SlideShare una empresa de Scribd logo
1 de 24
Descargar para leer sin conexión
Bon Secours Richmond Health System
      Market Research ● March 2009




    Young Families
   and the Economy
                      Mary Anne Graf
                          Vice President
         Women’s and Children’s Services
     Bon Secours Richmond Health System
              mary_anne_graf@bshsi.org
Ownership and Credit
• This presentation includes comparative data from relevant databases
  nationwide. Please credit these databases if you use this information.

• The primary market research in this presentation, starting with slide 9, is
  the sole property of Bon Secours Richmond Health System. You may use
  this information under the following conditions:
      •   The information used remains essentially unaltered.
      •   Bon Secours Richmond Health System Women’s & Children’s Services is
          noted as the source.
      •   Contact information (mary_anne_graf@bshsi.org) is included with the
          information.
      •   The date of the market research is shown (March 2009).




                                                                                2
Key to Taking Advantage
             of the Down Economy

• Know the market
  • National, local
• Within women’s services,
 most significant impact
 nationally so far is
 undoubtedly on young
 families




                                     3
Review of National Trends
       See Reference section
       at end of presentation
        for more information.
5
6
7
Healthcare and the Economy: U.S.

     Most Affected                   Least Affected

• Black, Hispanic               • Asian
• Single, separated, divorced   • Married
• Age 18-39                     • Age >60
• Income <$48,000/year          • Income >$48,000/year,
• Part-time employment            particularly those making
• Poor to fair health             >$90,000
                                • Full-time employed

                                                              8
Young Families and the Economy

                         Bon Secours
                      Market Research

                    Young Families
                  and the Economy
                          March 2009
The Impact of the Economy: OB
                                                                 08Q1 Pediatrix reports
                                                                  1st ever NICU volume
                                                                        downturn

                                                                                 Many Snowmass May 08
                                                                                   Participants note OB
                                                                                  volumes down ~5-10%



           Unstable
       economy already
                                        Dec 07:
         felt by young
                                      “Recession”             All/majority of
            families
                                        official             US hospitals feel
                                                              OB decrease




OB-Neo overlay source: Graf, Health Care Innovations, 2009 ● TeamHCI.com                             10
Market Research Components
• Comprehensive review of national data re: young families and the
 recession from CY07 forward
  •   US, 2008: 57% of those unemployed were between the ages of 20 and 44 –
      prime childbearing age
  •   In Virginia in Dec 08 alone, 36% of those laid off were between 30 and 44,
      and likely another 40% <30
• Bon Secours market research (Mar 09)
  •   Random phone survey of young families, age 18-44 (N=275)
       • At 95% confidence level, the maximum statistical error for the N is +/-
         5.9%.
          •   Highly applicable sample to current childbearing age families: 76% (n=205)
              either were currently pregnant or had child age 5 or under to ensure target
              population
  •   Focus groups: Two groups of young mothers who had delivered in the last six
      months
  •   Mirrored national trends, but provided detail on young families

                                                                                            11
Bon Secours Research, Young Families and the Economy
                              Survey Respondents
  • Phone survey, land lines only; random calls, purchased lists
  • N=275
  • Age 18-44
       • Male: 112
       • Female: 163
       • Pregnant or have child age 5 or under:                          205
  • 92% married
  • Insured
       • Insurance: 87%
       • Medicaid: :8%
       • No insurance: 4% (Half of these lost insurance when they were laid
          off)
Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 12
Bon Secours Research, Young Families and the Economy
                              Survey Respondents
  • Average number of children in
    household: 2.1
  • Ethnicity
       • Non-Hispanic Caucasian: 87%
       • African American: 10%
                                                                                 2.1 children
       • Asian or Hispanic: 1% each
  • Survey: Median family income: $55,000 to $75,000 (skewed
     slightly high; average family income nationally for childbearing
     demographic is about $50,000)
       • Likely due to use of land lines only
  • Focus group: Skewed low income
Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                                13
Bon Secours Research, Young Families and the Economy
                 Employment in the Recession

