CIMARRON TEXAS BEAVER ELLIS HARPER ROGER MILLS BECKHAM GREER WOODWARD JACKSON DEWEY CUSTER WASHITA KIOWA TILLMAN WOODS COMANCHE ALFALFA MAJOR BLAINE CADDO COTTON CANADIAN GRADY GRANT GARFIELD KINGFISHER STEPHENS JEFFERSON LOGAN OKLAHOMA CLEVELAND MCCLAIN NOBLE GARVIN CARTER LOVE KAY PAYNE MURRAY LINCOLN PAWNEE PONTOTOC JOHNSTON OSAGE CREEK OKFUSKEE HUGHES COAL ATOKA TULSA NOWATA ROGERS WAGONER MUSKOGEE McINTOSH PITTSBURG CHOCTAW CRAIG MAYES HASKELL LATIMER PUSHMATAHA OTTAWA ADAIR SEQUOYAH LE FLORE MCCURTAIN Carnegie Tri-County Municipal Hospital Medical Service Area Phone Survey Form and Results HARMON OKMULGEE CHEROKEE WASHINGTON DELAWARE SHALL MAR- POTTA- WATOMIE SEMINOLE Caddo Carnegie Anadarko Your Opinion Counts Oklahoma State Department of Health, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University January 2001
AE-01002 Carnegie Tri-County Municipal Hospital Medical Service Area Phone Survey Form and Results Turia Sporleder & Nicole Williams, Student Extension Assistants, OSU, Stillwater Stillwater (405) 744-6083 R. David Shelton, Assistant State Extension Specialist, OSU, Stillwater (405) 744-6081 FAX (405) 744-9835 Cheryl F. St. Clair, Extension Associate Stillwater (405) 744-6081 Gerald A. Doeksen, Extension Economist Stillwater (405) 744-6081 Stan Ralstin, Western Rural Development Specialist (580) 233-5295 David Nowlin Caddo County Extension Office, Anadarko (405) 247-3376 Rod Hargrave Coordinator, Oklahoma Flex Program, Oklahoma City (405) 271-8750 Val Schott - Director, Oklahoma Office of Rural Health, Oklahoma City (405) 271-8750 RURAL DEVELOPMENT OKLAHOMA COOPERATIVE EXTENSION SERVICE OKLAHOMA STATE UNIVERSITY January 2001
Carnegie Tri-County Municipal Hospital Medical Service Area Survey Form
CARNEGIE TRI-COUNTY MEDICAL SERVICE AREA Page 1 of 4 TELEPHONE SURVEY RESULTS Interview Script/Questions Primary Service Area (80%) Secondary Service Area (20%) Town Zip Code Town Zip Code Albert 73001 Apache 73006 Alfalfa 73015 Binger 73009 Carnegie 73015 Gotebo 73041 Eakly 73033 Lookeba-Sickles 73053 Fort Cobb 73038 Washita 73094 Mountain View 73062 I d like to begin by asking you some questions about your family doctor and routine health care. 1. Do you use a family doctor for most of your routine care? Yes No 2. If no, who do you go to for routine care? 3. Where do you go the most for your family s health care needs? Apache Cordell Mountain View/Gotebo Anadarko El Reno Weatherford Binger Hinton Other Carnegie Hobart Other Chickasha Lawton 4. If you use a family doctor outside of the Carnegie Hospital area, why? 5. Are you able to get an appointment with your family doctor when you need one? Yes No 6. How would you describe the quality of care provided by your family doctor? Satisfied Dissatisfied If dissatisfied, why? 7. Do you think there are enough family doctors in the Carnegie Hospital area? Yes No Don t Know Now, I would like to ask you a couple of questions about specialty physicians in your area. 8. Do you think that additional specialty doctors are needed in the Carnegie Hospital area? Yes No Don t Know
