Assessing the Impact of Privatization of Public Hospitals on Community Orientation: A Stakeholder Approach

Transforming Health Care

ISBN: 978-1-83982-957-4, eISBN: 978-1-83982-956-7

ISSN: 1474-8231

Publication date: 26 October 2020

Abstract

Public hospitals have long been major players in the US health care delivery system. However, many public hospitals have privatized during the past few decades. The purpose of this chapter was to investigate the impact of public hospitals' privatization on community orientation (CO). This longitudinal study used a national sample of nonfederal acute-care public hospitals (1997–2010). Negative binomial regression models with hospital-level and year fixed effects were used to estimate the relationships. Our findings suggested that privatization was associated with a 14% increase in the number of CO activities, on average, compared with the number of CO activities prior to privatization. Public hospitals privatizing to for-profit status exhibited a 29% increase in the number of CO activities, relative to an insignificant 9% increase for public hospitals privatizing to not-for-profit status.

Keywords

Citation

Ramamonjiarivelo, Z., Hearld, L., Epané, J.P., Mcroy, L. and Weech-Maldonado, R. (2020), "Assessing the Impact of Privatization of Public Hospitals on Community Orientation: A Stakeholder Approach", Hefner, J.L., Al-Amin, M., Huerta, T.R., Aldrich, A.M. and Griesenbrock, T.E. (Ed.) Transforming Health Care (Advances in Health Care Management, Vol. 19), Emerald Publishing Limited, Bingley, pp. 43-59. https://doi.org/10.1108/S1474-823120200000019007

Publisher

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Emerald Publishing Limited

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