  • Laid off: 6%
  • Income frozen or reduced: 28%
  • No impact: 48%...
  • All
       • 76% personally know someone
           who was laid off since recession
           start
       •   50% personally know someone
           who has had their income frozen
           or reduced

Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 14
Bon Secours Research, Young Families and the Economy
               Overall Impact of the Economy
  • Specifically related to the economy
       • 87% have changed how their family spends money
       • 29% have had weight management problems (up or down)
       • 40% have trouble sleeping
       • 77% changed how they shop for groceries
       • 16% started or increased smoking
       • 40% acknowledge strained relationship with spouse/partner, and
           another 30% say economic concerns have hurt their sex life
       •   Of the 27 women who were pregnant, 20% felt their pregnancy
           negatively interfered with finding a new job



Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 15
Bon Secours Research, Young Families and the Economy
                Handling Family Health Care
  • Limiting health care expenses for the family: 79%
       • Fewer visits to doctor: 16%
       • Delayed procedures or surgery: 7%
       • Difficulty paying for hospitalization: 7%
       • Cancelled or delayed annual exam: 6% or mammogram: 3%
       • Difficulty paying for medications: 6%
       • Delayed medical tests: 5%
       • Used free clinic: 3%



Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 16
Bon Secours Research, Young Families and the Economy
                                  Plans for Children
  • The impact of the economy on plans for
     children
       • Decided not to have any more children: 15%
       • Decided on few children than when economy
           was better: 7%
       •   More careful about using birth control, started
           birth control or had sterilization: 8%
       •   Delayed a pregnancy: 4%
  • Of the 10% who considered adoption or
     infertility treatments during the last two
     years, one out of four stopped because of
     the economy
Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 17
Bon Secours Research, Young Families and the Economy
                             Impact on Pregnancy
  • Of 27 respondents expecting a baby
       •   Had planned to move, cannot do now: 15%
       •   Cannot afford the right foods for pregnancy: 15%
       •   Had fewer prenatal/doctor visits: 11% or no visits: 7% (total, 18%)
       •   Could not afford birth control: 7%
       •   Did not take prenatal classes: 7%
       •   Biggest concerns:
            • Cost of childbirth at the hospital: 22%
            • Cost of baby supplies, e.g., diapers, nursery: 22%
            • Rising household costs (mortgage, utilities): 22%
            • Cost of raising the child: 19%
            • Can marriage relationship take the stress? 19%
            • Worries about job (self or spouse): 19%
            • Cost of prenatal care: 11%
Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                 18
Bon Secours Research, Young Families and the Economy
                                      Other Stressors
  • Supporting adult relatives
       • 13% started providing financial support to an adult relative in the last
           two year
       •   5% have a relative (not immediate family) living with them
       •   Another 22% consider it likely that a relative will be living with them
           soon
  • 23% rate their health insurance coverage as worse than two
    years ago
  • Focus groups: Women don’t have money for the very basics
    (diapers, pads) for their first days at home…let alone later
       • For these women, breast-feeding is a luxury they cannot afford
Bon Secours Richmond Health System market research, 2009. All rights reserved.

                                                                                     19
Redefining our picture of “Indigent”

• Today’s ‘uninsured’ or ‘homeless’ could have been making
 $200,000+ per year for most of their recent career and today
 be unemployed, losing their home, and without insurance
 (Cobra doesn’t apply if company dissolves.)
  • They will return
  • What we do for them
    today may well earn
    their loyalty to us
    for life



                                                                20
References
References
• USA Today March 09 research series on Americans, the economy and
    health care, March 09 (available online; terrific graphics);
    http://www.usatoday.com/money/economy/2009-03-10-well-being-
    index_N.htm
•   1 in 5 American workers uninsured, USAToday.com, Mar 24, 09,
    http://www.usatoday.com/money/industries/insurance/2009-03-24-health-
    insurance_N.htm
•   IMS National Prescription Audit; Kaiser Family Foundation, 2009;
    searchable online
•   Outsourcing Parenthood, Parenting.com,
    http://www.parenting.com/article/Mom/Work--Family/Outsourcing-
    Parenthood
•   Patients skip medicine, doctor visits due to sick economy,
    http://www.usatoday.com/news/health/2008-10-22-medical-
    financial_N.htm


