TABLE 3—
Regression of Hospital Community Benefit on Global Community Health Needs Indicator: United States, 2009
| Direct Patient Care Benefits |
Community Health Improvement Initiatives |
Total Community Benefits |
||||
| Characteristic | b (95% CI) | P | b (95% CI) | P | b (95% CI) | P |
| Community needs | 0.980 (0.390, 1.570) | .001 | −0.260 (–0.560, 0.048) | .1 | 0.670 (–0.006, 1.340) | .052 |
| Institutional characteristics | ||||||
| Number of beds | 0.010 (–0.001, 0.003) | .22 | 0.010 (–0.001, 0.002) | .15 | 0.010 (0.001, 0.005) | .013 |
| System affiliation | −0.200 (–0.810, 0.400) | .51 | 0.050 (–0.270, 0.360) | .77 | −0.090 (–0.780, 0.600) | .8 |
| Network affiliation | −0.240 (–0.840, 0.370) | .44 | 0.020 (–0.290, 0.330) | .91 | −0.360 (–1.050, 0.330) | .31 |
| Case–mix index | −2.040 (–3.800, −0.280) | .023 | −0.390 (–1.300, 0.520) | .4 | −1.620 (–3.630, 0.390) | .12 |
| Wage index | 0.030 (–0.042, 0.011) | .4 | −0.020 (–0.059, 0.0170) | .29 | 0.040 (–0.047, 0.120) | .39 |
| Teaching hospital | 0.140 (–1.140, 1.420) | .83 | 0.050 (–0.610, 0.710) | .89 | 2.570 (1.120, 4.030) | .001 |
| Contract managed | −0.010 (–1.060, 1.030) | .98 | −0.010 (–0.540, 0.530) | .99 | −0.030 (–1.220, 1.160) | .96 |
| Church affiliation | −0.300 (–1.110, 0.510) | .47 | 0.060 (–0.350, 0.480) | .76 | −0.400 (–1.320, 0.530) | .4 |
| Sole community provider | 0.580 (–0.460, 1.620) | .28 | 0.630 (0.094, 1.170) | .021 | 1.520 (0.330, 2.710) | .012 |
| Profit margin | ||||||
| High (≥ 3%) | 0.200 (–0.480, 0.880) | .56 | −0.210 (–0.570, 0.140) | .23 | 0.010 (–0.770, 0.780) | .99 |
| Negative | 0.300 (–0.480, 1.080) | .45 | −0.140 (–0.540, 0.260) | .51 | 0.110 (–0.780, 1.000) | .81 |
| Community and market characteristics | ||||||
| State-level community benefit reporting requirement | 0.130 (–0.490, 0.750) | .68 | 0.420* (0.097, 0.740) | .011 | 0.630 (–0.085, 1.340) | .084 |
| Market competition | −0.039 (–1.190, 1.110) | .95 | 0.120 (–0.470, 0.710) | .68 | −0.400 (–1.710, 0.900) | .54 |
| Percentage of hospital beds in local community controlled by | ||||||
| For-profit hospitals | 0.460 (–1.750, 2.670) | .69 | −0.130 (–1.270, 1.010) | .83 | −0.530 (–3.050, 2.000) | .68 |
| State or local government | 0.920 (–0.920, 2.750) | .33 | −0.400 (–1.340, 0.540) | .41 | 0.620 (–1.470, 2.710) | .56 |
| Urban setting | 0.048 (–0.700, 0.790) | .9 | −0.093 (–0.480, 0.290) | .63 | −0.085 (–0.930, 0.760) | .84 |
| Geographic region | ||||||
| Northeast | −1.790 (–2.810, −0.760) | .001 | −0.880 (–1.410, −0.350) | .001 | −2.200 (–3.370, −1.030) | < .001 |
| Midwest | −0.910 (–1.870, 0.054) | .064 | −0.630 (–1.130, −0.140) | .012 | −1.270 (–2.370, −0.180) | .023 |
| South | −1.720 (–2.760, −0.670) | .001 | −0.700 (–1.240, −0.160) | .011 | −1.960 (–3.150, −0.760) | < .001 |
Note. CI = confidence interval.