scholarly journals Translating Clinical Guidelines Into Practice: Challenges and Opportunities in a Dynamic Health Care Environment

2015 ◽  
Vol 76 (4) ◽  
pp. 230-234 ◽  
Author(s):  
E. B. Vander Schaaf ◽  
C. J. Seashore ◽  
G. D. Randolph
Keyword(s):  
Health Care ◽  
Clinical Guidelines ◽  
Health Care Environment ◽  
Care Environment ◽  
Challenges And Opportunities

The Conundrum of Charitability: Reassessing Tax Exemption For Hospitals

1990 ◽  
Vol 16 (3) ◽  
pp. 327-380
Author(s):  
David A. Hyman
Keyword(s):  
Health Care ◽  
Fundamental Problem ◽  
Health Care Environment ◽  
Care Environment ◽  
Sharp Focus ◽  
The Right ◽  
Do The Right Thing

Tax exemption is an ancient, honorable and expensive tradition. Tax exemption for hospitals is all of these three, but it also places in sharp focus a fundamental problem with tax exemption in general. Organizations can retain their tax exemption while changing circumstances or expectations undermine the rationale that led to the exemption in the first place. Hospitals are perhaps the best example of this problem. The dramatic changes in the health care environment have eliminated most of the characteristics of a hospital that originally persuaded the citizenry to grant it an exemption. Hospitals have entered into competition with tax-paying businesses, and have increasingly behaved like competitive actors. Such conduct may well be beneficial, but it does not follow that tax exemption is appropriate. Rather than an undifferentiated subsidy, a shift to focused goals will provide charitable hospitals with the opportunity and incentive to “do the right thing.”

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