                                                                            22
References
• Recession affects family planning, with abortions and vasectomies up,
    http://www.tampabay.com/news/health/article988131.ece
•   Roan, Sheri, In an ailing economy, the doctor can wait, Los Angeles
    Times, Apr 09, http://www.latimes.com/features/health/la-sci-prevention8-
    2009apr08,0,5420195.story
•   Shah, Gina, Down Economy Provides Opportunities to Improve Physician
    Relations, Healthcare Leaders Media, Apr 2009
•   http://Erickson, Baby boomers flock to social networking sites,
    http://www.norwichbulletin.com/lifestyles/x1098998426/Baby-boomers-
    flock-to-social-networking-sites
•   Inside Facebook (Demographics)
    http://www.insidefacebook.com/2008/09/18/latest-data-on-us-facebook-
    age-and-gender-demographics/



                                                                                23
References
• Twitter links businesses to customers,
    http://www.denverpost.com/business/ci_12258514
•   Malone, Michael, The Twitter Revolution: The brains behind the Web's
    hottest networking tool, Wall Street Journal,
    http://online.wsj.com/article/SB124000817787330413.html
•   www.healthleadersmedia.com/content/230802/topic/WS_HLM2_MAR/Do
    wn-Economy-Provides-Opportunities-to-Improve-Physician-
    Relations.htmlWheeler and Hirsh, Channel Champions: How leading
    companies build new strategies to serve customers, 1999, Jossey-Bass
•   Tanner and Johnson, Patients skip medicine, doctor visits due to sick
    economy, USA Today, Oct 08,
    http://www.usatoday.com/news/health/2008-10-22-medical-
    financial_N.htm


                                                                            24

Más contenido relacionado

Destacado

Technology In The Classroom
Technology In The ClassroomTechnology In The Classroom
Technology In The Classroom
hales4
 
Technology Integration
Technology IntegrationTechnology Integration
Technology Integration
audreyc
 
Chat luong nuoc uong english
Chat luong nuoc uong englishChat luong nuoc uong english
Chat luong nuoc uong english
Hung Pham Thai
 
Sust ag standard 2009 vn 100114
Sust ag standard  2009 vn 100114Sust ag standard  2009 vn 100114
Sust ag standard 2009 vn 100114
Hung Pham Thai
 
2009 Annual Report
2009 Annual Report2009 Annual Report
2009 Annual Report
ncta
 
Распознавание лиц на сжатых изображениях
Распознавание лиц на сжатых изображенияхРаспознавание лиц на сжатых изображениях
Распознавание лиц на сжатых изображениях
Eunix
 
4dangdethi Anhvanvao N H 2
4dangdethi Anhvanvao N H 24dangdethi Anhvanvao N H 2
4dangdethi Anhvanvao N H 2
Hung Pham Thai
 
quất trung bì tập 2 (china chess)
quất trung bì tập 2 (china chess)quất trung bì tập 2 (china chess)
quất trung bì tập 2 (china chess)
Hung Pham Thai
 

Destacado (20)

Technology In The Classroom
Technology In The ClassroomTechnology In The Classroom
Technology In The Classroom
 
02 access
02 access02 access
02 access
 
japan boy
japan boyjapan boy
japan boy
 
Caosu q3 1
Caosu q3 1Caosu q3 1
Caosu q3 1
 
Esquizofrènia
EsquizofrèniaEsquizofrènia
Esquizofrènia
 
Corporate k42-2005
Corporate k42-2005Corporate k42-2005
Corporate k42-2005
 
09 03 Ss Media Release
09 03   Ss Media Release09 03   Ss Media Release
09 03 Ss Media Release
 
Object Relational Mapping with LINQ To SQL
Object Relational Mapping with LINQ To SQLObject Relational Mapping with LINQ To SQL
Object Relational Mapping with LINQ To SQL
 
Technology Integration
Technology IntegrationTechnology Integration
Technology Integration
 
