Okeene Medical Service Area Telephone Survey Form and Results CIMARRO TEXA BEAVE HARPE WOOD ALFALF GRAN KAY OSAG NOWAT CRAI OTTAW WOODWAR NOBL W A ROGER ELLI MAJO S GARFIEL PAWNE HI MAYE D N E PAYN TULS G L DEWE CREE A BLAIN WAGONE W LOGA KINGFISHE ROGER MUSKOGE C ADAI CUSTE OKLAHOM LINCOL H E CANADIA OKFUSKE SEQUOYA R O O BECKHA CLEVELAN K McINTOS WASHIT M HASKEL CADD HUGHEU GRAD L GREE P W PITTSBUR KIOWA O LATIME MCCLAI A S T T E O PONTOTO MI LE COMANCH GARVI N H JACKSO O A STEPHEN COAL R TILLMA PUSHMATAH M MURRA COTTO JOHNSTO ATOK CARTE JEFFERSO LOVE MAR- CHOCTA MCCURTAI SHAL BRYA Okeene Canton Watonga Geary Your Opinion Counts Oklahoma State Department of Health, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University May 2002
AE-02033 Okeene Municipal Hospital Medical Service Area Telephone Survey Form and Results April Burns and Brandi Cook - Student Assistants OSU, Stillwater (405) 744-6083 Mary K. Lawler - Assistant State Extension Specialist, OSU, Stillwater (405) 744-6081 FAX (405) 744-9835 Gerald A. Doeksen - Extension Economist, OSU, Stillwater (405) 744-6081 Joy Rhodes - Blaine County Extension, Okeene (580)-623-5195 Stan Ralstin - Area Extension Rural Development Specialist, Enid (580)-233-5295 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 May 2002
Okeene Municipal Hospital Medical Service Area Telephone Survey Form
OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 1 of 4 Screener Okeene 73763 Longdale 73755 Southard 73770 Ringwood 73768 Oakwood 73658 Isabella 73747 Ames 73718 Loyal 73756 Canton 73724 Hitchcock 73744 1. Do you use a family doctor and/or nurse practitioner for most of your routine health 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 routine health care needs? Okeene Kingfisher Enid Okeene Clinic in Watonga Stillwater Weatherford Okeene Clinic in Canton Hennessey Seiling Watonga Fairview Oklahoma City Thomas 4. If you use a family doctor outside of Okeene, why? 5. If you or your family members have used a family doctor or nurse practitioner in Okeene in the last 12 months, were you satisfied with the quality of care you received? Satisfied Dissatisfied If dissatisfied, why? 6. Do you think there are enough family doctors in Okeene? Yes No Don t Know 7. What specialist(s) have you or your family members seen in the past 12 months and in what city is the specialist(s) located? Specialist City
OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 2 of 4 8. What health insurance covers you and your family? 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 9. If you do not have health insurance coverage, which best describes why? Cannot afford coverage Pre-existing medical condition 10. Has any member of your household used the services of a hospital in the past 12 months? Yes No 11. If yes, at which hospital(s) were services received? Okeene Municipal Hospital Enid area hospitals Watonga Municipal Hospital Stillwater Medical Center Fairview Hospital Oklahoma City area hospitals Kingfisher Regional Hospital Seiling Municipal Hospital Other 12. If other than Okeene Municipal Hospital, why did you choose this/these hospital(s)? 13. If your last visit to a hospital was to Okeene Municipal Hospital, what hospital services did you use? Specialty Doctor Emergency Room Outpatient Surgery Inpatient Surgery Laboratory (blood) Tests Inpatient Stay Radiology (x-ray, CT) Birthing Services Respiratory Therapy Rural Health Clinic Rehabilitation (physical therapy occupational therapy, and/or speech therapy) 14. If answered 13, how would you describe your experience at Okeene Municipal Hospital? Satisfied Dissatisfied If dissatisfied, why?
OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 3 of 4 15. If you have used Emergency Room services in the past 12 months at Okeene Municipal Hospital, what services were used? X-Ray (Radiology) Laboratory Respiratory Therapy Cardiac Evaluation Obstetrics (OB) Trauma Care Routine Illness Other 16. If answered 15, how would you describe your experience at the emergency room in Okeene Municipal Hospital? Satisfied Dissatisfied If dissatisfied, why? 17. Has any member of your household used the services of the Blaine County Health Department or your local health department in the past 12 months? Yes No 18. If Yes to Number 17, were you: Satisfied Dissatisfied If dissatisfied, why? 19. Does your community provide adequate services for the following: Yes No Don t Know Ambulance Service Home Health Care Nursing Homes Dental Services Pharmacy Services Nutrition Education Services Transportation to Health Care Service 20. What concerns you most about health care in your community? (INTERVIEWER: 1 OR 2 ISSUES) 21. What is your age? 18-20 21-30 31-40 41-50 51-60 61-70 71-80 81+ 22. What is your race? (Optional) White Asian Hispanic African American Native American Other
OKEENE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA TELEPHONE SURVEY Page 4 of 4 23. 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 Don't know/not sure these responses.] Refused 24. DO NOT ASK THIS QUESTION!!!! Interviewer will decide on the answer to this question!!! Male Female Unknown (Can t Tell)
Okeene Municipal Hospital Medical Service Area Telephone Survey Results
QScreen. What is your zip code? Okeene 73763 55 27% Ringwood 73768 44 21% Canton 73724 27 13% Ames 73718 17 9% Longdale 73755 16 8% Loyal 73756 15 8% Oakwood 73658 9 5% Hitchcock 73744 9 5% Isabella 73747 6 3% Southard 73770 2 1% Total 200 100% 0% 10% 20% 30% 40% 50% 60% 70% Okeene 73763 27% Ringwood 73768 21% Canton 73724 13% Ames 73718 Longdale 73755 Loyal 73756 Oakwood 73658 Hitchcock 73744 Isabella 73747 Southard 73770 9% 8% 8% 5% 5% 3% 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 1
Q1. Do you use a family doctor for most of your routine care? Yes 182 91% No 18 9% Total 200 100% No 9% Yes 91% Okeene Municipal Hospital Medical Service Area Telephone Survey 2
Q2. If no, who do you go to for routine care? Clinic 7 37% Don't Go 5 26% Anyone 2 11% Doctor 2 11% Indian Clinic 1 5% Specialist 1 5% VA 1 5% Total Responses 19 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 3
Q3. Where do you go the most for your family's primary health care needs? Response No. Percent Response No. Percent Okeene 91 45% Okeene Clinic in Canton 2 1% Enid 54 27% Hennessey 2 1% Fairview 21 10% Weatherford 2 1% Kingfisher 8 4% Okeene Clinic in Watonga 1 1% Seiling 7 4% Other:Okarche(3), Don't Go(1) 4 2% Watonga 6 3% Oklahoma City 2 1% Total 200 100% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Okeene Enid Fairview Kingfisher Seiling Watonga Oklahoma City Okeene Clinic in Canton Hennessey Weatherford Okeene Clinic in Watonga Other:Okarche(3), Don't Go(1) 4% 4% 3% 1% 1% 1% 1% 1% 2% 10% 27% 45% Okeene Municipal Hospital Medical Service Area Telephone Survey 4
Q4. Why do you use a doctor outside of the Okeene Municipal Hospital Medical Service Area? Closer to Home/Convenience 32 33% Established Patient 26 27% Personal Preference 15 16% Confidence/Quality of Care 12 13% Insurance/Cost/Affordability 5 5% Specialist 4 4% Availability of Health Services 2 2% Total Responses 96 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 5
