Purcell Municipal Hospital Medical Service Area Survey Results. Oklahoma Office of Rural Health OSU Center for Rural Health

Transcription

1 Purcell Municipal Hospital Medical Service Area Survey Results Oklahoma Office of Rural Health OSU Center for Rural Health Oklahoma Cooperative Extension Service Oklahoma State University May 2013

2 AE Purcell Municipal Hospital Medical Service Area Survey Results Community Health Needs Assessment documents available online at: Lara Brooks, Extension Associate, OSU, Stillwater Brian Whitacre, Associate Professor and Extension Economist, OSU, Stillwater Wes Lee, McClain County Extension Director, Purcell Corie Kaiser, Director, Oklahoma Office of Rural Health, Oklahoma City Oklahoma Office of Rural Health OSU Center for Rural Health Oklahoma Cooperative Extension Service Oklahoma State University May 2013

3 Zip Code of Residence Purcell % Lexington % Wayne 3 7.0% Norman 2 4.7% Elmore City 1 2.3% Tuttle 1 2.3% Wanette 1 2.3% Pauls Valley 1 2.3% Blanchard 1 2.3% Norman 1 2.3% Lindsay 1 2.3% No response 1 2.3% % Zip Code of Residence, Top 5 Responses 4.7% 2.3% 16.3% 55.8% 7.0% Purcell Lexington Wayne Norman Elmore City Other 14.0% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

4 1. Has your household used the services of a hospital in the past 24 months? % No % % Hospital Usage 11.6% 88.4% No Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

5 2. Where did you receive hospital services? Purcell Municipal Hospital, Purcell Norman Regional Hospital, Norman St. Anthony, Oklahoma City * *Some respondents answered more than once. Average hospitals visited per respondent = 1.08 Location of Hospital Services 2.4% 7.3% % 3 7.3% 1 2.4% % Purcell Municipal Hospital, Purcell Norman Regional Hospital, Norman St. Anthony, Oklahoma City 90.2% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

6 2.1. Hospital utilization comparison- Purcell Municipal Hospital compared to previous community surveys Survey Area Purcell Municipal Hospital Other Surveys Averages* Other Surveys Low Range* Used local hospital 90.2% 57.5% 25.0% Did not use local hospital 9.8% 42.5% 75.0% Other Surveys High Range* 75.9% 24.1% Other Surveys High Range* 75.9% 24.1% Other Surveys Low Range* 25.0% 75.0% Other Surveys Averages* 57.5% 42.5% Purcell Municipal Hospital 90.2% 9.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Used local hospital Did not use local hospital *Based on a total of 24 community surveys conducted since Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

7 3. If you responded in question 2 that your household received care at a hospital other than Purcell Municipal Hospital, why did you or your family member choose that hospital? Physician referral % Availability of specialty care % Closer, more convenient location % Quality of Care/Lack of confidence % Insurance reasons 1 8.3% % *Some respondents selected more than one category. Average number of categories selected = 3.0 Reason for Choosing a Hospital Other Than Purcell Municipal Hospital Quality of Care/Lack of confidence Closer, more convenient location 16.7% 16.7% Availability of specialty care 25.0% Physician referral 33.3% 0% 5% 10% 15% 20% 25% 30% 35% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

8 4. What hospital service(s) were used at Purcell Municipal Hospital? Laboratory % Physician services % Radiological imaging % Emergency room % Other outpatient % Inpatient services % Surgery 1 0.8% Pain management procedure 1 0.8% % *Some respondents selected more than one category. Average number of services used per respondent = 3.30 Services used at Purcell Municipal Hospital Emergency room 14.8% Radiological imaging 17.2% Physician services 22.1% Laboratory 26.2% 0% 5% 10% 15% 20% 25% 30% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