Excel 2007 bai 2-1
Excel 2007   bai 2-1Excel 2007   bai 2-1
Excel 2007 bai 2-1
 
Chat luong nuoc uong english
Chat luong nuoc uong englishChat luong nuoc uong english
Chat luong nuoc uong english
 
Sust ag standard 2009 vn 100114
Sust ag standard  2009 vn 100114Sust ag standard  2009 vn 100114
Sust ag standard 2009 vn 100114
 
2009 Annual Report
2009 Annual Report2009 Annual Report
2009 Annual Report
 
Da REal ProJect
Da REal ProJectDa REal ProJect
Da REal ProJect
 
COFFEE DA LAT
COFFEE DA LATCOFFEE DA LAT
COFFEE DA LAT
 
Chuong 04 query
Chuong 04   queryChuong 04   query
Chuong 04 query
 
Распознавание лиц на сжатых изображениях
Распознавание лиц на сжатых изображенияхРаспознавание лиц на сжатых изображениях
Распознавание лиц на сжатых изображениях
 
4dangdethi Anhvanvao N H 2
4dangdethi Anhvanvao N H 24dangdethi Anhvanvao N H 2
4dangdethi Anhvanvao N H 2
 
Chuong 06 report
Chuong 06   reportChuong 06   report
Chuong 06 report
 
quất trung bì tập 2 (china chess)
quất trung bì tập 2 (china chess)quất trung bì tập 2 (china chess)
quất trung bì tập 2 (china chess)
 

Similar a Young Famillies &amp; the Economy Mkt Research

Health and freedom for you?
Health and freedom for you?Health and freedom for you?
Health and freedom for you?
andrewwilmot
 
Health Reform Policy and Information Update
Health Reform Policy and Information UpdateHealth Reform Policy and Information Update
Health Reform Policy and Information Update
Tom Daly
 
Mass Health Insurance Survey
Mass Health Insurance SurveyMass Health Insurance Survey
Mass Health Insurance Survey
DocJess
 
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
HPCareer.Net / State of Wellness Inc.
 
Dr Aifric boylan, Council Member NAGP
Dr Aifric boylan, Council Member NAGPDr Aifric boylan, Council Member NAGP
Dr Aifric boylan, Council Member NAGP
Investnet
 

Similar a Young Famillies &amp; the Economy Mkt Research (20)

HRL Webinar Health Check/Health Choice
HRL Webinar Health Check/Health ChoiceHRL Webinar Health Check/Health Choice
HRL Webinar Health Check/Health Choice
 
HRL Webinar 12.11.12
HRL Webinar 12.11.12HRL Webinar 12.11.12
HRL Webinar 12.11.12
 
Supporting Barack Obama for President
Supporting Barack Obama for PresidentSupporting Barack Obama for President
Supporting Barack Obama for President
 
Saturday 8.30 Pm Kathleen Cain Aap Vaccine Financing Strategies And Resou...
Saturday 8.30 Pm   Kathleen Cain   Aap Vaccine Financing Strategies And Resou...Saturday 8.30 Pm   Kathleen Cain   Aap Vaccine Financing Strategies And Resou...
Saturday 8.30 Pm Kathleen Cain Aap Vaccine Financing Strategies And Resou...
 
Health and freedom for you?
Health and freedom for you?Health and freedom for you?
Health and freedom for you?
 
Designing Products for G2P recipients through Financial Diaries and Ethnograp...
Designing Products for G2P recipients through Financial Diaries and Ethnograp...Designing Products for G2P recipients through Financial Diaries and Ethnograp...
Designing Products for G2P recipients through Financial Diaries and Ethnograp...
 
