Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results

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1 Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results Okfuskee County Okemah Oklahoma State University, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University October 2003

2 AE Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results Rural Health Works Oklahoma Website: < Eric Money Student Extension Associate, OSU, Stillwater R. David Shelton Assistant State Extension Specialist, OSU, Stillwater FAX: Gerald A. Doeksen Extension Economist, OSU, Stillwater Ronald Vick Okfuskee County Extension Director, Okemah Jack Frye Area Extension Rural Development Specialist, Ada Alexandria Hart-Smith Regional Health Consultant, Oklahoma City Val Schott Director, Oklahoma Office of Rural Health, Oklahoma City RURAL DEVELOPMENT OKLAHOMA COOPERATIVE EXTENSION SERVICE OKLAHOMA STATE UNIVERSITY October 2003

3 Creek Nation Community Hospital Medical Service Area Telephone Survey Form

4 Okfuskee County Phone Survey Page 1 of 4 Survey Date: July 28-Aug. 1 Screener Question 1. Do you live within one of the following zip code areas? Okemah & Mason Castle & Welty Boley Weleetka & Clearview Paden 2. Do you use a family doctor for most of your routine health care needs? Yes No 3. If not, whom do you go to for routine health care? 4. Where do you go for most of your family s routine health care needs? Henryetta Seminole Other Holdenville Tulsa Okemah Wetumka Oklahoma City Wewoka 5. If you use a family doctor outside of Okemah, why? 6. If you or a family member have used a family doctor in Okemah within the last 12 months, were you or your family member satisfied with the quality of care received? Satisfied Dissatisfied If dissatisfied, why? 7. Do you think there are enough family doctors in Okemah? Yes No 8. What specialist(s) have you or a family member seen in the past 12 months and in what city is the specialist(s) located? (May provide more than one response) Specialist City

5 Okfuskee County Phone Survey Page 2 of 2 9. What health insurance covers you and your family? (May provide more than one response) You Family Insurance through Employer/ Previous Employer Medicare Medicare Supplement Medicaid or Sooner Care Champus/TriCare Program VA Benefits Self Paid Plan Native American Benefits Do Not Have Health Insurance Other 10. If you do not have health insurance coverage for yourself or your family, which best describes why? Cannot Afford Coverage Pre-existing Medical Condition Other 11. Have you or a family member used the services of a hospital in the past 12 months? Yes No 12. If yes to question 12, at which hospital were services received? Carl Albert Indian Health Facility Ada Bristow Memorial Hospital Bristow Creek Nation Community Hospital Okemah Holdenville General Hospital Holdenville Henryetta Medical Center Henryetta Oklahoma City Area Hospitals Prague Municipal Hospital Prague Rolling Hills Hospital Ada Seminole Medical Center Seminole Tulsa Area Hospitals Valley View Regional Hospital Ada Other 13. If other than Creek Nation Community Hospital, why did you or your family member choose this/these hospital(s)?

6 Okfuskee County Phone Survey Page 3 of If you or your family member used Creek Nation Community Hospital, what hospital services were received? (May provide more than one response) Emergency Room Radiology (X-ray, CT, Mammogram, MRI) Inpatient Stay Respiratory Therapy Inpatient Surgery Specialty Doctor Laboratory (Blood) Tests Other Outpatient Surgery 15. If answered 14, how would you or your family member describe the experience at the Creek Nation Community Hospital? Satisfied Dissatisfied If dissatisfied, why? 16. If you or family members have used Emergency Room services in the past 12 months at the Creek Nation Community Hospital, what services were used? Cardiac Evaluation Trauma Care Laboratory X-Ray (Radiology) Respiratory Therapy Other Routine Illness 17. If answered 16, how would you or your family member describe the experience at the emergency room in Creek Nation Community Hospital? Satisfied Dissatisfied If dissatisfied, why? 18. Have you or a family member used the services of the Okfuskee County Health Department in the past 12 months? Yes No 19. If yes to question 18, how would you or your family member describe the experience at the Okfuskee County Health Department? Satisfied Dissatisfied If dissatisfied, why? 20. What services does Creek Nation Community Hospital need to offer? 21. What concerns you most about health care in your community? 22. What is your age? What is your race? (Optional) Caucasian Asian Hispanic African American Native American Other

7 Okfuskee County Phone Survey Page 4 of What is your annual household income? Less than $10,000 $10,000 to less than $15,000 $15,000 to less than $20,000 $20,000 to less than $25,000 $25,000 to less than $35,000 $35,000 to $50,000 Over $50,000 [Do not read these responses.] Refused Don't know/not sure 25. DO NOT ASK THIS QUESTION!!!! Interviewer will decide on the answer to this question!!! Male Female Unknown (Can t Tell)