9 5. How satisfied were you or someone in your household with the services you received at Purcell Municipal Hospital? Survey Area Purcell Municipal Hospital Other Surveys Averages* Other Surveys Low Range* Other Surveys High Range* Satisfied Dissatisfied Don't know 97.3% 2.7% 0.0% 85.6% 12.1% 2.3% 64.1% 33.3% 2.6% 100.0% 0.0% 0.0% Satisfaction with Purcell Municipal Hospital Other Surveys High Range* 100.0% 0.0% Satisfied Other Surveys Low Range* 64.1% 33.3% Dissatisfied Other Surveys Averages* 85.6% 12.1% Don't know Purcell Municipal Hospital 97.3% 2.7% 0% 20% 40% 60% 80% 100% *Based on 56 community surveys conducted since Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

10 6a. Why were you satisfied? Quick treatment % Satisfied with staff/knowledgeable staff % Friendly staff % Great care/personalized care % Convenient location/local service % Professional staff 4 7.7% Satisfied, no reason given 4 7.7% Good treatment/service 2 3.8% Problem solved 1 1.9% % *Some respondents selected more than one category. Average number of services used per respondent = b. Why were you dissatisfied? % Problem(s) not resolved/had to be transferred % % Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

11 7. What type of specialist has your household been to and in which city did you receive that care? Type of Specialist City Purcell (6); Norman (1); Oklahoma City (1); No Cardiologist Location (1) % Gastroenterologist Purcell (4); Norman (2) % OB/GYN Purcell (2); Norman (2); Oklahoma City (1) 5 8.8% Oncologist Norman (3); Oklahoma City (1) 4 7.0% Neurologist Norman (2); Oklahoma City (2) 4 7.0% Family Practice Purcell (2); Norman (1); Oklahoma City (1) 4 7.0% Dermatologist Norman (3); Oklahoma City (1) 3 5.3% Orthopedist Purcell (1); Norman (1); Oklahoma City (1) 3 5.3% Ophthalmologist Purcell (1); Norman (1); Oklahoma City (1) 3 5.3% Pain Management Purcell (3) 3 5.3% Pediatrician Norman (2) 2 3.5% Urologist Purcell (2) 2 3.5% Pulmonologist Oklahoma City (1) 1 1.8% Rheumatologist Oklahoma City (1) 1 1.8% Emergency Room Purcell (1) 1 1.8% General Surgeon Purcell (1) 1 1.8% Endocrinologist Norman (1) 1 1.8% Plastic Surgeon Oklahoma City (1) 1 1.8% Diagnostic Mammogram Edmond (1) 1 1.8% Mammogram Purcell (1) 1 1.8% X-Rays Purcell (1) 1 1.8% % *Some respondents answered more than once. 38 respondents had seen a specialist. Those 38 respondents reported visiting an average of 1.5 specialists. Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

12 7. What type of specialist has your household been to and in which city did you receive that care? (continued) Cardiologist Gastroenterologist OB/GYN Oncologist Type of Specialist Neurologist Family Practice Dermatologist Orthopedist Ophthalmologist Pain Management Location of Specialist 17.4% 1.4% 1.4% Purcell Norman 36.2% Oklahoma City Edmond 26.1% No Location Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

13 8. Did the specialist request further testing, laboratory work and/or x-rays? % No % Don't know/no response 1 2.6% % Specialists Requiring Laboratory Work and/or X-Rays 31.6% 2.6% No 65.8% Don't know/no response Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

14 9. If yes, in which city were the tests or laboratory work performed? Purcell % Oklahoma City % Norman % % *Some respondents answered more than once. Average responses equal 1.03 Location of Laboratory Work Norman 13.8% Oklahoma City 17.2% Purcell 69.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

15 No Don't know/no response 10. Do you use a family doctor for most of your routine health care? Use Family Doctor for Routine Health Care 0.0% 2.3% % 0 0.0% 1 2.3% % No 97.7% Don't know/no response 11. If no, then what kind of medical provider do you use for routine care? *This question was not included because no respondents replied they do not have a provider. Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

16 12. Has your household been to a primary care doctor in the Purcell service area? % No 2 4.7% Don't know/no response 1 2.3% % Has your household been to a primary care doctor in the Purcell service area? 2.3% 4.7% No 93.0% Don't know/no response Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

