What’s done and to do in American healthcare

American Healthcare

The annual America’s Healthcare Rankings report turned 25 this year, and the current edition highlighted the healthcare successes of the past quarter of a century up to last year, as well as the challenges that still lie ahead.

Successes

Since 2013

·         Smoking prevalence. Decreased 3% from 19.6% to 19% of adults who smoke regularly.

·         Immunization coverage. Increased 5% from 64% to 67.1% among adolescents between the ages of 13 and 17.

·         Infant mortality. Decreased 4% from 6.3 to 6 deaths per 1,000 live births.

Long term changes

·         Smoking. Decreased 36% from 29.5% to 19% of adults who regularly smoke since 1990.

·         Violent crime. At a rate of .387% it is 37% lower than in 1990 and 49% lower than 1993 when it peaked.

·         Air pollution. Decreased from 13.2 micrograms of fine particulates in the air per cubic meter in 2003 to 9.9 in 2014.

·         Preventable hospitalizations. Decreased from 82.5 discharges per 1,000 Medicare beneficiaries in 2001 to 62.9 in 2014.

·         Occupational deaths. Decreased from 5.3 deaths per 100,000 workers to 3.8 deaths in the past 8 years. This is the second year in a row that the rate is under 4 deaths per 100,000 workers.

·         Infant mortality. Decreased 41% from 10.2 to 6 deaths per 1,000 live births since 1990.

·         Premature death. Decreased 20% from 8,716 years of potential life lost before age 75 to 6,976 since 1990.

·         Cancer deaths. Decreased 4% from 197.5 deaths to 189.9 deaths per 100,000 population since 1990.

·         Cardiovascular deaths. Decreased 38% from 405.1 deaths per 100,000 population to 251.4 deaths since 1990.

Challenges

Since 2013

·         Infectious disease. Incidence of pertussis increased 154% from 6.1 to 15.5 cases per 100,000 population.

·         Obesity. Increased 7% from 27.6% to 29.4% of obese adults.

·         Drug deaths. Increased 7% from 12.2 to 13 deaths per 100,000 population.

·         Physical inactivity. Increased 3% from 22.9% to 23.5% of adults who did not engage in physical activity in the previous month.

Long term changes

·         Obesity. Increased 153% from 11.6% to 29.4% of adults with obesity since 1990.

·         Physical inactivity. Has not noticeably changed in the past ten years; currently at 23.5%.

·         Public health funding. Decreased from $95.01 to $90 in dollars spent per person at the state level since 2011.

·         Immunization coverage among children. Nationwide, comprehensive immunization coverage among children aged 19-35 months is only 70.4%

·         Immunization coverage among adolescents. Nationwide, comprehensive immunization coverage among teens aged 13-17 years is only 67.1%

·         Low birth weight prevalence. Has increased from 7.1% to 8% in the past two decades.

·         Diabetes. Almost 10% of adults in the United States report having been diagnosed with diabetes. 

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