Upload
magric
View
282
Download
0
Embed Size (px)
DESCRIPTION
Primary market research conducted in March 2009 on the impact of the economy on young families. Pertinent for health care professionals offering childbirth or pediatric services.
Citation preview
Young Families Young Families and the Economyand the Economy
Bon Secours Richmond Health SystemMarket Research ● March 2009
Mary Anne GrafVice President
Women’s and Children’s ServicesBon Secours Richmond Health System
2
Ownership and CreditOwnership 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 ([email protected]) is included with the
information.• The date of the market research is shown (March 2009).
3
Key to Taking Advantage Key to Taking Advantage of the Down Economyof the Down Economy
• Know the market• National, local
• Within women’s services, most significant impact nationally so far is undoubtedly on young families
Review of National TrendsReview of National Trends
See Reference section at end of presentation for more information.
5
6
7
8
Healthcare and the Economy: U.S.Healthcare and the Economy: U.S.
Most Affected
• Black, Hispanic• Single, separated, divorced• Age 18-39• Income <$48,000/year• Part-time employment• Poor to fair health
Least Affected
• Asian• Married• Age >60• Income >$48,000/year,
particularly those making >$90,000
• Full-time employed
Young Families and the EconomyYoung Families and the Economy
Bon Secours Market Research
Young Families and the Economy
March 2009
10
The Impact of the Economy: OBThe Impact of the Economy: OB
08Q1 Pediatrix reports 1st ever NICU volume
downturn
Dec 07: “Recession”
officialAll/majority of
US hospitals feel OB decrease
Many Snowmass May 08Participants note OB
volumes down ~5-10%
Unstable economy already
felt by young families
OB-Neo overlay source: Graf, Health Care Innovations, 2009 ● TeamHCI.com
11
Market Research ComponentsMarket Research Components
• Comprehensive review of national data re: young families and therecession 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
12
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Survey RespondentsSurvey 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.
13
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Survey RespondentsSurvey Respondents
• Average number of children in household: 2.1
• Ethnicity• Non-Hispanic Caucasian: 87%• African American: 10%• Asian or Hispanic: 1% each
• Survey: Median family income: $55,000 to $75,000 (skewed slightly high; average family income nationally for childbearingdemographic is about $50,000)• Likely due to use of land lines only
• Focus group: Skewed low income
2.1 children
Bon Secours Richmond Health System market research, 2009. All rights reserved.
14
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Employment in the RecessionEmployment 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.
15
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Overall Impact of the EconomyOverall 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.
16
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Handling Family Health CareHandling 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.
17
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Plans for ChildrenPlans 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.
18
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Impact on PregnancyImpact 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.
19
Bon Secours Research, Young Families and the EconomyBon Secours Research, Young Families and the Economy
Other StressorsOther 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.
20
Redefining our picture of Redefining our picture of ““IndigentIndigent””
• 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 usfor life
ReferencesReferences
22
ReferencesReferences
• USA Today March 09 research series on Americans, the economy andhealth 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
23
ReferencesReferences
• 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/
24
ReferencesReferences
• 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/Down-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