{"id":"https://openalex.org/W2808689015","doi":null,"title":"Ethical Concerns in an Era of Population Health: A Challenge of Identity for Tomorrow's Hospitals","display_name":"Ethical Concerns in an Era of Population Health: A Challenge of Identity for Tomorrow's Hospitals","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2808689015","mag":"2808689015"},"language":"en","primary_location":{"id":"pmh:oai:deepblue.lib.umich.edu:2027.42/144171","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/2027.42/144171","pdf_url":"https://hdl.handle.net/2027.42/144171","source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://hdl.handle.net/2027.42/144171","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070696864","display_name":"Michael D. Rozier","orcid":"https://orcid.org/0000-0002-1477-0570","observed_orcids":["https://orcid.org/0000-0002-1477-0570"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Michael Rozier","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-1477-0570","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5070696864"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12041","display_name":"Public Health Policies and Education","score":0.5756999850273132,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12041","display_name":"Public Health Policies and Education","score":0.5756999850273132,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.15379999577999115,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12196","display_name":"Community Health and Development","score":0.11580000072717667,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/population-health","display_name":"population health","score":0.7910000085830688},{"id":"https://openalex.org/keywords/hospital-community-partnership","display_name":"hospital-community collaboration","score":0.550000011920929},{"id":"https://openalex.org/keywords/community-benefits","display_name":"community benefits","score":0.7310000061988831},{"id":"https://openalex.org/keywords/nonprofit-hospitals","display_name":"nonprofit hospitals","score":0.7940000295639038},{"id":"https://openalex.org/keywords/ethical-dilemmas","display_name":"ethical dilemmas","score":0.8759999871253967},{"id":"https://openalex.org/keywords/community-health-needs-assessment","display_name":"community health needs assessment","score":0.7049999833106995},{"id":"https://openalex.org/keywords/resource-allocation","display_name":"resource allocation","score":0.6299999952316284},{"id":"https://openalex.org/keywords/community-engagement","display_name":"community participation","score":0.6069999933242798},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.7879999876022339},{"id":"https://openalex.org/keywords/community-health-initiatives","display_name":"community health initiatives","score":0.460999995470047}],"concepts":[{"id":"https://openalex.org/C2778355321","wikidata":"https://www.wikidata.org/wiki/Q17079427","display_name":"Identity (music)","level":2,"score":0.657935619354248},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.44279956817626953},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3557353615760803},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3517608940601349},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.15116482973098755},{"id":"https://openalex.org/C142362112","wikidata":"https://www.wikidata.org/wiki/Q735","display_name":"Art","level":0,"score":0.12590262293815613},{"id":"https://openalex.org/C107038049","wikidata":"https://www.wikidata.org/wiki/Q35986","display_name":"Aesthetics","level":1,"score":0.10122019052505493}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:deepblue.lib.umich.edu:2027.42/144171","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/2027.42/144171","pdf_url":"https://hdl.handle.net/2027.42/144171","source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2808689015","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/2027.42/144171","pdf_url":null,"source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Deep Blue (University of Michigan)","raw_type":null}],"best_oa_location":{"id":"pmh:oai:deepblue.lib.umich.edu:2027.42/144171","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/2027.42/144171","pdf_url":"https://hdl.handle.net/2027.42/144171","source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2808689015.pdf","grobid_xml":"https://content.openalex.org/works/W2808689015.grobid-xml"},"referenced_works_count":113,"referenced_works":["https://openalex.org/W131201076","https://openalex.org/W161869993","https://openalex.org/W377384883","https://openalex.org/W846224764","https://openalex.org/W1149849923","https://openalex.org/W1512520873","https://openalex.org/W1515427165","https://openalex.org/W1540227461","https://openalex.org/W1541394746","https://openalex.org/W1550602997","https://openalex.org/W1552293250","https://openalex.org/W1562592376","https://openalex.org