., is Executive Director, Department of Population Science and Policy, Southern Illinois University School of Medicine
| | - Sameer Vohra
- Arden Caffrey was Health Policy Specialist, Department of Population Science and Policy, Southern Illinois University School of Medicine. Carolyn Pointer, J.D., is Director of Policy, Department of Population Science and Policy, Southern Illinois University School of Medicine. David Steward, M.D., M.P.H., is Vice Chair of Diversity, Inclusion, and Community Engagement in Internal Medicine, Southern Illinois University School of Medicine. Sameer Vohra, M.D., J.D., M.A., F.A.A.P., is Executive Director, Department of Population Science and Policy, Southern Illinois University School of Medicine
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