17 13. How satisfied were you or someone in your household with the quality of care received from a primary care doctor in the Purcell service area? Satisfied Dissatisfied Don't know Purcell Service Area 100.0% 0.0% 0.0% Other Surveys Averages* 88.5% 7.4% 4.1% Other Surveys Low Range* 80.0% 20.0% 0.0% Other Surveys High Range* 98.5% 0.0% 1.5% Satisfaction with Purcell Service Area Primary Care Doctor Other Surveys High Range* 98.5% 0.0% Other Surveys Low Range* 80.0% 20.0% Satisfied Other Surveys Averages* 88.5% 7.4% Dissatisfied Don't know Purcell Service Area 100.0% 0.0% 0% 25% 50% 75% 100% *Based on a total of 6 community surveys conducted since Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

18 14a. Why were you satisfied with the primary care doctor? Good treatment/care/services % Satisfied with doctor (communication, care, thorough) % Satisfied with staff/providers (Friendly, professional) % Problem solved/needs met % Ease of getting an appointment % Convenient Location/Local service 5 8.9% Long time patient/knows doctor well 4 7.1% Quick treatment 3 5.4% No response 3 5.4% % *Some respondents answered more than once. Average responses equal 1.40 Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

19 15. Do you think there are enough primary care (family) doctors practicing in the Purcell service area? % No % Don't know/no response % % Do you think there are enough primary care doctors practicing in the Purcell service area? 23.3% 34.9% No 41.9% Don't know/no response Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

20 16. Would you consider seeing a midlevel provider (nurse practitioner or physician assistant) for your routine healthcare needs? % No % Don't know/no response 1 2.3% % Would you see a midlevel provider for routine healthcare needs? 2.3% 14.0% No 83.7% Don't know/no response Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

21 17. Are you able to get an appointment with your primary care (family) doctor when you need one? No Don't know/no response % 1 2.3% 2 4.7% % Are you able to get an appointment with your primary care doctor when needed? 4.7% 2.3% No 93.0% Don't know/no response Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

22 18. What concerns you the most about healthcare in the Purcell service area? No Concerns/ Don't Know % Lack of doctors % Lack of specialists/access to specialists % Availability of care/availability of Primary Care 3 6.4% Cost of care/affordability of care 3 6.4% Government regulations/changes to reimbursements 3 6.4% Keeping local health services 2 4.3% Keeping quality doctors/staff in the area 2 4.3% Level of care provided/ability to treat serious illness 2 4.3% Larger hospitals taking over and moving healthcare out of community 1 2.1% People staying/using rural health services 1 2.1% Expertise of physicians 1 2.1% Ability to provide care with few financial resources 1 2.1% Not making referrals soon enough 1 2.1% Continue to provide the best possible care 1 2.1% Not enough physicians for Medicare patients 1 2.1% The need for a minor emergency clinic to alleviate ER visits 1 2.1% Retirement 1 2.1% Age of hospital 1 2.1% No response 4 8.5% % *Some respondents answered more than once. Average responses equal 1.09 Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

23 19. What additional services would you like to see offered at Purcell Municipal Hospital? Specialists: Otolaryngologist (4); Neurologist (2); OB/GYN (1); Oncologist (1); Orthopedist (1); Cardiologist (1); Rheumatologist (1); Pain Management (1); Plastic Surgery (1); Pediatrician (1); Sports Medicine (1); More specialist clinics (1); Pulmonologist (1) % No additional services/don't know % MRI 5 8.9% More family physicians 1 1.8% Quality equipment/aging equipment 1 1.8% Doctors who make home visits for elderly/disabled 1 1.8% Wound care 1 1.8% Preventative care 1 1.8% Dialysis 1 1.8% Urgent care 1 1.8% CT Scan 1 1.8% Diabetic education No response *Some respondents answered more than once. Average number of responses equal % % % Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

24 20. Over the past 12 months, has your household used the services of the McClain County Health Department? % No % Don't know/no response Used services of the McClain County Health Department 14.0% 2.3% No 1 2.3% % Don't know/no response 83.7% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

