A Content Analysis of Hospitals’ Community Health Needs Assessments in the Most Violent U.S. Cities

Kyle R. Fischer, Henry Schwimmer, Jonathan Purtle, Daniel Roman, Shannon Cosgrove, J. J. Current, Michael B. Greene

Research output: Contribution to journalArticlepeer-review


The emergence of evidence-supported interventions allows hospitals the opportunity to reduce future reinjury among patients who are violently injured. However, hospital knowledge of these interventions and their perceived role in violence prevention is unknown. The Patient Protection and Affordable Care Act created new legal requirements for non-profit hospitals to conduct community health needs assessments (CHNA) every three years to maintain not-for-profit status. In turn, this allows an empiric evaluation of hospital recognition and response to community violence. To do so, this study performed a content analysis of hospital CHNAs from the 20 U.S. cities with the highest violent crime rates. A total of 77 CHNAs were examined for specific violence-related keywords as well as whether violence prevention was listed as a priority community need. Overall, 74% of CHNAs mentioned violence-related terms and only 32% designated violence prevention as a priority need. When discussed, 88% of CHNAs referenced community violence, 42% intimate partner or sexual violence, and 22% child abuse. This study suggests that hospitals may lack awareness of violence as an actionable, preventable public health issue. Further, evidence-based program models are available to hospitals that can reduce the recurrence of assaultive injuries.

Original languageEnglish (US)
Pages (from-to)259-262
Number of pages4
JournalJournal of Community Health
Issue number2
StatePublished - Apr 1 2018


  • Community health needs assessments
  • Hospitals
  • Injury prevention
  • Violence

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'A Content Analysis of Hospitals’ Community Health Needs Assessments in the Most Violent U.S. Cities'. Together they form a unique fingerprint.

Cite this