ORCID

https://orcid.org/0000-0003-3466-4086

Date of Award

Summer 2025

Language

English

Embargo Period

7-12-2025

Document Type

Dissertation

Degree Name

Doctor of Public Health (DrPH)

College/School/Department

Department of Epidemiology and Biostatistics

Program

Public Health

First Advisor

Akiko Hosler

Committee Members

Akiko Hosler, Gus Birkhead, Sylvia Pirani, Jo Ivey Boufford

Keywords

Non‑profit Hospitals, Community Benefit, Community Health Improvement Services, New York State, Epidemiology, Health Policy

Subject Categories

Community Health and Preventive Medicine | Epidemiology | Health Services Research | Other Public Health

Abstract

This dissertation assesses the distribution and determinants of spending by non-profit hospitals in New York State on community health improvement services and community benefit operations. Utilizing the Social Ecological Model of Health, this study considers multiple levels of influence on this spending, including organizational and community characteristics. Using quantitative analysis, it examines cross-sectional, spatial, and longitudinal patterns in spending and identifies organizational and community-level factors influencing it. Qualitative analysis investigates operational factors affecting spending, including individual and interpersonal influences. The results of this mixed-methods study can inform hospital administrators, public health officials, policymakers, and communities in optimizing policies and decision-making to better support public health and health care in New York State.

License

This work is licensed under the University at Albany Standard Author Agreement.

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