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- Title
Measuring Efforts of Nonprofit Hospitals to Address Opioid Abuse After the Affordable Care Act.
- Authors
Franz, Berkeley; Cronin, Cory E.; Wainwright, Alexandra; Pagán, José A.
- Abstract
Objectives: To assess the strategies that nonprofit hospitals are adopting to address opioid abuse after requirements for community engagement expanded in the Affordable Care Act. Methods: We constructed a dataset of implementation activities for a 20% random sample of nonprofit hospitals in the United States. Using logistic regression, we assessed the extent to which strategies adopted are new, existing, or primarily partnerships. Using negative binomial regression, we assessed the total number of strategies adopted. We controlled for hospital and community characteristics as well as state policies related to opioid abuse. Results: Most strategies adopted by hospitals were new and clinical in nature and the most common number of strategies adopted was one. Hospitals in the Northeast were more likely to adopt a higher number of strategies and to partner with community-based organizations. Hospitals that partner with community-based organizations were more likely to adopt strategies that engage in harm reduction, targeted risk education, or focus on addressing social determinants of health. Conclusions: Community, institutional, and state policy characteristics predict hospital involvement in addressing opioid abuse. These findings underscore several opportunities to support hospital-led interventions to address opioid abuse.
- Subjects
UNITED States; SUBSTANCE abuse prevention; ANALGESICS; COMMUNITY health services; CONFIDENCE intervals; INTERPROFESSIONAL relations; HEALTH policy; NARCOTICS; NEEDS assessment; NONPROFIT organizations; RESEARCH funding; STATISTICAL sampling; STRATEGIC planning; SURVEYS; LOGISTIC regression analysis; HARM reduction; DATA analysis software; PATIENT Protection &; Affordable Care Act; HEALTH &; social status; DESCRIPTIVE statistics; ODDS ratio
- Publication
Journal of Primary Care & Community Health, 2019, Vol 10, pN.PAG
- ISSN
2150-1319
- Publication type
Article
- DOI
10.1177/2150132719863611