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Maternal And Child Health Coverage In Europe: A Focus On Insurance Programs
What is the state of women’s health and health care in the United States compared to ten other countries?
Early Childbearing And Teenage Pregnancy Rates By Country
Women in the United States have long lagged behind their counterparts in high-income countries in terms of access to health care and health status. This summary compares the health status of women in the United States, the availability of health plans, and access to and use of care with women in 10 other high-income countries, using international data.
Compared to women in other high-income countries, such as, for example, Germany or Australia – American women have long struggled to get the health care they need. The United States spends more on health care than any other country, but Americans report a higher rate of non-seeking health care due to costs as well as higher incidence of chronic diseases. Previous research has found that poor access to primary care in the United States has led to inadequate control and prevention of diagnoses and diseases.
With the Affordable Care Act (ACA), most women in the United States are now guaranteed access to health insurance (Appendix 2). More than 7 million working-age women have been insured since the law was enacted. Millions more are now insured and receive additional benefits and cost protection through legal reform. But recent changes by the Trump administration and Congress could affect the process. These changes include the abolition of individual penalties of the law. Expanding non-compliance plans to protect consumers and the need for legal benefits, including the need to provide maternity care. Threats to withdraw insurance on existing terms. And proposed a move to Title X funding. In the future, these changes could increase costs and limit access to health insurance and services for those who do not qualify for subsidies, especially those with health problems. They can reduce the recent acquisitions that American women have created and widen the gap between women in the United States and those in other countries.
Using data from the Commonwealth Fund (2016) International Health Policy Survey and measures by the Organization for Economic Co-operation and Development (OECD) and the United Nations Children’s Fund (UNICEF) summarizes the state of women’s health. Of the United States, the possibility of a health plan. And access to and use of care with women in 10 other industrialized countries.
Assessment Of The Validity Of The Measurement Of Newborn And Maternal Health Care Coverage In Hospitals (en Birth): An Observational Study
For an overview of each country’s health care system, see Appendix 1, and for more details on each country’s health care system, see the Commonwealth Fund’s International Healthcare System Profile here.
Women in the United States reported higher rates of chronic disease than women in 10 other countries, with German women reporting the lowest rates. One in five American women report two or more chronic illnesses, compared with one in 10 or fewer women Than in Germany, the Netherlands and Australia. Chronic diseases include diagnoses of joint pain or arthritis, asthma or chronic obstructive pulmonary disease, diabetes, heart disease or high blood pressure.
The relationship between mental distress and health is complex, but some research suggests that mental distress can exacerbate physical ailments as well as lead to difficulties in managing other aspects of life, such as work capacity. A quarter or more of the women in Australia, Norway, New Zealand, Switzerland, Sweden, Canada and the United States reported experiencing emotional distress, or anxiety, that was difficult to deal with alone in the past two years. Come here. Only 7% of women in Germany reported mental health problems, and only 11% of women in France.
Women in the United States have the highest maternal mortality rate due to pregnancy or childbirth complications. Women in Sweden and Norway have the lowest rates. High rates of surgery, lack of prenatal care, and rising rates of obesity, diabetes, and heart disease may all contribute to higher rates in the United States.
Childbirth Outside The Eu/eea
Surgery is generally not recommended for young mothers with uncomplicated births and is often more expensive than vaginal deliveries due to the cost of the operating room and medical staff, longer stays, and hospital stays. Australia, Switzerland and the United States have the highest rates, while women in Norway and the Netherlands have the lowest rates – about half the rate of the highest ranked countries. The reasons behind the widespread variability observed in birth rates across developed countries warrant further investigation. However, some researchers suggest that it is a combination of a country-specific health system, physician and patient preferences, cultural factors, demographic characteristics and incentives to pay.
It is recommended that women be screened for breast and cervical cancer. U.S. fare is good compared to other countries on these indicators. Older women in the United States and Sweden are screened for breast cancer more often than women in other countries analyzed. Women in Switzerland are screened at the lowest rates.
Women in the United States have the lowest breast cancer-related mortality rates after Norway, Sweden and Australia. Women in the Netherlands and Germany have the highest rates.
The high cost of health care creates a significant financial burden on the U.S. household budget, even among insured families. More than a quarter of women in Switzerland and the United States reported spending $ 2,000 or more on out-of-pocket medical expenses for themselves or their families last year. In comparison, no more than one in 20 women reported such high costs in most other countries included in the study.
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Most American women report problems with payments or litigation, medical bills, or time consuming work related documents. Almost half (44%) of women in the United States face this problem, compared to only 2% of women in the United States who have the highest rates of payments that are denied by their insurance company or accepted. Get less insurance premiums than they expect compared to women in other countries. (Appendix 4).
Many women in the United States skip needing health care because of the cost, most likely due to the high out-of-pocket costs and the fact that 11 million women remain uninsured. Thirty-eight percent of women in the United States reported that they went without recommended care, did not see a doctor when they were sick, or did not complete a prescription because of expenses last year. This is the highest rate among the 11 countries in our analysis (Appendix 5). Prior to the implementation of the ACA in the United States, the rate was 43 percent higher. In the UK and Germany, only 5% and 7% of women reported not being cared for because of the price.
Having regular doctors or nursing facilities, such as primary care physicians, is important for disease prevention, management of chronic conditions, and facilitating specialist visits. The majority of women in all 11 countries reported having regular doctors or nursing homes. But fewer women in the United States and Switzerland report having regular doctors than in some countries 9 others. In contrast, all women in the Netherlands reported having regular doctors or nursing homes.
More than one in three women in Canada, the United States and Sweden have reported emergency room visits (ED) in the past two years. Lower rates in other countries. Women in Germany have the lowest rates of ED visits.
Caring Mother Checking Temperature Of Sick Daughter, Taking Care Of Child With Cold At Home Stock Photo
Women in the United States, Switzerland and the Netherlands have faster access to specialized care. Of the women who need to see a specialist in the last two years, only a quarter of women in these countries have to wait more than four weeks for an appointment, compared to most women in Canada and Norway.
Women in the United States are the least likely to evaluate the quality of their care as excellent or excellent compared to women in all other countries studied. More than 60 per cent of women in the UK and Switzerland rated the quality of their health care as high compared to a quarter in the US. The mind and those who face inadequacies. Out-of-pocket costs, medical bills, or access issues related to long specialist waiting times or emergency visits are less likely to evaluate the quality of their care (data not shown). .
Women in the United States continue to suffer because of their poor health and higher care costs, while benefiting from higher rates of screening and faster access to specialized care. While this study did not investigate the reasons behind these findings, they can be viewed in the context of the low rate of health insurance coverage in the United States, as well as differences in health care delivery systems and levels. Of social protection across the country.
In line with other research, we find that American women have the highest maternal mortality rate among high-income countries. Moreover, this rate has been steadily increasing over the past few decades. Racial, rural-urban differences and other socio-economic inequalities remain. US maternal mortality rate is three times higher than African American mothers –
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