The Social Value of Health Insurance: Results from Ghana
The Social Value of Health Insurance: Results from GhanaThe Social Value of Health Insurance: Results from Ghana
The Social Value of Health Insurance: Results from Ghana
 
Blueprint for Action on the Social Determinants of Health and Health Equity
Blueprint for Action on the Social Determinants of Health and Health EquityBlueprint for Action on the Social Determinants of Health and Health Equity
Blueprint for Action on the Social Determinants of Health and Health Equity
 
Health Reform Policy and Information Update
Health Reform Policy and Information UpdateHealth Reform Policy and Information Update
Health Reform Policy and Information Update
 
IMPACT OF COVID-19 AND LOCKDOWN IN LAGOS - Preliminary Results
IMPACT OF COVID-19 AND LOCKDOWN IN LAGOS - Preliminary ResultsIMPACT OF COVID-19 AND LOCKDOWN IN LAGOS - Preliminary Results
IMPACT OF COVID-19 AND LOCKDOWN IN LAGOS - Preliminary Results
 
Iag newsletter july 2011 final
Iag newsletter july 2011 finalIag newsletter july 2011 final
Iag newsletter july 2011 final
 
Gad In Prenatal Population Rachmuth
Gad In Prenatal Population RachmuthGad In Prenatal Population Rachmuth
Gad In Prenatal Population Rachmuth
 
Mass Health Insurance Survey
Mass Health Insurance SurveyMass Health Insurance Survey
Mass Health Insurance Survey
 
US Households Financial Health
US Households Financial HealthUS Households Financial Health
US Households Financial Health
 
RememberItNow! A Great Employee Benefit
RememberItNow! A Great Employee BenefitRememberItNow! A Great Employee Benefit
RememberItNow! A Great Employee Benefit
 
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
Successful Engagement Strategies and Return on Investment with Maryam J. Tabr...
 
Larry Levitt: Is Employee Health Insurance Failing Americans?
Larry Levitt: Is Employee Health Insurance Failing Americans?Larry Levitt: Is Employee Health Insurance Failing Americans?
Larry Levitt: Is Employee Health Insurance Failing Americans?
 
Dr Aifric boylan, Council Member NAGP
Dr Aifric boylan, Council Member NAGPDr Aifric boylan, Council Member NAGP
Dr Aifric boylan, Council Member NAGP
 
New Research
New ResearchNew Research
New Research
 
Healthcare Digest July 2011 by Jim Bloedau of Information Advantage Group
Healthcare Digest July 2011 by Jim Bloedau of Information Advantage GroupHealthcare Digest July 2011 by Jim Bloedau of Information Advantage Group
Healthcare Digest July 2011 by Jim Bloedau of Information Advantage Group
 

Último

zidauu _business communication.pptx /pdf
zidauu _business  communication.pptx /pdfzidauu _business  communication.pptx /pdf
zidauu _business communication.pptx /pdf
zukhrafshabbir
 

Último (20)

The Inspiring Personality To Watch In 2024.pdf
The Inspiring Personality To Watch In 2024.pdfThe Inspiring Personality To Watch In 2024.pdf
The Inspiring Personality To Watch In 2024.pdf
 
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdfInnomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
 
Hyundai capital 2024 1q Earnings release
Hyundai capital 2024 1q Earnings releaseHyundai capital 2024 1q Earnings release
Hyundai capital 2024 1q Earnings release
 
Event Report - IBM Think 2024 - It is all about AI and hybrid
Event Report - IBM Think 2024 - It is all about AI and hybridEvent Report - IBM Think 2024 - It is all about AI and hybrid
Event Report - IBM Think 2024 - It is all about AI and hybrid
 
HR and Employment law update: May 2024.
HR and Employment law update:  May 2024.HR and Employment law update:  May 2024.
HR and Employment law update: May 2024.
 
Equinox Gold Corporate Deck May 24th 2024
Equinox Gold Corporate Deck May 24th 2024Equinox Gold Corporate Deck May 24th 2024
Equinox Gold Corporate Deck May 24th 2024
 
MichaelStarkes_UncutGemsProjectSummary.pdf
MichaelStarkes_UncutGemsProjectSummary.pdfMichaelStarkes_UncutGemsProjectSummary.pdf
MichaelStarkes_UncutGemsProjectSummary.pdf
 
Team-Spandex-Northern University-CS1035.
Team-Spandex-Northern University-CS1035.Team-Spandex-Northern University-CS1035.
Team-Spandex-Northern University-CS1035.
 
