We give you many useful information about health

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

We give you many useful information about health

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

We give you many useful information about health

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

We give you many useful information about health

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

We give you many useful information about health

Go to Blogger edit html and find these sentences.Now replace these sentences with your own descriptions.This theme is Bloggerized by Lasantha Bandara - Premiumbloggertemplates.com.

Tampilkan postingan dengan label Americans. Tampilkan semua postingan
Tampilkan postingan dengan label Americans. Tampilkan semua postingan

Kamis, 13 Oktober 2011

In tough economy, Americans having fewer babies

AppId is over the quota
AppId is over the quota
Last year, just over 4 million boys and girls were born in the 50 states.Last year, just over 4 million boys and girls were born in the 50 states.A new Pew report says America's birth rate plunged after 2007It says the decline in fertility rates correlates to the start of the recessionHistorically, there's evidence to back up Pew's analysisBaby busts also occurred during the Great Depression and in the 1970s

(CNN) -- 4,316,233.

That's how many babies were born in the United States in 2007, the highest number ever.

But after that, the number dropped. Last year, just over 4 million boys and girls were born in the 50 states.

The likely reason? The economy, of course.

A decline in fertility rates that began in 2008 is closely linked to financial woes that started at the same time, said a new Pew Research Center report issued Wednesday. Changes in personal income, per capita GDP, unemployment rates and claims, and state-level foreclosure rates all had an effect.

In 2007, there were 69.7 babies per 1,000 women of childbearing age. Provisional data for 2010 showed that number had dropped to 64.7.

The actual number of births from 2008 to 2009 rose only in one state, North Dakota, which also posted one of the nation's lowest unemployment rates at 3.1%.

"This does not conclusively prove that the economic changes led to fertility changes," the Pew report said. "However, the timing is consistent with the time it might take people to act upon fertility decisions."

Historically, there's evidence to back up the Pew analysis.

Demographer Carl Haub said baby busts have occurred in other bleak economic eras of U.S. history. During the Great Depression, the fertility rate fell to 76.15. During the oil shock decade of the 1970s, it plunged to 64.99.

In that sense, what's happening now is normal.

"It's almost certainly due to a lack of confidence in the economy," said Haub of the private Washington-based Population Reference Bureau.

Having children, he said, is expensive. You have to feed them, clothe them and send them to day care. And that's hard when you're without a paycheck or booted from your house.

The same kinds of trends affect European nations as well. Fertility rates plunged, for instance, in Eastern Europe when the breakup of the Soviet Union destroyed the local economy. And they are down now, amid the current crisis, Haub said.

"Unemployment is rising and the airwaves flood our living rooms and cars with one bit of scary news after another," Haub wrote in a 2009 report predicting birth rate declines in the current recession. "Bad news travels fast and furiously these days, much more so than in the 1970s and 1930s."

But that's not to say that Americans don't want children anymore, Haub said. They are simply waiting for more prosperous times.

The Pew report said Hispanics, whose employment levels and household wealth were hit hard by the recession, experienced the largest fertility declines of any racial or ethnic group. From 2008 to 2009, birth rates dropped by 5.9% among Hispanic women. For African-American women, rates dropped 2.4%, and they dropped 1.6% among white women.

In 2009, the Hispanic birth rate of 93.3 births per 1000 women was the lowest since 1999. That came after a year when unemployment among Hispanics increased 2.0%.

According to the Pew Hispanic Center, Hispanics have also been the biggest losers in terms of wealth in the recession -- Hispanic households have lost 66% of their median wealth from 2005 to 2009.

Haub said the drop in American birth rates is not significant enough to be alarming -- there's not going to be a shortage of people anytime soon. But the decline could have a significant impact on markets that cater to children and families and also affect the need for teachers or other providers of children's services.

And things don't appear to be changing anytime soon.

"We're probably in for a somewhat longer term depression of the birth rate," Haub said. "The economy has definitely put a damper on it."



