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The purpose of this paper is to shed light on the causes of the rapid decline in the infant mortality rate in the United States in the period after 1963. The roles of four public policies are considered: Medicaid, subsidized family planning services for low-income women, maternal and infant care projects, and the legalization of abortion. The most striking finding is that the increase in the legal abortion rate is the single most important factor in reductions in both white and nonwhite neonatal mortality rates. Not only does the growth in abortion dominate the other public policies, but it also dominates schooling and poverty.
Infant mortality rates (IMRs) are considered to be one of the most important indicators of a healthy society and a key marker of maternal and child health. In the United States, progress has been made in reducing the overall infant mortality rate, but this reduced aggregated rate masks significant racial disparities. The objective of this study is to systematically examine racial differences in a number of social determinants of infant mortality at the county-level, specifically differences between non-Hispanic Black and non-Hispanic White populations. Multivariate OLS regression modeling is used to analyze the association between the demographic, economic, and health predictor variables and IMRs. The results show that while there are marked differences in the predictors of Black and white IMRs, there are also remarkable similarities. Median household incomes and numbers of practicing midwives are found to be two of the significant factors in reducing infant mortality rates for both groups. .
This book examines ways to enhance evidence-based policymaking, striking a balance between theory and practice. The attention to theory builds a greater understanding of why miscommunication and mistrust occur. Until we better appreciate the forces that divide researchers and policymakers, we cannot effectively construct strategies for bringing them together.
Author : National Research Council Publisher : National Academies Press Page : 421 pages File Size : 25,41 MB Release : 2013-04-12 Category : Social Science ISBN : 0309264146
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
United States. Health Services Administration. Bureau of Community Health Services
Author : United States. Health Services Administration. Bureau of Community Health Services Publisher : Page : 308 pages File Size : 50,40 MB Release : 1977 Category : Infants ISBN :
Author : Institute of Medicine Publisher : National Academies Press Page : 713 pages File Size : 22,99 MB Release : 2003-02-09 Category : Medical ISBN : 0309084377
The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.