CARNEGIE TRI-COUNTY MEDICAL SERVICE AREA Page 2 of 4 TELEPHONE SURVEY RESULTS 9. If yes to Question 8, list your choice of specialists you think should come on a regular basis to your community to offer a specialty clinic. Cardiology Obstetrics-Gynecology Pediatrics Other The next section concerns your health insurance coverage. 10. What health insurance covers you and your family? You Family Do Not Have Health Insurance Champus/TriCare Management Program Insurance through Employer/ Previous Employer Medicare Medicare Supplement Medicaid or Sooner Care Native American Benefits Self-Paid Plan VA Benefits Other 11. If you do not have health insurance coverage, which best describes why? Cannot afford coverage Pre-existing medical condition Other The Carnegie Health Steering Committee is also concerned with where you obtain medical services and how far you travel to obtain medical services. 12. Has any member of your household used the services of a hospital in the past 12 months? Yes No 13. If yes, at which hospital(s) were services received? Anadarko Municipal Hospital Integris Clinton Regional Hospital- Clinton Carnegie Tri-County Municipal Hospital Southwestern Medical Center-Lawton Southwestern Memorial Hospital Cordell Memorial Hospital -Weatherford Reynolds Army Community Hospital USPHS Indian Hospital-Lawton -Fort Sill Elkview General Hospital-Hobart USPHS Indian Hospital-Clinton Grady County Hospital-Chickasha Comanche County Memorial Hospital Other -Lawton
CARNEGIE TRI-COUNTY MEDICAL SERVICE AREA Page 3 of 4 TELEPHONE SURVEY RESULTS 14. If other than the Carnegie Hospital, why did you choose this/these hospital(s)? 15. If your last visit to a hospital was to the Carnegie Hospital, what hospital services did you use? Ambulance/Air transport Laboratory (blood) Tests Birthing Services Outpatient Surgery Emergency Room Physical Therapy Health Clinic Radiology (x-ray Inpatient Stay Respiratory Therapy Inpatient Surgery Specialty Doctor Other 16. If Yes to Question 15, how would you describe your experience at Carnegie Hospital? Satisfied Dissatisfied If dissatisfied, why? 17. Do you think Carnegie Hospital is meeting the health needs of the residents in the surrounding area? Yes No Don t Know If No, Why? 18. If you have used Emergency Room services in the past 12 months at the Carnegie Hospital, what services were used? Cardiac Evaluation Routine Illness Laboratory Trauma Care Obstetrics (OB) X-Ray (Radiology) Respiratory Therapy Other The next few questions concern other medical and health care services in the Carnegie Hospital area. 19. Has any member of your household used the services of the Caddo County Health Department in the past 12 months? Yes No 20. If Yes to Question 19, were you: Satisfied Dissatisfied If dissatisfied, why? 21. Do you feel that your community provides adequate services for the following? Yes No Don t Know Ambulance Service Nursing Homes
CARNEGIE TRI-COUNTY MEDICAL SERVICE AREA Page 4 of 4 TELEPHONE SURVEY RESULTS 22. Have you or any members of your family ever needed occupational therapy services? Yes No 23. What concerns you most about health care in your community? (INTERVIEWER: 1 OR 2 ISSUES) The following questions are more personal questions and it is your option whether to answer these questions or not. The information is confidential and only assists Oklahoma State University and the community area in validating the survey data. 24. What is your age? 18-20 21-30 31-40 41-50 51-60 61-70 71-80 81+ 25. What is your race? (Optional) White Asian Hispanic Black Native American Other 26. What is your yearly 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.] Don't know/not sure Refused 27. DO NOT ASK THIS QUESTION!!!! Interviewer will decide on the answer to this question!!! Male Female Unknown (Can t Tell)
