ABSTRACT

The non-profit sector has a long history of serving vulnerable people and promoting social equity. The growing reliance on commercial income in the non-profit sector has aroused wide concern about mission drift and the loss of identity. The cross-subsidization hypothesis is often used to justify non-profit commercialization, but this hypothesis has not been subject to many empirical tests. This study examines how non-profit hospitals’ commercial income affects their provision of community benefits. The results indicate that hospitals with more commercial income provide less unprofitable programmes to serve disadvantaged groups and reduce health disparities.

摘要

非营利部门在服务弱势群体和促进社会公平方面有着悠久的历史。非营利部门对商业收入的日益依赖引起了人们对任务漂移和身份丧失的广泛关注。交叉补贴假设经常被用来证明非营利商业化的合理性，但这个假设并没有经过许多实证检验。本研究探讨了非营利医院的商业收入如何影响其提供的社区福利。结果表明，商业收入较高的医院提供较少无利可图的项目来服务弱势群体并减少健康差距。