Sedex Members Ethical Trade Audit (SMETA) Measurement Criteria
Sedex Members Ethical Trade Audit (SMETA) Measurement CriteriaSedex Members Ethical Trade Audit (SMETA) Measurement Criteria
Sedex Members Ethical Trade Audit (SMETA) Measurement Criteria
 
Pitch Deck Teardown: Terra One's $7.5m Seed deck
Pitch Deck Teardown: Terra One's $7.5m Seed deckPitch Deck Teardown: Terra One's $7.5m Seed deck
Pitch Deck Teardown: Terra One's $7.5m Seed deck
 
zidauu _business communication.pptx /pdf
zidauu _business  communication.pptx /pdfzidauu _business  communication.pptx /pdf
zidauu _business communication.pptx /pdf
 
Revolutionizing Industries: The Power of Carbon Components
Revolutionizing Industries: The Power of Carbon ComponentsRevolutionizing Industries: The Power of Carbon Components
Revolutionizing Industries: The Power of Carbon Components
 
Inside the Black Box of Venture Capital (VC)
Inside the Black Box of Venture Capital (VC)Inside the Black Box of Venture Capital (VC)
Inside the Black Box of Venture Capital (VC)
 
Unveiling the Dynamic Gemini_ Personality Traits and Sign Dates.pptx
Unveiling the Dynamic Gemini_ Personality Traits and Sign Dates.pptxUnveiling the Dynamic Gemini_ Personality Traits and Sign Dates.pptx
Unveiling the Dynamic Gemini_ Personality Traits and Sign Dates.pptx
 
Creative Ideas for Interactive Team Presentations
Creative Ideas for Interactive Team PresentationsCreative Ideas for Interactive Team Presentations
Creative Ideas for Interactive Team Presentations
 
Stages of Startup Funding - An Explainer
Stages of Startup Funding - An ExplainerStages of Startup Funding - An Explainer
Stages of Startup Funding - An Explainer
 
Powers and Functions of CPCB - The Water Act 1974.pdf
Powers and Functions of CPCB - The Water Act 1974.pdfPowers and Functions of CPCB - The Water Act 1974.pdf
Powers and Functions of CPCB - The Water Act 1974.pdf
 
Engagement Rings vs Promise Rings | Detailed Guide
Engagement Rings vs Promise Rings | Detailed GuideEngagement Rings vs Promise Rings | Detailed Guide
Engagement Rings vs Promise Rings | Detailed Guide
 
How to Maintain Healthy Life style.pptx
How to Maintain  Healthy Life style.pptxHow to Maintain  Healthy Life style.pptx
How to Maintain Healthy Life style.pptx
 
Blinkit: Revolutionizing the On-Demand Grocery Delivery Service.pptx
Blinkit: Revolutionizing the On-Demand Grocery Delivery Service.pptxBlinkit: Revolutionizing the On-Demand Grocery Delivery Service.pptx
Blinkit: Revolutionizing the On-Demand Grocery Delivery Service.pptx
 