Carnegie Tri-County Municipal Hospital Medical Service Area Survey Results
QScreen. What is your zip code? 73015 Carnegie 79 39% 73062 Mountain View 43 22% 73038 Fort Cobb 32 16% 73006 Apache 24 12% 73033 Eakly 7 4% 73009 Binger 6 3% 73053 Lookeba-Sickles 5 3% 73015 Alfalfa 2 1% Total 198 99% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 73015 Carnegie 39% 73062 Mountain View 22% 73038 Fort Cobb 16% 73006 Apache 12% 73033 Eakly 73009 Binger 73053 Lookeba-Sickles 73015 Alfalfa 4% 3% 3% 1% Carnegie Tri-County Medical Service Area 1
Q1. Do you use a family doctor for most of your routine care? Yes 171 86% No 27 14% Total 198 100% No 14% Yes 86% Carnegie Tri-County Medical Service Area 2
Q2. If no, who do you go to for routine care? Indian Health Services 11 42% Don't go/don't use 4 15% Family doctor 4 15% Emergency services 3 12% OB-GYN 2 8% Hospital 1 4% Whoever is available 1 4% Total Responses 26 100% Carnegie Tri-County Medical Service Area 3
Q3A. Where do you go the most for your family's primary health care needs? Response No. Percent Response No. Percent Carnegie 95 48% Weatherford 6 3% Lawton 41 21% Oklahoma City 3 1.5% Anadarko 15 8% Mtn. View/Gotebo 3 1.5% Hobart 12 6% Apache 2 1% Chickasha 9 4% Other 6 3% Binger 7 3% Total 199 100% 0% 10% 20% 30% 40% 50% Carnegie 48% Lawton 21% Anadarko Hobart Chickasha Binger Weatherford Oklahoma City Mtn. View/Gotebo Apache Other 8% 6% 4% 3% 3% 1.5% 1.5% 1% 3% Carnegie Tri-County Medical Service Area 4
Q3B. What "other" place do you go to for your family's primary health care needs? Amarillo, TX 1 25% Anadarko Indian Health Services 1 25% Carnegie Indian Health Services 1 25% Ft. Sill, OK 1 25% Total Responses 4 100% Carnegie Tri-County Medical Service Area 5
Q4A. Do you use a family doctor outside of the Carnegie Hospital area? Yes 65 33% No 109 55% Don't use 24 12% Total 198 100% Don't use 12% Yes 33% No 55% Carnegie Tri-County Medical Service Area 6
Q4B. Why do you use a doctor outside of the Carnegie Hospital area? Confidence/quality of care 18 27% Closer to home/convenience 12 18% Specialist 12 18% Established patient 9 14% Cost/affordability/insurance reasons 5 8% Personal preference 4 6% Availability of doctors 3 5% Don't go/don't use 1 2% Recommendation/referral 1 2% Total Responses 65 100% Carnegie Tri-County Medical Service Area 7
Q5. Are you able to get an appointment with your family doctor when you need one? Yes 166 84% No 8 4% Don t know 24 12% Total 198 100% Yes 84% Don t know 12% No 4% Carnegie Tri-County Medical Service Area 8
Q6A. How would you describe the quality of care provided by your family doctor? Frequency Percent Satisfied 165 95% Dissatisfied 8 5% Total 173 100% Dissatisfied 5% Satisfied 95% Carnegie Tri-County Medical Service Area 9
Q6B. Why were you dissatisfied with the quality of care provided by your family doctor? Quality of care 6 75% Availability of doctors 2 25% Total Responses 8 100% Carnegie Tri-County Medical Service Area 10
Q7. Do you think there are enough family doctors in the Carnegie Hospital area? Frequency Percent Yes 91 46% No 54 27% Don't know 53 27% Total 198 100% No 27% Don't know 27% Yes 46% Carnegie Tri-County Medical Service Area 11
Q8. Do you think additional specialty doctors are needed in the Carnegie Hospital area? Yes 122 61% No 33 17% Don't know 43 22% Total 198 100% No 17% Don't know 22% Yes 61% Carnegie Tri-County Medical Service Area 12
