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Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership

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  • Ko, Michelle
  • Derose, Kathryn Pitkin
  • Needleman, Jack
  • Ponce, Ninez A.

Abstract

Prior literature on social capital and health has predominantly focused on health outcomes and individual access to healthcare 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 healthcare for disadvantaged communities in the United States. In this study we 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. We examined associations between social capital, and U.S. urban public hospital closures and conversions to private ownership from 1987 to 2007. We found that higher voting participation was associated with a greater hazard of public hospital closure over time (p < 0.01), whereas the number of business, professional and political organizations per 10,000 residents was associated a greater hazard of conversion (p < 0.05). Additional measures of bridging and linking social capital were not associated with either outcome. Taken together, our 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 healthcare policy promoting social protection.

Suggested Citation

  • Ko, Michelle & Derose, Kathryn Pitkin & Needleman, Jack & Ponce, Ninez A., 2014. "Whose social capital matters? The case of U.S. urban public hospital closures and conversions to private ownership," Social Science & Medicine, Elsevier, vol. 114(C), pages 188-196.
  • Handle: RePEc:eee:socmed:v:114:y:2014:i:c:p:188-196
    DOI: 10.1016/j.socscimed.2014.03.024
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    References listed on IDEAS

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    1. Laporte, Audrey & Nauenberg, Eric & Shen, Leilei, 2008. "Aging, social capital, and health care utilization in Canada," Health Economics, Policy and Law, Cambridge University Press, vol. 3(4), pages 393-411, October.
    2. Mansyur, Carol & Amick, Benjamin C. & Harrist, Ronald B. & Franzini, Luisa, 2008. "Social capital, income inequality, and self-rated health in 45 countries," Social Science & Medicine, Elsevier, vol. 66(1), pages 43-56, January.
    3. Lydia Savage, 2004. "Public Sector Unions Shaping Hospital Privatization: The Creation of Boston Medical Center," Environment and Planning A, , vol. 36(3), pages 547-568, March.
    4. Muennig, Peter & Cohen, Alison K. & Palmer, Aileen & Zhu, Wenyi, 2013. "The relationship between five different measures of structural social capital, medical examination outcomes, and mortality," Social Science & Medicine, Elsevier, vol. 85(C), pages 18-26.
    5. Nauenberg, Eric & Laporte, Audrey & Shen, Leilei, 2011. "Social capital, community size and utilization of health services: A lagged analysis," Health Policy, Elsevier, vol. 103(1), pages 38-46.
    6. Islam, M. Kamrul & Merlo, Juan & Kawachi, Ichiro & Lindström, Martin & Burström, Kristina & Gerdtham, Ulf-G., 2006. "Does it really matter where you live? A panel data multilevel analysis of Swedish municipality-level social capital on individual health-related quality of life," Health Economics, Policy and Law, Cambridge University Press, vol. 1(3), pages 209-235, July.
    7. Prentice, Julia C., 2006. "Neighborhood effects on primary care access in Los Angeles," Social Science & Medicine, Elsevier, vol. 62(5), pages 1291-1303, March.
    8. Ahern, Melissa M. & Hendryx, Michael S., 2003. "Social capital and trust in providers," Social Science & Medicine, Elsevier, vol. 57(7), pages 1195-1203, October.
    9. Federico Ciliberto & Richard C. Lindrooth, 2007. "Exit From The Hospital Industry," Economic Inquiry, Western Economic Association International, vol. 45(1), pages 71-81, January.
    10. Kim, Daniel & Baum, Christopher F. & Ganz, Michael L. & Subramanian, S.V. & Kawachi, Ichiro, 2011. "The contextual effects of social capital on health: A cross-national instrumental variable analysis," Social Science & Medicine, Elsevier, vol. 73(12), pages 1689-1697.
    11. Milligan, Kevin & Moretti, Enrico & Oreopoulos, Philip, 2004. "Does education improve citizenship? Evidence from the United States and the United Kingdom," Journal of Public Economics, Elsevier, vol. 88(9-10), pages 1667-1695, August.
    12. Engström, Karin & Mattsson, Fredrik & Järleborg, Anders & Hallqvist, Johan, 2008. "Contextual social capital as a risk factor for poor self-rated health: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2268-2280, June.
    13. Veenstra, Gerry, 2002. "Social capital and health (plus wealth, income inequality and regional health governance)," Social Science & Medicine, Elsevier, vol. 54(6), pages 849-868, March.
    14. Teresa D. Harrison, 2007. "Consolidations and closures: an empirical analysis of exits from the hospital industry," Health Economics, John Wiley & Sons, Ltd., vol. 16(5), pages 457-474, May.
    15. Mary E. Deily & Niccie L. McKay & Fred H. Dorner, 2000. "Exit and Inefficiency: The Effects of Ownership Type," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 734-747.
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