Journal
ANNUAL REVIEW OF PUBLIC HEALTH
Volume 30, Issue -, Pages 373-383Publisher
ANNUAL REVIEWS
DOI: 10.1146/annurev.publhealth.032008.112750
Keywords
community health; community benefit; health systems; not-for-profit hospitals; community orientation
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This article reviews evidence on hospitals' and health systems' impacts on community health improvement. We begin with an overview of the history of community benefit and then discuss the lack of a widely accepted definition and measurement of community benefit activities as well as the expectations and accountability of tax-exempt not-for-profit hospitals and health systems in community initiatives. We highlight the approaches of two systems and identity strategic, cultural, technical, and structural challenges associated with increasing community benefit and health-improvement activities. We conclude by offering recommendations for policy and practice.
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