8 Creek Nation Community Hospital Medical Service Area Telephone Survey Results

9 Page 1 Q1. Do you live within one of the following zip code areas? Okemah % Paden 38 19% Weleetka 22 11% Boley 13 6% Castle 6 3% Welty 5 3% Mason 2 1% Total % 0% 10% 20% 30% 40% 50% 60% Okemah 57% Paden 19% Weleetka 11% Boley 6% Castle 3% Welty 3% Mason 1%

10 Page 2 Q2. Do you use a family doctor for most of your routine health care needs? Yes % No 26 13% Total % No 13% Yes 87%

11 Page 3 Q3. If you do not use a family doctor, whom do you go to for routine care? Creek Nation health services 8 31% No routine care 6 23% Community clinic/physician 6 23% Specialist 4 15% VA Hospital 2 8% Total Responses % 0% 5% 10% 15% 20% 25% 30% 35% Creek Nation health services 31% No routine care 23% Community clinic/physician 23% Specialist 15% VA Hospital 8%

12 Page 4 Q4. Where do you go for most of your family's routine health care needs? Okemah 73 36% Henryetta 31 15% Shawnee 26 13% Prague 13 6% Okmulgee 12 6% OKC/MWC 10 5% Seminole 9 4% Bristow 8 4% Tulsa 7 3% Stroud 3 2% Weleetka 3 2% Boley 2 1% Other* 7 3% Total % *One each in Holdenville, Paden, Ada, Muskogee, Moore, Okfuskee, and Vian

13 Page 5 Q5. If you use a family doctor outside of Okemah, why? Response Frequency Percent Convenience/Closer to home 26 20% Established patient 22 17% Confidence/Quality of care 18 14% Insurance/Cost/Affordability 14 11% Personal preference 12 9% Physician availability 10 8% Reference/Referral 6 5% Better facilities 5 4% Better service 4 3% Military affiliation 4 3% Specialist 4 3% Don't know 2 2% Indian affiliation 1 1% Don't go to the doctor 1 1% Other 1 1% No reason 1 1% Total %

14 Page 6 Q6a. Have you or a family member used a family doctor in Okemah in the last 12 months? Yes 95 47% No % Total % Satisfied 89% Dissatisfied 11%

15 Page 7 Q6b. If you or a family member have used a family doctor in Okemah in the last 12 months, were you or your family member satisfied with the quality of care received? Satisfied 85 89% Dissatisfied 10 11% Total % Dissatisfied 11% Satisfied 89%

16 Page 8 Q6c. If satisfied with the quality of care received from a family doctor in Okemah, why? Confident in quality of care 25 29% Treated problem 18 21% Treated well / Good care 9 11% Courteous staff 8 9% Satisfied 5 6% Convenient 4 5% Prompt 4 5% Honesty 3 4% Answered questions 2 2% Compassionate 2 2% Good facilities 2 2% Listens 2 2% Low cost 2 2% Total %

17 Page 9 Q6d. If dissatisfied with the quality of care received from a family doctor in Okemah, why? Quality of physicians 4 40% Misdiagnosis 3 30% Inconsiderate 2 20% Time/Wait Issues 1 10% Total %

18 Page 10 Q7. Do you think there are enough family doctors in Okemah? Yes 32 16% No % Don't know 64 32% Total % No 53% Yes 16% Don't know 32%

19 Page 11 Q8. What specialist(s) have you or a family member seen in the past 12 months and in what city is the specialist(s) located? Specialist City No. % Tulsa (16), OKC (15), Shawnee (3), Midwest City (1), Cardiologist Norman (1), Okemah (1), Prague (1), Ada (1), CA (1) 40 22% Obstetrician / Gynecologist Shawnee (6), Tulsa (5), OKC (2), Okmulgee (2), Midwest City (2) 17 9% Orthopedics Tulsa (6), OKC (6), Okmulgee (2), Cushing (1) 15 8% Oncologist Tulsa (4), OKC (4), Shawnee (4), Okmulgee (1), Stillwater (1) 14 8% Neurologist/Neurosurgeon Tulsa (5), OKC (4), Bethany (1) 10 5% Okmulgee (2), OKC (1), Tulsa (1), Shawnee (1), Seminole Urologist (1), Ada (1), Bristow (1) 8 4% Gastroenterologist Tulsa (2), OKC (1), Shawnee (1), Midwest City (1), Henryetta (1), Norman (1), Broken Arrow (1) 8 4% Dermatologist Okmulgee (3), Tulsa (3), OKC (1), Muskogee (1) 8 4% Endocrinologist OKC (6), Tulsa (1) 7 4% Optometrist Okemah (4), Tulsa (2), OKC (1) 7 4% Pulmonologist Tulsa (3), Cushing (1), Shawnee (1), Muskogee (1) 6 3% Ear, Nose, and Throat Tulsa (3), Okmulgee (1), OKC (1) 5 3% Pediatrician Shawnee (2), Tulsa (1), Bristow (1) 4 2% Ophthalmologist Tulsa (2), OKC (2) 4 2% Rheumatologist Tulsa (2), OKC (1), Shawnee (1) 4 2% Internal Medicine Shawnee (2), Tulsa (1), Ada (1) 4 2% Podiatrist Shawnee (3), Tulsa (1) 4 2% Nephrologist OKC (3), Tulsa (1) 4 2% General Surgeon Tulsa (1), OKC (1), Cushing (1) 3 2% Radiologist Shawnee (2), OKC (1) 3 2% Psychiatrist Tulsa (1), N/A (1) 2 1% Diabetic Specialist Tulsa (1) 1 1% Hematologist OKC (1) 1 1% Family medicine Okmulgee (1) 1 1% Physical therapy OKC (1) 1 1% Sports medicine Norman (1) 1 1% Total %