Q9A. Which one specialist do you think should come on a regular basis to your community to offer a specialty clinic? Cardiology 57 44% Pediatrics 38 30% OB-GYN 13 10% Diabetes Specialist 5 4% Other 15 12% Total 128 100% OB-GYN 10% Diabetes Specialist 4% Other 12% Pediatrics 30% Cardiology 44% Carnegie Tri-County Medical Service Area 13
Q9B. "Other" specialists listed from Q9A. Optometrist 2 12.3% Orthopedic doctor 2 12.3% Rheumatologist 2 12.3% Dietitian 1 7% Medication specialist 1 7% More doctors 1 7% Neurologist 1 7% Pediatric pulmonary specialist 1 7% Physical therapist 1 7% Podiatrist 1 7% Urologist 1 7% X-ray technician 1 7% Total Responses 15 100% Carnegie Tri-County Medical Service Area 14
Q10A. What health insurance covers you? Insurance through Employer/Previous Employer 86 31% Medicare 57 20% Medicare Supplement 36 12% Medicaid/Sooner Care 27 9% Native American Benefits 27 9% Self-Paid Plan 24 8% Do not have health insurance 22 7% VA Benefits 6 2% Champus/TriCare Program 4 1% Blue Cross/Blue Shield 1 1% Total 290 100% 0% 10% 20% 30% Employer/Previous Employer 31% Medicare 20% Medicare Supplement 12% Medicaid/Sooner Care Native American Benefits Self-Paid Plan Do not have health insurance 9% 9% 8% 7% VA Benefits Champus/TriCare Program Blue Cross/Blue Shield 1% 1% 2% Carnegie Tri-County Medical Service Area 15
Q10B. What health insurance covers your family? Insurance through Employer/Previous Employer 77 30% Medicare 38 15% Medicare Supplement 16 6% Medicaid or Sooner Care 34 13% Native American Benefits 21 8% Self-Paid Plan 16 6% Do not have health insurance 15 6% VA Benefits 6 2% Champus/TriCare Program 3 1% Don't know 1 1% No one else in family 33 12% Total 260 100% 0% 10% 20% 30% Employer/Previous Employer 30% Medicare 15% Medicare Supplement 6% Medicaid or Sooner Care 13% Native American Benefits Self-Paid Plan Do not have health insurance 6% 6% 8% VA Benefits Champus/TriCare Program Don't know 2% 1% 1% No one else in family 12% Carnegie Tri-County Medical Service Area 16
Q11. If you do not have health insurance coverage, which best describes why? Cannot afford coverage 21 84% Pre-existing medical condition 3 12% Don't trust it 1 4% Total 25 100% Pre-existing medical condition 12% Don't trust it 4% Cannot afford coverage 84% Carnegie Tri-County Medical Service Area 17
Q12. Has any member of your household used the services of a hospital in the past 12 months? Yes 93 47% No 105 53% Total 198 100% Yes 47% No 53% Carnegie Tri-County Medical Service Area 18
Q 13A. At which hospital were services received? Carnegie Tri-County Municipal 34 33% Comanche County Memorial-Lawton 15 14% USPHS Indian-Lawton 15 14% OKC Metro Hospitals* 15 14% Southwestern Medical Center- Lawton 7 7% Grady County-Chickasha 6 6% Southwestern Memorial Hospital-Weatherford 4 4% Elkview General-Hobart 3 3% Integris Clinton Regional-Clinton 1 1% Other 4 4% Total 104 100% 0% 5% 10% 15% 20% 25% 30% 35% Carnegie Tri-County Municipal 33% Comanche County Memorial-Lawton USPHS Indian-Lawton OKC Metro Hospitals* 14% 14% 14% Southwestern Medical Center- Lawton Grady County-Chickasha 6% 7% Southwestern Memorial Hospital-Weatherford Elkview General-Hobart 3% 4% Integris Clinton Regional- Clinton 1% Carnegie Tri-County Medical Service Area 19