25 Outlet Newspaper 21. How are you currently informed of community events? Source: Purcell Register (7) Purcell Chamber (1); Iris alerts (1); Work (1) % % Social Media (Facebook and Twitter) Purcell Register (1); Purcell Chamber (1) % Website Purcell Chamber (2) 6 6.9% Radio 5 5.7% Other 3 3.4% % Outlets Used for Information about Community Events 5.7% 3.4% 43.7% Newspaper 6.9% 16.1% Social Media (Facebook and Twitter) Website Radio Other 24.1% Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

26 22. How would you prefer to be notified of community events? (Rank 1= most preferred and 5=least preferred) Outlet Overall Rank (average) Newspaper Social Media (Facebook and Twitter) 2.83 Website 3.26 Radio 4.00 No response #1 Ranks Radio Website Social Media (Facebook and Twitter) Newspaper 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% #1 #2 #3 #4 #5 Local Health Services Survey Results - Purcell Municipal Hospital Medical Service Area

27 Appendix A- Survey Form

28 Local Health Services Survey Purcell Municipal Hospital Please return completed survey by May 17, 2013 Oklahoma Rural Health Works The zip code of my residence is: Has your household used the services of a hospital in the past 24 months? (Go to Q2) No (Skip to Q7) Don't know (Skip to Q7) At which hospital(s) were services received? Purcell Municipal Hospital (Skip to Q4) Other (Please specify Hospital and City, then go to Q3) 3. If you responded in Q2 that your household received care at a hospital other than Purcell Municipal Hospital, why did you or your family member choose that hospital? (Please answer then skip to Q7) Physician referral Quality of care/lack of confidence Closer, more convenient location Availability of specialty care Insurance reasons Other (Please list below) If you responded in Q2 that your household received care at Purcell Municipal Hospital, what hospital service(s) were used? Diagnostic imaging (X-ray, CT, Ultrasound) Hospital Inpatient Laboratory Skilled nursing (swing bed) Outpatient infusion/shots Emergency room (ER) Physician services Other (Please list below) Physical, speech or occupational therapy How satisfied was your household with the services you received at Purcell Municipal Hospital? Satisfied Dissatisfied Don't know Why were you satisfied/dissatisfied with services received at Purcell Municipal Hospital? 7. What type of specialist has your household been to in the past 24 months and in which city were they located? Type of Specialist City Did the specialist request further testing, laboratory work and/or x-rays? No Don't know If yes, in which city were the tests or laboratory work performed? Continue on reverse side Purcell Medical Service Area Local Health Services Survey Page 1 of 2

29 10. Do you use a primary care (family doctor) for most of your routine health care? (Skip to Q12) No (Go to Q11) Don't know (Skip to Q12) 11. If no, then what kind of medical provider do you use for routine care? Tribal Health Center Emergency Room/Hospital Income Based Health Center Specialist Mid-Level Clinic (Nurse Practitioner or PA) Other (Please list below) Health Department 12. Has your household been to a primary care (family) doctor in private practice in the Purcell area? (Go to Q13) No (Skip to Q15) Don't know (Skip to Q13) 13. How satisfied was your household with the quality of care received in the Purcell area? Satisfied Dissatisfied Don't know 14. Why were you satisfied/dissatisfied with the care received in the Purcell area? 15. Do you think there are enough primary care (family) doctors practicing in the Purcell area? No Don't know 16. Would you consider seeing a midlevel provider (nurse practitioner or PA) for your routine healthcare needs? No Don't know 17. Are you able to get an appointment with your primary care (family) doctor when you need one? No Don't know 18. What concerns you most about health care in the Purcell area? 19. What additional services would you like to see offered at Purcell Municipal Hospital? 20. Over the past 12 months, has your household used the services of the McClain County Health Department? No Don't know 21. How are you currently informed of community events? (Please check all that apply with the outlet) Outlet Source Newspaper Radio Website Social Media (Facebook and Twitter) Please mail completed survey Other to: Purcell Municipal Hospital 22. How would you prefer to be notified of community events? P.O. Box 511 (Please rank your choices with 1=most preferred and 5=least preferred) Purcell, OK Newspaper Social Media Or, return to hospital Radio Website administration Purcell Medical Service Area Local Health Services Survey Page 2 of 2