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
AE-03092 Creek Nation Community Hospital Medical Service Area Telephone Survey Form and Results Rural Health Works Oklahoma Website: <http://rd.okstate.edu/health/ok/okindex.html> Eric Money Student Extension Associate, OSU, Stillwater 405-744-6081 R. David Shelton Assistant State Extension Specialist, OSU, Stillwater 405-744-6081 FAX: 405-744-9835 Gerald A. Doeksen Extension Economist, OSU, Stillwater 405-744-6081 Ronald Vick Okfuskee County Extension Director, Okemah 918-623-0641 Jack Frye Area Extension Rural Development Specialist, Ada 580-332-4100 Alexandria Hart-Smith Regional Health Consultant, Oklahoma City 405-945-9197 Val Schott Director, Oklahoma Office of Rural Health, Oklahoma City 405-945-9197 RURAL DEVELOPMENT OKLAHOMA COOPERATIVE EXTENSION SERVICE OKLAHOMA STATE UNIVERSITY October 2003
Creek Nation Community Hospital Medical Service Area Telephone Survey Form
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? 74859 Okemah & Mason 74833 Castle & Welty 74829 Boley 74880 Weleetka & Clearview 74860 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
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)?
Okfuskee County Phone Survey Page 3 of 3 14. 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? 18-20 21-30 31-40 41-50 51-60 61-70 71-80 81+ 23. What is your race? (Optional) Caucasian Asian Hispanic African American Native American Other
Okfuskee County Phone Survey Page 4 of 4 24. 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)
Creek Nation Community Hospital Medical Service Area Telephone Survey Results
Page 1 Q1. Do you live within one of the following zip code areas? 74859 - Okemah 117 57% 74860 - Paden 38 19% 74880 - Weleetka 22 11% 74829 - Boley 13 6% 74833 - Castle 6 3% 74833 - Welty 5 3% 74859 - Mason 2 1% Total 203 100% 0% 10% 20% 30% 40% 50% 60% 74859 - Okemah 57% 74860 - Paden 19% 74880 - Weleetka 11% 74829 - Boley 6% 74833 - Castle 3% 74833 - Welty 3% 74859 - Mason 1%
Page 2 Q2. Do you use a family doctor for most of your routine health care needs? Yes 177 87% No 26 13% Total 203 100% No 13% Yes 87%
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 26 100% 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%
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 204 100% *One each in Holdenville, Paden, Ada, Muskogee, Moore, Okfuskee, and Vian
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 131 100%
Page 6 Q6a. Have you or a family member used a family doctor in Okemah in the last 12 months? Yes 95 47% No 108 53% Total 203 100% Satisfied 89% Dissatisfied 11%
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 95 100% Dissatisfied 11% Satisfied 89%
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 86 100%
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 10 100%
Page 10 Q7. Do you think there are enough family doctors in Okemah? Yes 32 16% No 107 53% Don't know 64 32% Total 203 100% No 53% Yes 16% Don't know 32%
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 180 100%
Page 12 Q9. Do you have health insurance coverage? Yes 158 78% No 45 22% Total 203 100% Yes 78% No 22%
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 221 100% 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%
Page 14 Q9c. Do your family members, living with you in your household, have health insurance? Yes 135 67% No 28 13% No other family members 40 20% Total 203 100% No 13% No other family members 20% Yes 67%
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 195 100% 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%
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 43 100%
Page 17 Q11. Have you or a family member used the services of a hospital in the past 12 months? Yes 94 46% No 109 54% Total 203 100% No 54% Yes 46%
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 95 100%
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 67 100% 0% 5% 10% 15% 20% 25% Specialist 21% Recommendation/Referral 21% Insurance/Cost 15% Personal preference Convenience/Closer to home 13% 15%
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 48 100%
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 27 100% Dissatisfied 33% Satisfied 67%
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 18 100%
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%
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 138 68% Total 203 100% Yes 32% No 68%
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 111 100% 0% 10% 20% 30% Radiology (X-ray) 25% Laboratory 21% Routine Illness 20% Trauma Care 18% Cardiac Evaluation 12% Respiratory Therapy 4%
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 65 100% Satisfied 66% Dissatisfied 34%
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 43 100%
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 22 100%
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 152 76% Total 199 100% Yes 24% No 76%
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 47 100% Dissatisfied 4% Satisfied 96%
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 11 100%
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%
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 202 100%
Page 34 Q22. What is your age? Response FrequencyPercent 18-20 3 1% 21-30 16 8% 31-40 34 16% 41-50 39 19% 51-60 37 21% 61-70 44 21% 71-80 25 12% 81+ 4 2% Refused 1 0% Total 203 100% 0% 5% 10% 15% 20% 25% 18-20 1% 21-30 8% 31-40 16% 41-50 19% 51-60 61-70 21% 21% 71-80 12% 81+ 2%
Page 35 Q23. What is your race? Caucasian 153 75% Native American 28 14% African American 16 9% Hispanic 3 1% Other 3 1% Total 203 100% 0% 10% 20% 30% 40% 50% 60% 70% 80% Caucasian 75% Native American 14% African American 9% Hispanic 1%
Page 36 Q24. What is your annual household income? < $10,000 31 15% $10,000 - $15,000 33 16% $15,000 - $20,000 22 11% $20,000 - $25,000 18 9% $25,000 - $35,000 29 14% $35,000 - $50,000 32 16% > $50,000 20 10% Refused 12 6% Don't know/not sure 6 3% Total 203 100% 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%
Page 37 Q25. What is the gender of the respondent? Female 147 72% Male 55 27% Missing 1 1% Total 203 100% Male 27% Missing 1% Female 72%