Q13B. At which "other" hospital were services received? Memorial Hospital - Lawton 2 50% Columbia Medical City Hospital - Dallas 1 25% Parkview Hospital - El Reno 1 25% Total Responses 4 100% * OKC Metro Hospitals include VA Hospital (4), Baptist (1), Children's (1), Deaconess (1), Hillcrest (1), Mercy (1), MWC Reg. (1), Norman Reg. (1), OK Spine (1), Presbyterian (1), Renaissance Women's (1), and undesignated (1). Carnegie Tri-County Medical Service Area 20
Q14. Why did you choose this hospital? Response Frequency Percent Established patient 14 23% Specialist 14 23% Recommendation/referral 12 19% Cost/affordability/insurance reasons 8 13% Closer to home/convenience 5 8% Confidence/quality of care 3 5% Didn't have a choice 2 3% Emergency services 2 3% Personal preference 2 3% Total Responses 62 100% Carnegie Tri-County Medical Service Area 21
Q15. If used services at Carnegie Hospital, what hospital services did you use (most recent visit)? Emergency Room 30 35% Laboratory Tests (blood) 15 18% Inpatient Stay 9 11% Health Clinic 8 9% Radiology (X-ray) 8 9% Specialty Doctor 5 6% Ambulance/Air Transport 3 3% Outpatient Surgery 3 3% Respiratory Therapy 3 3% Physical Therapy 2 2% Other 1 1% Total 87 100% 0% 5% 10% 15% 20% 25% 30% 35% 40% Emergency Room Laboratory Tests (blood) Inpatient Stay Health Clinic Radiology (X-ray) Specialty Doctor Ambulance/Air Transport Outpatient Surgery Respiratory Therapy Physical Therapy 3% 3% 3% 2% 11% 9% 9% 6% 18% 35% Carnegie Tri-County Medical Service Area 22
Q16A. How would you describe your experience at Carnegie Hospital? Satisfied 30 88% Dissatisfied 4 12% Total 34 100% Dissatisfied 12% Satisfied 88% Carnegie Tri-County Medical Service Area 23
Q16B. Why were you dissatisfied with your experience at Carnegie Hospital? Quality of care 2 50% Not equipped 1 25% Unqualified doctors 1 25% Total Responses 4 100% Carnegie Tri-County Medical Service Area 24
Q17A. Do you think Carnegie Hospital is meeting the health needs of the residents in the surrounding area? Frequency Percent Yes 118 60% No 34 17% Don't Know 46 23% Total 198 100% Yes 60% Don't Know 23% No 17% Carnegie Tri-County Medical Service Area 25
Q17B. If no, why? Reponse Frequency Percent Not equipped 9 28% Unqualified doctors 5 15% Quality of care 4 12% Lack of medical services 3 9% Lack of staff, doctors 3 9% Lack of specialists 2 6% Prejudice 2 6% Unqualified emergency care 2 6% Other* 3 9% Total Responses 33 100% * Other includes don't accept insurance, don't know, lack of community use Carnegie Tri-County Medical Service Area 26
Q18A. Have you used the Emergency Room services of the Carnegie Hospital in the past 12 months? Yes 52 26% No 146 74% Total 198 100% Yes 26% No 74% Carnegie Tri-County Medical Service Area 27
Q18B. If you have used Emergency Room services in the past 12 months at the Carnegie Hospital, what services were used? Trauma care 24 26% X-Ray (Radiology) 20 22% Laboratory 17 19% Routine Illness 16 18% Cardiac Evaluation 9 10% Respiratory Therapy 5 5% Total 91 100% 0% 10% 20% 30% Trauma care 26% X-Ray (Radiology) 22% Laboratory 19% Routine Illness 18% Cardiac Evaluation 10% Respiratory Therapy 5% Carnegie Tri-County Medical Service Area 28
Q19. Has any member of your household used the services of the Caddo County Health Department in the past 12 months? Yes 20 10% No 178 90% Total 198 100% Yes 10% No 90% Carnegie Tri-County Medical Service Area 29
