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Research ArticleSpecial Communication

Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions

Melanie C. Raffoul and Robert L. Phillips
The Journal of the American Board of Family Medicine July 2017, 30 (4) 537-543; DOI: https://doi.org/10.3122/jabfm.2017.04.170109
Melanie C. Raffoul
From the Robert Graham Center for Policy Studies, Washington, D.C.; and the American Board of Family Medicine, Lexington, KY.
MD
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Robert L. Phillips Jr
From the Robert Graham Center for Policy Studies, Washington, D.C.; and the American Board of Family Medicine, Lexington, KY.
MD, MSPH
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    Figure 1.

    Texas regional health partnerships (coalitions of counties) and workforce needs in primary care (top) and mental health (bottom). White indicates counties with no workforce need; purple, counties with a workforce need; and blue, counties with a workforce need and a graduate medical education intervention.

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    Table 1.

    Workforce Needs and Interventions Based on Community Health Needs Assessment and Regional Health Partnerships

    Areas of Care IdentifiedReports Identifying Workforce NeedsProposals Increasing/Expanding GME Positions
    CHNAs (n = 38)
        Primary care26 (68.4)3 (8.3)*
        Mental health34 (89.4)1 (2.8)*
        Subspecialties17 (44.7)1 (2.8)*
    RHPs (n = 20)
        Primary care18 (90)5 (25)
        Mental health20 (100)3 (15)
        Subspecialties15 (75)3 (15)
    • Data are n (%). Data were gathered from community health needs assessments (CHNAs) and regional health partnerships (RHPs) of participating hospitals and hospital systems in Texas; the reports were published between 2011 and 2015.

    • ↵* At the time of this review, 2 plans were in progress; therefore these data are from among only 36 CHNAs.

    • GME, graduate medical education.

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The Journal of the American Board of Family     Medicine: 30 (4)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 4
July-August 2017
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Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions
Melanie C. Raffoul, Robert L. Phillips
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 537-543; DOI: 10.3122/jabfm.2017.04.170109

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Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions
Melanie C. Raffoul, Robert L. Phillips
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 537-543; DOI: 10.3122/jabfm.2017.04.170109
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Keywords

  • Graduate Medical Education
  • Health Planning
  • Institute of Medicine (U.S.)
  • Medicaid
  • Medicare
  • Needs Assessment
  • Patient Protection and Affordable Care Act
  • Primary Health Care
  • Tax Exemption
  • Texas

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