Publicness, Organizational Strategies, and Public Value Outcomes: An Empirical Analysis of U.S Acute Care Hospitals

One of the classic questions in publicness literature is whether public and private organizations operate differently, and what implications they have for organizational outcomes. This study seeks to identify mechanisms through which publicness influences organizational outcomes that have a public value. Focusing on US acute care hospitals, we userealized publicness framework and investigate how regulative, normative, and cultural-cognitive publicness affect the organizational strategies to offer public services that address patient health-related social needs (HRSN). Furthermore, we examine the effect of providing these public services on realized public value outcomes related to patient health and overall community benefit.