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Nurses, Insurers, Others Pushing To Be Included In Health Reform Debate
Summaries of efforts by groups outside the political arena to be included in the debate over health care reform legislation appear below.
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Movetis Releases New Data That Support Prucalopride's Favourable And Differentiated Efficacy And Cardiovascular Safety Profile
Data from 7 prucalopride trials are being presented at the Digestive
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Opposition To Abortion Rights Declining Among Black Voters, Opinion Pieces States
"In recent years, conservative political strategists have painted African Americans as being more opposed to abortion than the white population," but experts believe that there actually "is a declining black support for conservative social policies like abortion," Tracie Powell, a former congressional fellow with the American Political Science Association, writes in a CQ Politics opinion piece. According to Powell, a recent Pew Forum on Religion and Public Life survey found that 49% of black U.S. residents -- who generally are considered more religious than the entire U.S. population -- are in favor of keeping abortion legal in most or all cases.Powell continues that experts vary in their explanations of the declining opposition to abortion rights among blacks. She writes that Christopher Metzler, an associate dean at Georgetown University, said that economic concerns, such as the high unemployment rate for black workers, have become more important than abortion for the group. According to Powell, Metzler said that black U.S. residents also have started questioning the antiabortion-rights agenda because they received little support from conservatives in return.Powell writes that some experts believe the feelings of black U.S. residents regarding abortion might go "deeper than current economic and social realities." Powell adds that Salamishah Tillet, founder of the organization A Long Walk Home, said that reproductive injustice for black women dates to times of slavery, when they had no reproductive rights. According to Tillet, black women face reproductive injustice in modern times through underfunding of family planning programs, lack of access to contraception and legislation like the Hyde Amendment, which restricts access to abortion for low-income women, who are disproportionately black and Hispanic.Powell writes, "I doubt most Americans, including those who are black, consider abortion a civil rights issue, and I"m not arguing that it should be." However, "I do know that while black Americans remain one of the most religious demographics in the country, this isn"t the 1960s and African Americans no longer march lock-step behind the church," she writes (Powell, CQ Politics, 6/10).
Mental Health

Childbirth-Related Injuries Decline, Linked With Use Of Instruments, AHRQ Report Finds

There were nearly 158,000 potentially avoidable childbirth-related injuries to women and their infants in 2006, a significant decline from 2000, according to a report by the Agency for Healthcare Research and Quality, HealthLeaders Media reports. The report used data submitted for 15 million discharges by 1,900 hospitals in 25 states, including the largest states -- California, New York, Florida and Texas. Between 2000 and 2006, the rate of potentially avoidable injuries during vaginal childbirth without the use of instruments, such as forceps, declined by 30%, according to the report. The injury rate declined by 21.3% for vaginal childbirth using instruments and by 16.7% for women undergoing caesarean sections. Report author Roxanne Andrews of AHRQ said that the report did not examine factors that might have contributed to the declining injury rates but added that it is an area for further study.The report found that rates of injury were higher when instruments were used during childbirth. For instance, trauma to the woman during vaginal delivery with the use of instruments occurred 160.5 times per 1,000 discharges, compared with 36.2 times when instruments were not used. The report said that the most common injuries to women were perineum tears, which are avoidable in many cases. Traumatic injury to infants during childbirth -- such as broken collarbones, head injuries and infections -- occurred 1.6 times per 1,000 discharges.The report also highlighted care disparities between women in low-income areas and those in high-income areas. Women giving birth in high-income areas had 44% more injuries during vaginal delivery than their counterparts in low-income areas. Black and Hispanic women experienced fewer injuries than white women, while Asian American and Pacific Islander women experienced the highest rate of injuries. The report found that women covered by Medicaid were less likely to be injured during childbirth -- 127 injuries per 1,000 deliveries -- compared with women with private insurance plans -- 185 injuries per 1,000 deliveries. However, the rate of injury for infants covered under Medicaid was higher -- 1.7 per 1,000 deliveries -- than those under private plans -- 1.5 per 1,000 deliveries.The report encouraged providers to evaluate their practices to better understand why such complications occur. According to the report, "Identifying which types of patient safety problems exist for different sub-groups of patients is an important first step in developing interventions to reduce disparities and achieve high quality of care for all patients" (Clark, HealthLeaders Media, 6/18). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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