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Community Accountability among Hospitals Affiliated with Health Care Systems
Author(s) -
Alexander Jeffrey A.,
Weiner Bryan J.,
Succi Melissa
Publication year - 2000
Publication title -
the milbank quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 101
eISSN - 1468-0009
pISSN - 0887-378X
DOI - 10.1111/1468-0009.00167
Subject(s) - accountability , health care , community health , variety (cybernetics) , medicine , public relations , business , public health , nursing , political science , law , artificial intelligence , computer science
The shift from local, community‐based hospitals to more complex, multilevel delivery systems raises questions about the community accountability exercised by hospitals. A national sample of community hospitals is the basis of this study, which examines the ways that community accountability is exercised by the governing boards of hospitals affiliated with health care systems and how such institutions compare with hospitals not affiliated with a health care system. Results indicate that hospitals display community accountability in a variety of ways. Boards of system‐affiliated hospitals exercise community accountability most strongly in their information monitoring and reporting activities, whereas free‐standing hospitals exercise community accountability through the structural and compositional attributes of their boards. Further, hospitals affiliated with different types of systems vary in the style and degree of accountability they demonstrate.