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. 2018 Jun;43(3):477-487.
doi: 10.1007/s10900-017-0440-6.

"Top Performing" US Hospitals and the Health Status of Counties they Serve

Amber M Maraccini  1 , Wei Yang  2 , Anthony D Slonim  3   4
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"Top Performing" US Hospitals and the Health Status of Counties they Serve

Amber M Maraccini et al. J Community Health. 2018 Jun.

Abstract

This study (a) examined the relationships between "top performing" US hospitals and the health status of counties they serve and (b) compared the health status of "top performing" US hospital counties versus that of remaining US counties. Statistical analyses considered US News and World Report Honor Roll ranking data, as a measure of hospital performance, and County Health Rankings (CHR) data, as a measure of county health status. "Top performing" hospital Honor Roll scores were correlated with measures of Clinical Care (p < 0.001). Counties with "top performing" US hospitals presented greater health status with regard to All Health Outcomes (p < 0.001), Length of Life (p < 0.001), Quality of Life (p < 0.001), All Health Factors (p < 0.001), Health Behaviors (p < 0.001), and Clinical Care (p < 0.001), than compared to remaining US counties. Hospital impact on county health status remains primarily recognized in clinical care and not in overall health. Also, counties that contain a "top performing" US hospital tend to present lower health risks to their citizens than compared to other US counties.

Keywords: Community benefit; County health; Social determinants; US hospitals.

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