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Beyond patient care: a qualitative study of rural hospitals' role in improving community health
Journal article   Open access   Peer reviewed

Beyond patient care: a qualitative study of rural hospitals' role in improving community health

Mochamad Muska Nataliansyah, Xi Zhu, Thomas Vaughn and Keith Mueller
BMJ open, Vol.12(3), pp.e057450-e057450
03/16/2022
DOI: 10.1136/bmjopen-2021-057450
PMCID: PMC8928326
PMID: 35296486
url
https://doi.org/10.1136/bmjopen-2021-057450View
Published (Version of record) Open Access

Abstract

Rural population face more health disadvantages than those living in urban and suburban areas. In rural communities, hospitals are frequently the primary organisation with the resources and capabilities to address health issues. This characteristic highlights their potential to be a partner and leader for community health initiatives. This study aims to understand rural hospitals' motivations to engage in community health improvement efforts and examine their strategies to address community health issues. Eleven semistructured interviews were conducted with key leaders from four rural hospitals in a US Midwestern state. On-site and telephone interviews were audio-recorded and transcribed. The combination of inductive and deductive qualitative analysis was applied to identify common themes and categories. Participating hospitals are located in US rural counties that have demonstrated progress in creating healthier communities. Three types of motivation drive rural hospitals' community health improvement efforts: internal values, economic conditions and social responsibilities. Three categories of strategies to address community health issues were identified: building capacity, building relationships and building programmes. Despite the challenges, rural hospitals can successfully conduct community-oriented programmes. The finds extend the literature on how rural hospitals may strategise to improve rural health by engaging their communities and conduct activities beyond patient care.
Public Health health services administration & management qualitative research

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