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Title

Whose Social Capital Matters? The Case of U.S. Urban Public Hospital Closures and Conversions to Private Ownership (Social Science & Medicine)

Publication Topics

Use of Health Services; Safety Net Providers; Low-Income; Racial and Ethnic Groups

Publication Type

Journal Article

Publication Date

2014-08-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1148&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1148&RootFolder=*">Michelle Ko MD, PhD</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1149&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1149&RootFolder=*">Kathryn Pitkin Derose</a>

Author 3

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=627&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=627&RootFolder=*">Jack Needleman, PhD</a>

Author 4

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=243&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=243&RootFolder=*">Ninez A. Ponce, PhD, MPP</a>

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Abstract

​Prior literature on social capital and health has predominantly focused on health outcomes and individual access to health care services. It is not known to what degree, if any, community social capital influences the performance or behaviors of public hospitals, a key source of health care for disadvantaged communities in the United States.

In this study, the authors developed measures of community bridging social capital –- horizontal social networks between heterogeneous groups of similar social position -– and linking social capital -– vertical networks across the status hierarchy -– relevant to public hospitals. They examined associations between social capital, and U.S. urban public hospital closures and conversions to private ownership from 1987 to 2007.
 
Higher voting participation was associated with a greater hazard of public hospital closure over time, whereas the number of business, professional and political organizations per 10,000 residents was associated a greater hazard of conversion. Additional measures of bridging and linking social capital were not associated with either outcome. Taken together, the findings suggest that, at least historically, horizontal forms of social capital among more privileged groups (e.g., business, professional, and political associations) bear influence on public hospital outcomes.
 
Specific efforts to increase engagement of disadvantaged groups and connect them with decision-makers may be needed to fully realize the potential of linking social capital to influence local health care policy promoting social protection.

 

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Journal Article: Whose Social Capital Matters? The Case of U.S. Urban Public Hospital Closures and Conversions to Private Ownership

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Created at 8/6/2014 1:09 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 8/6/2014 1:22 PM by i:0#.f|uclachissqlmembershipprovider|celeste