Measuring Efforts of Nonprofit Hospitals to Address Opioid Abuse After the Affordable Care Act

Berkeley Franz, Cory E. Cronin, Alexandra Wainwright, José A. Pagán

Research output: Contribution to journalArticlepeer-review


Objectives: To assess the strategies that nonprofit hospitals are adopting to address opioid abuse after requirements for community engagement expanded in the Affordable Care Act. Methods: We constructed a dataset of implementation activities for a 20% random sample of nonprofit hospitals in the United States. Using logistic regression, we assessed the extent to which strategies adopted are new, existing, or primarily partnerships. Using negative binomial regression, we assessed the total number of strategies adopted. We controlled for hospital and community characteristics as well as state policies related to opioid abuse. Results: Most strategies adopted by hospitals were new and clinical in nature and the most common number of strategies adopted was one. Hospitals in the Northeast were more likely to adopt a higher number of strategies and to partner with community-based organizations. Hospitals that partner with community-based organizations were more likely to adopt strategies that engage in harm reduction, targeted risk education, or focus on addressing social determinants of health. Conclusions: Community, institutional, and state policy characteristics predict hospital involvement in addressing opioid abuse. These findings underscore several opportunities to support hospital-led interventions to address opioid abuse.

Original languageEnglish (US)
JournalJournal of Primary Care and Community Health
StatePublished - Aug 1 2019


  • Affordable Care Act
  • hospitals
  • nonprofit
  • opioids
  • policy

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Measuring Efforts of Nonprofit Hospitals to Address Opioid Abuse After the Affordable Care Act'. Together they form a unique fingerprint.

Cite this