Changes in hospital-supported substance use services across US nonprofit hospitals, 2015-2021.

Autor:	Cronin CE; College of Health Sciences and Professions, Ohio University, Athens, OH 45701, United States.; Institute to Advance Health Equity, Ohio University, Athens, OH 45701, United States., Franz B; Institute to Advance Health Equity, Ohio University, Athens, OH 45701, United States.; Heritage College of Osteopathic Medicine, Ohio University, Athens, OH 45701, United States., Lindenfeld Z; Edward J. Bloustein School of Planning and Public Policy, Rutgers University, New Brunswick, NJ 08901, United States., Yuanhong Lai A; School of Global Public Health, New York University, New York, NY 10003, United States., Pagán JA; School of Global Public Health, New York University, New York, NY 10003, United States., Chang J; School of Global Public Health, New York University, New York, NY 10003, United States.
Jazyk:	angličtina
Zdroj:	Health affairs scholar [Health Aff Sch] 2024 Oct 04; Vol. 2 (10), pp. qxae127. Date of Electronic Publication: 2024 Oct 04 (Print Publication: 2024).
DOI:	10.1093/haschl/qxae127
Abstrakt:	Substance use remains a timely and important community need to understand and address. Nonprofit hospitals are in a unique position to identify needs and develop programs in response to substance use challenges in their communities. To better understand how nonprofit hospitals do this, we collected data from community health needs assessments and their corresponding implementation strategy (IS) to address these needs for a 20% random sample of hospitals in each state of the United States over 2 periods (2015-2018 and 2019-2021). The sample of nonprofit hospitals came from the American Hospital Association's (AHA) Annual Survey Database. Community health needs assessment and IS documents were coded for the inclusion of substance use programs using a systematic protocol and analyzed quantitatively. We found that the percentage of nonprofit hospitals in our sample with at least 1 substance use program increased from 66.5% in 2015-2018 to 73.6% in 2019-2021. Of the types of programs analyzed, harm reduction approaches saw the greatest increase in implementation in the time period studied, while primary care approaches decreased. This indicates that hospitals are continuing or even increasing their responses to community needs regarding substance use, but there is evidence that their approaches in doing so are shifting over time. Competing Interests: Conflicts of interest Please see ICMJE form(s) for author conflicts of interest. These have been provided as supplementary materials. (© The Author(s) 2024. Published by Oxford University Press on behalf of Project HOPE - The People-To-People Health Foundation, Inc.)
Databáze:	MEDLINE
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