Young Famillies &amp; the Economy Mkt Research

  • 1. Bon Secours Richmond Health System Market Research ● March 2009 Young Families and the Economy Mary Anne Graf Vice President Women’s and Children’s Services Bon Secours Richmond Health System mary_anne_graf@bshsi.org
  • 2. Ownership and Credit • This presentation includes comparative data from relevant databases nationwide. Please credit these databases if you use this information. • The primary market research in this presentation, starting with slide 9, is the sole property of Bon Secours Richmond Health System. You may use this information under the following conditions: • The information used remains essentially unaltered. • Bon Secours Richmond Health System Women’s & Children’s Services is noted as the source. • Contact information (mary_anne_graf@bshsi.org) is included with the information. • The date of the market research is shown (March 2009). 2
  • 3. Key to Taking Advantage of the Down Economy • Know the market • National, local • Within women’s services, most significant impact nationally so far is undoubtedly on young families 3
  • 4. Review of National Trends See Reference section at end of presentation for more information.
  • 5. 5
  • 6. 6
  • 7. 7
  • 8. Healthcare and the Economy: U.S. Most Affected Least Affected • Black, Hispanic • Asian • Single, separated, divorced • Married • Age 18-39 • Age >60 • Income <$48,000/year • Income >$48,000/year, • Part-time employment particularly those making • Poor to fair health >$90,000 • Full-time employed 8
  • 9. Young Families and the Economy Bon Secours Market Research Young Families and the Economy March 2009
  • 10. The Impact of the Economy: OB 08Q1 Pediatrix reports 1st ever NICU volume downturn Many Snowmass May 08 Participants note OB volumes down ~5-10% Unstable economy already Dec 07: felt by young “Recession” All/majority of families official US hospitals feel OB decrease OB-Neo overlay source: Graf, Health Care Innovations, 2009 ● TeamHCI.com 10
  • 11. Market Research Components • Comprehensive review of national data re: young families and the recession from CY07 forward • US, 2008: 57% of those unemployed were between the ages of 20 and 44 – prime childbearing age • In Virginia in Dec 08 alone, 36% of those laid off were between 30 and 44, and likely another 40% <30 • Bon Secours market research (Mar 09) • Random phone survey of young families, age 18-44 (N=275) • At 95% confidence level, the maximum statistical error for the N is +/- 5.9%. • Highly applicable sample to current childbearing age families: 76% (n=205) either were currently pregnant or had child age 5 or under to ensure target population • Focus groups: Two groups of young mothers who had delivered in the last six months • Mirrored national trends, but provided detail on young families 11
  • 12. Bon Secours Research, Young Families and the Economy Survey Respondents • Phone survey, land lines only; random calls, purchased lists • N=275 • Age 18-44 • Male: 112 • Female: 163 • Pregnant or have child age 5 or under: 205 • 92% married • Insured • Insurance: 87% • Medicaid: :8% • No insurance: 4% (Half of these lost insurance when they were laid off) Bon Secours Richmond Health System market research, 2009. All rights reserved. 12
  • 13. Bon Secours Research, Young Families and the Economy Survey Respondents • Average number of children in household: 2.1 • Ethnicity • Non-Hispanic Caucasian: 87% • African American: 10% 2.1 children • Asian or Hispanic: 1% each • Survey: Median family income: $55,000 to $75,000 (skewed slightly high; average family income nationally for childbearing demographic is about $50,000) • Likely due to use of land lines only • Focus group: Skewed low income Bon Secours Richmond Health System market research, 2009. All rights reserved. 13
  • 14. Bon Secours Research, Young Families and the Economy Employment in the Recession • Laid off: 6% • Income frozen or reduced: 28% • No impact: 48%... • All • 76% personally know someone who was laid off since recession start • 50% personally know someone who has had their income frozen or reduced Bon Secours Richmond Health System market research, 2009. All rights reserved. 14
  • 15. Bon Secours Research, Young Families and the Economy Overall Impact of the Economy • Specifically related to the economy • 87% have changed how their family spends money • 29% have had weight management problems (up or down) • 40% have trouble sleeping • 77% changed how they shop for groceries • 16% started or increased smoking • 40% acknowledge strained relationship with spouse/partner, and another 30% say economic concerns have hurt their sex life • Of the 27 women who were pregnant, 20% felt their pregnancy negatively interfered with finding a new job Bon Secours Richmond Health System market research, 2009. All rights reserved. 15