/W1658908529","https://openalex.org/W1833615948","https://openalex.org/W1838096055","https://openalex.org/W1953606662","https://openalex.org/W1956440669","https://openalex.org/W1965291399","https://openalex.org/W1967140326","https://openalex.org/W1972008136","https://openalex.org/W1972021306","https://openalex.org/W1976435203","https://openalex.org/W1980093639","https://openalex.org/W1981425990","https://openalex.org/W1987790895","https://openalex.org/W1995350918","https://openalex.org/W1997654078","https://openalex.org/W2009164152","https://openalex.org/W2009811956","https://openalex.org/W2011346830","https://openalex.org/W2022082539","https://openalex.org/W2024257280","https://openalex.org/W2024804256","https://openalex.org/W2025827184","https://openalex.org/W2035663163","https://openalex.org/W2040446863","https://openalex.org/W2050411344","https://openalex.org/W2057327092","https://openalex.org/W2061276405","https://openalex.org/W2064068610","https://openalex.org/W2068257039","https://openalex.org/W2078928669","https://openalex.org/W2080171783","https://openalex.org/W2082083588","https://openalex.org/W2083057473","https://openalex.org/W2088258574","https://openalex.org/W2091285409","https://openalex.org/W2091653553","https://openalex.org/W2094774867","https://openalex.org/W2095775928","https://openalex.org/W2097083372","https://openalex.org/W2097261167","https://openalex.org/W2097727752","https://openalex.org/W2098366851","https://openalex.org/W2099703484","https://openalex.org/W2104253362","https://openalex.org/W2105995112","https://openalex.org/W2110992232","https://openalex.org/W2121619367","https://openalex.org/W2121722424","https://openalex.org/W2126706517","https://openalex.org/W2127430770","https://openalex.org/W2131915367","https://openalex.org/W2133393736","https://openalex.org/W2135216369","https://openalex.org/W2136372663","https://openalex.org/W2138147903","https://openalex.org/W2138311769","https://openalex.org/W2138976851","https://openalex.org/W2143354717","https://openalex.org/W2145616436","https://openalex.org/W2149190286","https://openalex.org/W2150098044","https://openalex.org/W2153488914","https://openalex.org/W2153782867","https://openalex.org/W2154822634","https://openalex.org/W2155993373","https://openalex.org/W2158206969","https://openalex.org/W2159912593","https://openalex.org/W2159936838","https://openalex.org/W2172196716","https://openalex.org/W2178030545","https://openalex.org/W2181626954","https://openalex.org/W2270627573","https://openalex.org/W2288086472","https://openalex.org/W2295418063","https://openalex.org/W2297374954","https://openalex.org/W2314521017","https://openalex.org/W2323594055","https://openalex.org/W2335575681","https://openalex.org/W2343682674","https://openalex.org/W2409670690","https://openalex.org/W2414749200","https://openalex.org/W2416411638","https://openalex.org/W2464009388","https://openalex.org/W2465639684","https://openalex.org/W2492442222","https://openalex.org/W2547364066","https://openalex.org/W2591981121","https://openalex.org/W2605251499","https://openalex.org/W2626277945","https://openalex.org/W2660386536","https://openalex.org/W2745486190","https://openalex.org/W2753255473","https://openalex.org/W2755196113","https://openalex.org/W2769809556","https://openalex.org/W2775178152","https://openalex.org/W2779051948","https://openalex.org/W2912107188","https://openalex.org/W3017203411","https://openalex.org/W3127426510","https://openalex.org/W3141727052","https://openalex.org/W4388176538"],"related_works":["https://openalex.org/W2095405859","https://openalex.org/W1536351272","https://openalex.org/W2981549196","https://openalex.org/W2161711304","https://openalex.org/W4232652326","https://openalex.org/W3122311572","https://openalex.org/W3184341678","https://openalex.org/W2894050320","https://openalex.org/W2415893715","https://openalex.org/W610175225"],"abstract_inverted_index":{"Background:":[0],"After":[1,314],"focusing":[2],"on":[3,81,111,213,263,435],"episodic,":[4],"clinical":[5,472],"encounters,":[6],"U.S.":[7],"health":[8,19,61,91,121,151,210,309,353,384,407,503,520],"care":[9],"is":[10],"beginning":[11],"to":[12,42,53,202,280,338,357,379,389,395,478,496,514],"acknowledge":[13],"the":[14,34,54,97,147,214,302,340,363,405,463,494,507,512],"need":[15,227,495,513],"for":[16,33,153,292,351,487,518,543],"population-level,":[17,479],"preventive":[18,480],"strategies.":[20,481],"Largely":[21],"driven":[22],"by":[23,177,412,443],"new":[24,27,64,535],"regulatory":[25],"measures,":[26],"payment":[28],"programs,":[29],"and":[30,47,57,103,116,132,144,158,185,244,274,295,324,375,418,490,511,533],"greater":[31],"appreciation":[32],"social":[35,500],"determinants":[36,501],"of":[37,86,138,149,181,187,207,216,221,234,238,241,321,382,415,423,452,502,506,539],"health,":[38,454],"this":[39,528],"shift":[40],"aims":[41],"reduce":[43],"per":[44],"capita":[45],"cost":[46