20 Page 12 Q9. Do you have health insurance coverage? Yes % No 45 22% Total % Yes 78% No 22%

21 Page 13 Q9b. What type of health insurance covers you? Employer/Previous employer 86 39% Medicare 63 29% Medicare supplement 24 10% Self-paid plan 14 6% Medicaid or Sooner Care 10 5% Native American benefits 10 5% VA benefits 7 3% Champus/Tricare 6 3% Social Security disability 1 0% Total % 0% 10% 20% 30% 40% Employer/Previous employer 39% Medicare 29% Medicare supplement 10% Self-paid plan Medicaid or Sooner Care Native American benefits 5% 5% 6%

22 Page 14 Q9c. Do your family members, living with you in your household, have health insurance? Yes % No 28 13% No other family members 40 20% Total % No 13% No other family members 20% Yes 67%

23 Page 15 Q9d. What health insurance covers your family? Employer/Previous employer 79 41% Medicare 46 24% Medicaid or Sooner Care 18 9% Medicare supplement 18 9% Self-paid plan 11 5% VA benefits 11 5% Native American benefits 7 4% Champus/Tricare 5 3% Total % 0% 10% 20% 30% 40% Employer/Previous employer 41% Medicare 24% Medicaid or Sooner Care Medicare supplement 9% 9% Self-paid plan 5% VA benefits 5%

24 Page 16 Q10. If you do not have health insurance coverage for yourself or your family, which best describes why? Cannot afford coverage 33 78% Pre-existing medical condition 4 9% Don't use it 2 5% Job change 1 2% Cooperative church program 1 2% Va benefits 1 2% Native American benefits 1 2% Total %

25 Page 17 Q11. Have you or a family member used the services of a hospital in the past 12 months? Yes 94 46% No % Total % No 54% Yes 46%

26 Page 18 Q12. If you or a family member have used the services of a hospital in the past 12 months, at which hospital were services received? Creek Nation Community Hospital 27 29% Tulsa Area Hospitals 19 20% Oklahoma City Area Hospitals 15 16% Unity Health Center, Shawnee 13 14% Henryetta Medical Center 7 7% Okmulgee Memorial Hospital 6 6% Prague Municipal Hospital 3 3% Carl Albert Indian Health Facility, Ada 2 2% Bristow Memorial Hospital 1 1% Purcell Community Hospital 1 1% Cushing Hospital 1 1% Total %

27 Page 19 Q13. If other than Creek Nation Community Hospital, why did you or your family member choose this/these hospital(s)? Response Frequency Percent Specialist 14 21% Recommendation/Referral 14 21% Insurance/Cost 10 15% Personal preference 10 15% Convenience/Closer to home 8 13% Facility/Technology 5 7% Confidence/Quality of care 4 6% Established patient 1 1% Native American 1 1% Total % 0% 5% 10% 15% 20% 25% Specialist 21% Recommendation/Referral 21% Insurance/Cost 15% Personal preference Convenience/Closer to home 13% 15%

28 Page 20 Q14. If you or your family member used Creek Nation Community Hospital, what hospital services were received? Emergency Room 22 46% Lab (Blood Tests) 12 25% Radiology (X-Ray, CT, Mammogram) 7 15% Inpatient Stay 2 4% Respiratory Therapy 2 4% Outpatient Surgery 1 2% Specialty Physician 1 2% Doctor's visit 1 2% Total %