  • 16. Bon Secours Research, Young Families and the Economy Handling Family Health Care • Limiting health care expenses for the family: 79% • Fewer visits to doctor: 16% • Delayed procedures or surgery: 7% • Difficulty paying for hospitalization: 7% • Cancelled or delayed annual exam: 6% or mammogram: 3% • Difficulty paying for medications: 6% • Delayed medical tests: 5% • Used free clinic: 3% Bon Secours Richmond Health System market research, 2009. All rights reserved. 16
  • 17. Bon Secours Research, Young Families and the Economy Plans for Children • The impact of the economy on plans for children • Decided not to have any more children: 15% • Decided on few children than when economy was better: 7% • More careful about using birth control, started birth control or had sterilization: 8% • Delayed a pregnancy: 4% • Of the 10% who considered adoption or infertility treatments during the last two years, one out of four stopped because of the economy Bon Secours Richmond Health System market research, 2009. All rights reserved. 17
  • 18. Bon Secours Research, Young Families and the Economy Impact on Pregnancy • Of 27 respondents expecting a baby • Had planned to move, cannot do now: 15% • Cannot afford the right foods for pregnancy: 15% • Had fewer prenatal/doctor visits: 11% or no visits: 7% (total, 18%) • Could not afford birth control: 7% • Did not take prenatal classes: 7% • Biggest concerns: • Cost of childbirth at the hospital: 22% • Cost of baby supplies, e.g., diapers, nursery: 22% • Rising household costs (mortgage, utilities): 22% • Cost of raising the child: 19% • Can marriage relationship take the stress? 19% • Worries about job (self or spouse): 19% • Cost of prenatal care: 11% Bon Secours Richmond Health System market research, 2009. All rights reserved. 18
  • 19. Bon Secours Research, Young Families and the Economy Other Stressors • Supporting adult relatives • 13% started providing financial support to an adult relative in the last two year • 5% have a relative (not immediate family) living with them • Another 22% consider it likely that a relative will be living with them soon • 23% rate their health insurance coverage as worse than two years ago • Focus groups: Women don’t have money for the very basics (diapers, pads) for their first days at home…let alone later • For these women, breast-feeding is a luxury they cannot afford Bon Secours Richmond Health System market research, 2009. All rights reserved. 19
  • 20. Redefining our picture of “Indigent” • Today’s ‘uninsured’ or ‘homeless’ could have been making $200,000+ per year for most of their recent career and today be unemployed, losing their home, and without insurance (Cobra doesn’t apply if company dissolves.) • They will return • What we do for them today may well earn their loyalty to us for life 20
  • 22. References • USA Today March 09 research series on Americans, the economy and health care, March 09 (available online; terrific graphics); http://www.usatoday.com/money/economy/2009-03-10-well-being- index_N.htm • 1 in 5 American workers uninsured, USAToday.com, Mar 24, 09, http://www.usatoday.com/money/industries/insurance/2009-03-24-health- insurance_N.htm • IMS National Prescription Audit; Kaiser Family Foundation, 2009; searchable online • Outsourcing Parenthood, Parenting.com, http://www.parenting.com/article/Mom/Work--Family/Outsourcing- Parenthood • Patients skip medicine, doctor visits due to sick economy, http://www.usatoday.com/news/health/2008-10-22-medical- financial_N.htm 22
  • 23. References • Recession affects family planning, with abortions and vasectomies up, http://www.tampabay.com/news/health/article988131.ece • Roan, Sheri, In an ailing economy, the doctor can wait, Los Angeles Times, Apr 09, http://www.latimes.com/features/health/la-sci-prevention8- 2009apr08,0,5420195.story • Shah, Gina, Down Economy Provides Opportunities to Improve Physician Relations, Healthcare Leaders Media, Apr 2009 • http://Erickson, Baby boomers flock to social networking sites, http://www.norwichbulletin.com/lifestyles/x1098998426/Baby-boomers- flock-to-social-networking-sites • Inside Facebook (Demographics) http://www.insidefacebook.com/2008/09/18/latest-data-on-us-facebook- age-and-gender-demographics/ 23
  • 24. References • Twitter links businesses to customers, http://www.denverpost.com/business/ci_12258514 • Malone, Michael, The Twitter Revolution: The brains behind the Web's hottest networking tool, Wall Street Journal, http://online.wsj.com/article/SB124000817787330413.html • www.healthleadersmedia.com/content/230802/topic/WS_HLM2_MAR/Do wn-Economy-Provides-Opportunities-to-Improve-Physician- Relations.htmlWheeler and Hirsh, Channel Champions: How leading companies build new strategies to serve customers, 1999, Jossey-Bass • Tanner and Johnson, Patients skip medicine, doctor visits due to sick economy, USA Today, Oct 08, http://www.usatoday.com/news/health/2008-10-22-medical- financial_N.htm 24