Q20. If Yes to using Caddo County Health Department services, were you: Satisfied 20 100% Dissatisfied 0 0% Total 20 100% Satisfied 100% Carnegie Tri-County Medical Service Area 30
21A. Do you feel your community provides adequate ambulance services? Yes 166 83% No 19 10% Don't know 13 7% Total 198 100% No 10% Don't know 7% Yes 83% Carnegie Tri-County Medical Service Area 31
Q21B. Do you feel that the community has adequate services for Nursing Homes? Yes 108 56% No 49 25% Don't know 38 19% Total 195 100% No 25% Don't know 19% Yes 56% Carnegie Tri-County Medical Service Area 32
Q22. Have you or any members of your family ever needed occupational therapy services? Yes 34 17% No 164 83% Total 198 100% Yes 17% No 83% Carnegie Tri-County Medical Service Area 33
Q23A. What concerns you most about health care in your community? Reponse Frequency Percent Don't know 36 19% More doctors/qualified doctors/availability/on-staff doctors 30 15% Specialists: all specialists(11), cardiologist(5), pediatrician(3), geriatrics(1), OB-GYN(1), surgeons(1) 22 11% Emergency Services/Ambulance services/911 services 16 8% Health care cost/medication cost/health insurance/ins. quality 14 7% Available health services: arthritis(1), cancer(1), closer(1), dialysis clinic(2), physical therapy facility(1) 14 7% Elderly services: elderly care(5), nursing home care(3), home health care(2), elderly transportation(1) 11 6% Losing the hospital 11 6% No Concerns 11 6% Diabetic research and treatment facility 5 2.5% Quality of care 4 2% Medical equipment/hospital quality/up-to-date facilities 4 2% Child care 3 1.5% Alcohol and drug abuse 2 1% Flu vaccines 2 1% Health education 2 1% Enrollment in SoonerCare, welfare health care 2 1% Community use of hospital 1 0.5% Contagious diseases 1 0.5% County health department 1 0.5% Heart attacks 1 0.5% Networking doctor insurance 1 0.5% Nutrition 1 0.5% Total Responses 195 100% Carnegie Tri-County Medical Service Area 34
Q23B. What concerns you most about health care in your community? 0% 10% 20% 30% Don't know 19% Doctor Concerns 15% Specialists 11% Emergency Services Health care cost Available health services Elderly services 8% 7% 7% 6% Losing the hospital 6% No Concerns 6% Carnegie Tri-County Medical Service Area 35
Q24. What is your age? 18-20 Years 1 1% 21-30 Years 21 11% 31-40 Years 28 14% 41-50 Years 41 20% 51-60 Years 40 20% 61-70 Years 34 17% 71-80 Years 23 12% 81 or Over 10 5% Total 198 100% 41-50 Years 20% 51-60 Years 20% 61-70 Years 17% 31-40 Years 14% 71-80 Years 12% 21-30 Years 81 or Over 11% 18-20 Years 5% 1% Carnegie Tri-County Medical Service Area 36
Q25. What is your race? White 150 76% Native American 40 20% Hispanic 7 4% Black 1 1% Total 198 100% White 75% Black 1% Hispanic 4% Native American 20% Carnegie Tri-County Medical Service Area 37
Q26. What is your yearly household income? < $10,000 41 20% $10,000-$14,999 26 13% $15,000-$19,999 19 10% $20,000-$24,999 19 10% $25,000-$34,999 26 13% $35,000-$50,000 37 19% Over $50,000 14 7% Don't Know/Not Sure 8 4% Refused 8 4% Total 198 100% Over $50,000 7% Don't Know/Not Sure 4% Refused 4% < $10,000 20% $35,000- $50,000 19% $10,000- $14,999 13% $25,000- $34,999 13% $20,000- $24,999 10% $15,000- $19,999 10% Carnegie Tri-County Medical Service Area 38
Q27. What is the gender of the respondents? Male 45 24% Female 146 76% Total 191 100% Male 24% Female 76% Carnegie Tri-County Medical Service Area 39