29 Page 21 Q15a. If you or your family member used the services of Creek Nation Community Hospital, how would you or your family member describe your experience? Satisfied 18 67% Dissatisfied 9 33% Total % Dissatisfied 33% Satisfied 67%

30 Page 22 Q15b. If satisfied with the services of Creek Nation Community Hospital, why were you satisfied? Confidence/Quality of care 6 33% Courteous/Caring employees 5 28% Quick service/little wait 4 11% Professional 2 22% Don't know 1 6% Total %

31 Page 23 Q15c. If dissatisfied with the services of Creek Nation Community Hospital, why were you dissatisfied? Response Frequency Percent Confidence/Quality of care 6 67% Wait 2 22% Discourteous employees 1 11% Total 9 100%

32 Page 24 Q16a. Have you or a family member used the Emergency Room at the Creek Nation Community Hospital in the past 12 months? Yes 65 32% No % Total % Yes 32% No 68%

33 Page 25 Q16b. If you or your family members have used Emergency Room Services at the Creek Nation Community Hospital in the past 12 months, what services were used? Radiology (X-ray) 28 25% Laboratory 23 21% Routine Illness 22 20% Trauma Care 20 18% Cardiac Evaluation 13 12% Respiratory Therapy 5 4% Total % 0% 10% 20% 30% Radiology (X-ray) 25% Laboratory 21% Routine Illness 20% Trauma Care 18% Cardiac Evaluation 12% Respiratory Therapy 4%

34 Page 26 Q17a. How would you or your family member describe the experience at the Emergency Room in Creek Nation Community Hospital? Satisfied 43 66% Dissatisfied 22 34% Total % Satisfied 66% Dissatisfied 34%

35 Page 27 Q17b. If you or your family member were satisfied with the experience at the Emergency Room in Creek Nation Community Hospital, why? Quality care 29 67% Little wait/quick service 9 21% Compassion/Caring 3 7% Don't know 2 5% Total %

36 Page 28 Q17c. If you or your family member were dissatisfied with the experience at the Emergency Room in Creek Nation Community Hospital, why? Lack of quality care 10 45% Long wait 7 30% Lack of compassion/caring 2 5% Rude staff 1 5% Cost/Affordability/Insurance 1 5% Lack of specialists 1 10% Total %

37 Page 29 Q18. Have you or a family member used the services of the Okfuskee County Health Department in the past 12 months? Yes 47 24% No % Total % Yes 24% No 76%

38 Page 30 Q19a. If you or your family member used the services of the Okfuskee County Health Department, how would you or your family member describe the experience at the Okfuskee County Health Department? Satisfied 45 96% Dissatisfied 2 4% Total % Dissatisfied 4% Satisfied 96%

39 Page 31 Q19b. If satisfied with the experience at the Okfuskee County Health Department, why were you satisfied? Quality of care 6 54% Compassion/Caring 3 28% Little wait/quick service 2 18% Don't know 0 0% Total %

40 Page 32 Q19c. If dissatisfied with the experience at the Okfuskee County Health Department, why were you dissatisfied? Misdiagnosis 1 50% Couldn't perform surgery 1 50% Total 2 100%

41 Page 33 Q21. What concerns you most about health care in your community? Insurance/Cost/Affordability 42 21% No Concerns 41 20% Availibility of area physicians 24 12% Availability of quality care 22 11% Lack of quality physicians 18 9% Availibility of Emergency Service 12 6% Distance to health care 9 5% Availability of specialists 8 4% Hospital facility upgrade 8 4% Elderly services 7 4% Other 6 2% Don't know 5 2% Total %

42 Page 34 Q22. What is your age? Response FrequencyPercent % % % % % % % % Refused 1 0% Total % 0% 5% 10% 15% 20% 25% % % % % % 21% % 81+ 2%

43 Page 35 Q23. What is your race? Caucasian % Native American 28 14% African American 16 9% Hispanic 3 1% Other 3 1% Total % 0% 10% 20% 30% 40% 50% 60% 70% 80% Caucasian 75% Native American 14% African American 9% Hispanic 1%

44 Page 36 Q24. What is your annual household income? < $10, % $10,000 - $15, % $15,000 - $20, % $20,000 - $25, % $25,000 - $35, % $35,000 - $50, % > $50, % Refused 12 6% Don't know/not sure 6 3% Total % 0% 5% 10% 15% 20% < $10,000 $10,000 - $15,000 $15,000 - $20,000 $20,000 - $25,000 $25,000 - $35,000 $35,000 - $50,000 > $50,000 Refused Don't know/not sure 3% 6% 9% 10% 11% 15% 16% 14% 16%

45 Page 37 Q25. What is the gender of the respondent? Female % Male 55 27% Missing 1 1% Total % Male 27% Missing 1% Female 72%

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