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Medical Care Research and Review
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Correlates of Hospital Provision of Prevention and Health Promotion Services

E. Jose Proenca

Michael D. Rosko

Widener University

Jacqueline S. Zinn

Temple University

This study investigates the factors associated with hospital provision of prevention and health promotion services. The authors conceptualize the provision of these services as a hospital response to the community health concerns of environmental stakeholders. The response depends on hospital recognition and interpretation of institutional and resource dependence pressures and is related to interorganizational linkages, resource dependencies, and information processing structure. Data for the study came from 3,453 U.S. hospitals. The authors found that hospital provision of prevention and health promotion services is positively related to alliance and network membership, the diffusion of such services among other area hospitals, the use of community health status information, and hospital size. Also, for-profit hospitals provide fewer prevention and health promotion services than not-for-profit hospitals. These findings have policy and management implications.

Key Words: hospitals • community health promotion • institutional theory • resource dependence theory

Medical Care Research and Review, Vol. 60, No. 1, 58-78 (2003)
DOI: 10.1177/1077558702250244
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