Education Information



Technology

Rabu, 28 September 2011

Americans get too much healthcare, their docs say

AppId is over the quota
AppId is over the quota
Devices used to take blood pressure, temperature, and examine eyes and ears rest on a wall inside of a doctor's office in New York March 22, 2010. REUTERS/Lucas Jackson

Devices used to take blood pressure, temperature, and examine eyes and ears rest on a wall inside of a doctor's office in New York March 22, 2010.

Credit: Reuters/Lucas Jackson

By Frederik Joelving

NEW YORK | Mon Sep 26, 2011 5:45pm EDT

NEW YORK (Reuters Health) - Here is a diagnosis of what's wrong with health care in America, straight from the horse's mouth: There's too much.

In a new poll of primary care physicians, nearly half of them said their patients received too much medical care and more than a quarter said they were practicing more aggressively than they'd like to.

That could mean ordering more tests, prescribing more drugs or diagnosing people with diseases, although they would never have experienced any symptoms.

On the other hand, just six percent of doctors believed their patients were getting too little care.

"Physicians at the frontline of medical care are telling us that their patients are getting too much care," said Dr. Brenda Sirovich of the VA Medical Center in White River Junction, Vermont, who worked on the survey. "And we don't think we are just talking about the 627 physicians that we surveyed."

The findings come at a time when the healthcare budget is already overstretched and many fear it is about to spiral out of control.

"We spend a lot on healthcare in this country, more than anywhere else," Sirovich, also at the Dartmouth Medical School, told Reuters Health. "We realize that this is unsustainable."

According to Organization for Economic Cooperation and Development (OECD), the U.S. spent $7,960 per capita on healthcare in 2009. That's $2,608 more than Norway, the runner-up, shelled out.

Dr. Lisa Schwartz and Dr. Steven Woloshin, who also worked on the new study, were two of the three authors of a book called "Overdiagnosed: Making People Sick in the Pursuit of Health."

THE TALE OF THE MORPHINE PUMP

And it's not only your wallet that could end up hurting from excessive testing, experts say. In a short article published along with the poll in the Archives of Internal Medicine, one doctor recounted the story of a man who developed intractable pain after falling on an icy driveway.

He had several tests at the hospital, but all of them came up empty, writes Dr. Philip Wickenden Bale of the T.J Sampson Hospital in Glasgow, Kentucky.

All along, the man's wife had been telling doctors that her husband had a morphine pump in his back to treat chronic pain and that he'd fallen onto the pump. But no one had listened.

"I was beating my head against a wall," she said, according to Bale.

His prescription? Just listen to your patient.

"Much science and technology, with associated expense, was used to eliminate conditions he didn't have, while the art of listening well might surely have led to a faster, cheaper remedy," Bale writes.

Excessive tests may also lead to diagnosing conditions that would never have caused any problem in the first place, such as a slowly developing prostate cancer or a slightly elevated blood pressure.

Yet after such a diagnosis, it's difficult for doctors not to proceed to treatment, which may cause side effects.

"When you do anything to somebody, whether it is an intervention or a test, you are putting them in to the healthcare system in a way that exposes them to risk," said Sirovich. "Unnecessary care is potentially harmful."

REIMBURSEMENT MODEL TO BLAME?

So why would doctors order tests that they themselves believe are excessive?

Three reasons stood out in the survey, which is based on a random sample of U.S. doctors: fear of malpractice lawsuits, performance measures and too little time to just listen to patients.

Four in 10 also believed that other primary care physicians would order fewer tests if those tests didn't provide extra income. (Of course, just three percent thought that financial considerations influenced their own practice style.)

"I'm not saying that physicians do tests in order to make money -- there is a potential to be a real cynic here -- but I think that the reimbursement model for most healthcare encourages utilization in a variety of ways," Sirovich said.

"It's a time for us to reflect about what incentives we have built into our healthcare system, and what directions they are taking us in."

SOURCE: bit.ly/7qXyI Archives of Internal Medicine, online September 26, 2011.

(This story changes paragraph two to say that more than a quarter of doctors said they were practicing more aggressively.)



View the original article here



Peliculas Online