],"improve":[48],"population":[49,60,90,120,308,453,519,548],"health.":[50,549],"In":[51],"addition":[52],"financial,":[55],"clinical,":[56],"operational":[58],"challenges,":[59,323],"strategies":[62],"raise":[63],"ethical":[65,117,139,270,312,322,331,526,545],"questions.":[66],"Methods:":[67],"This":[68],"study":[69,483,529],"used":[70],"an":[71,173,253,450],"exploratory":[72],"sequential":[73],"mixed":[74],"methods":[75],"design.":[76],"Qualitative":[77],"data":[78,169],"were":[79,161,170,250,278,392,410],"based":[80,212],"interviews":[82,108,334],"(n=38)":[83],"with":[84,129,163,252,458],"supervisors":[85],"Community":[87,293,508],"Benefit":[88,294,509],"or":[89],"management":[92],"at":[93],"nonprofit":[94,188,343],"hospitals":[95,344,455],"across":[96],"country,":[98],"recruited":[99],"through":[100],"chain":[101],"referral":[102],"stratified":[104],"sampling":[105],"methods.":[106],"The":[107,192,219,259,333,365,482],"solicited":[109],"information":[110,337],"organizational":[112],"structures,":[113],"community":[114,133,150,189,209,226,235,352,360,376,383,406,416],"engagement,":[115],"concerns":[118,140],"in":[119,126,141,301,311,362,462,471,499,547],"work.":[122],"Ten":[123],"focus":[124,159],"groups":[125,160],"five":[127],"cities":[128],"hospital":[130,182,373],"employees":[131,183,374],"partners":[134],"(n=43)":[135],"provided":[136,297,336],"examples":[137,320],"hospital-community":[142],"collaboration":[143],"helped":[145],"define":[146],"characteristics":[148,215,220],"projects":[152,222],"a":[154,178,195,289,401,413,534],"conjoint":[155],"analysis.":[156,167],"Interviews":[157,287],"analyzed":[162],"open":[164],"coding":[165],"text":[166],"Quantitative":[168],"generated":[171],"from":[172,225,404],"online":[174],"survey":[175,193,260,325],"completed":[176],"convenience":[179],"sample":[180],"(n=225)":[184],"leaders":[186],"organizations":[190],"(n=136).":[191],"included":[194,261,400],"discrete":[196,366],"choice":[197,248,367],"experiment,":[198],"which":[199],"asked":[200],"respondents":[201,266,326],"choose":[203],"between":[204,283,372],"funding":[205],"one":[206],"two":[208],"initiatives":[211,385],"those":[217,300],"projects.":[218],"were:":[223],"priority":[224,403],"assessment;":[228],"time":[229],"until":[230],"measureable":[231],"impact;":[232],"kind":[233,381],"partnership;":[236],"type":[237],"intervention;":[239],"evidence":[240,298,422],"intervention":[242,424],"effectiveness;":[243],"target":[245],"population.":[246],"Discrete":[247],"results":[249],"estimated":[251],"effects":[254],"coded,":[255],"conditional":[256],"logit":[257],"model.":[258],"questions":[262],"how":[264,356],"often":[265],"have":[267],"faced":[268],"certain":[269],"dilemmas.":[271,332],"Sensitivity":[272],"analyses":[273],"latent":[275],"class":[276,427],"analysis":[277,428],"conducted":[279],"determine":[281],"differences":[282],"respondent":[284,431],"subgroups.":[285],"Results:":[286],"revealed":[288,429],"complex":[290],"process":[291],"also":[296,335,476],"that":[299],"field":[303],"do":[304],"not":[305,441],"readily":[306],"frame":[307],"work":[310],"terms.":[313],"being":[315],"prompted,":[316],"most":[317,387],"interviewees":[318],"gave":[319],"indicated":[327],"they":[328,347,399,474],"regularly":[329],"experience":[330],"map":[339],"many":[341],"challenges":[342,546],"face":[345],"as":[346,378,493,504,541],"allocate":[348],"limited":[349],"resources":[350,542],"initiatives,":[354],"including":[355],"best":[358],"involve":[359],"members":[361,377],"process.":[364],"experiment":[368],"showed":[369],"strong":[370],"agreement":[371],"what":[380],"are":[386,466],"important":[388],"fund.":[390],"Projects":[391],"more":[393],"likely":[394],"be":[396],"selected":[397],"if":[398],"top":[402],"needs":[408],"assessment,":[409],"supported":[411],"coalition":[414],"partners,":[417],"there":[419],"was":[420],"some":[421],"effectiveness.":[425],"Latent":[426],"four":[430],"subgroups":[432],"who":[433,439],"differed":[434],"project":[436],"priorities":[437],"but":[438],"did":[440],"differ":[442],"demographic":[444],"characteristics.":[445],"Discussion:":[446],"As":[447],"we":[448],"enter":[449],"era":[451],"must":[456,475],"grapple":[457],"their":[459],"changing":[460],"identity":[461],"community.":[464],"They":[465],"no":[467],"longer":[468],"just":[469],"experts":[470],"care;":[473],"contribute":[477],"identifies":[484],"several":[485],"implications":[486],"both":[488],"policy":[489],"practice,":[491],"such":[492],"include":[497],"investment":[498],"part":[505],"portfolio":[510],"build":[515],"educational":[516],"infrastructure":[517],"ethics.":[521],"Rather":[522],"than":[523],"using":[524],"existing":[525],"principles,":[527],"proposes":[530],"virtue":[531,540],"ethics":[532],"concept":[536],"called":[537],"structures":[538],"evaluating":[544]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2018-06-21T00:00:00"}