Q5A. How would you describe the quality of care provided by your family doctor? Frequency Percent Satisfied 94 93% Dissatisfied 7 7% Total 101 100% Dissatisfied 7% Satisfied 93% Okeene Municipal Hospital Medical Service Area Telephone Survey 6
Q5B. Why are you dissatisfied with the quality of care provided by your family doctor? Lack of Quality Care 3 43% Misdiagnosed 3 43% Qualified Staff 1 14% Total Responses 7 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 7
Q6. Do you think there are enough family doctors in Okeene? Frequency Percent Yes 94 47% No 32 16% Don't know 74 37% Total 200 100% No 16% Don't know 37% Yes 47% Okeene Municipal Hospital Medical Service Area Telephone Survey 8
Q7. What specialist(s) have you or your family members seen in the past 12 months and in what city is the specialist(s) located? Specialist City Frequency Percent Orthopedist OKC, Enid, Kingfisher, Edmond 33 16% Cardiologist OKC, Enid, Leedey, Midwest City 23 11% Neurologist Enid, OKC, Norman 20 10% Urologist Enid, OKC 14 7% Optometrist Enid, OKC, Fairview, Hennessey 13 6% Gynecologist Enid, OKC, Stillwater 12 6% Dermatologist Enid, OKC 8 4% Obstetrician Enid, OKC, Tulsa 6 3% Oncologist Enid, OKC 6 3% Ophthal. Enid, OKC 6 3% Other 67 31% Reported No- Specialists (80) Total Responses 208 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 9
Q8A. What health insurance covers you? * Insurance through Employer/Previous Employer 105 53% Medicare 63 32% Medicare Supplement 49 25% Self-paid Plan 42 21% Medicaid/Sooner Care 13 7% VA Benefits 4 2% Champus / TriCare Program 3 2% Native American Benefits 3 2% Total 282 *Percent based on number of respondents. 0% 10% 20% 30% 40% 50% 60% Employer/Previous Employer 53% Medicare 32% Medicare Supplement Self-paid Plan 21% 25% Medicaid/Sooner Care 7% VA Benefits Champus / TriCare Program Native American Benefits 2% 2% 2% Okeene Municipal Hospital Medical Service Area Telephone Survey 10
Q8B. What health insurance covers your family? * Insurance through Employer/Previous Employer 85 43% Medicare 30 15% Self-paid Plan 23 12% Medicare Supplement 22 11% Medicaid/Sooner Care 18 9% Native American Benefits 4 2% Champus / TriCare Program 3 2% VA Benefits 2 1% Total 187 *Percent based on number of respondents. 0% 10% 20% 30% 40% 50% Employer/Previous Employer 43% Medicare Self-paid Plan Medicare Supplement Medicaid/Sooner Care 15% 12% 11% 9% Native American Benefits Champus / TriCare Program VA Benefits 2% 2% 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 11
Q9. If you do not have health insurance coverage, which best describes why? Cannot afford coverage 17 68% Pre-existing Condition 5 20% Other: In-between jobs(2), 3 12% No Reason to Have Coverage(1) Total 25 100% Pre-existing Condition 20% Other: 12% Cannot afford coverage 68% Okeene Municipal Hospital Medical Service Area Telephone Survey 12
Q10. Has any member of your household used the services of a hospital in the past 12 months? Yes 86 43% No 114 57% Total 200 100% Yes 43% No 57% Okeene Municipal Hospital Medical Service Area Telephone Survey 13
Q11. At which hospital were services received? Enid area hospitals 31 36% Okeene Municipal Hospital 25 29% Oklahoma City area hospitals 15 17% Fairview Hospital 8 9% Kingfisher Regional Hospital 3 4% Watonga Municipal Hospital 1 1% Other: Bass Hospital(1), Lawton(1), 3 4% Clinton(1) Total 86 100% 0% 10% 20% 30% 40% 50% Enid area hospitals 36% Okeene Municipal Hospital 29% Oklahoma City area hospitals 17% Fairview Hospital 9% Kingfisher Regional Hospital 4% Watonga Municipal Hospital 1% Other: Bass Hospital(1), Lawton(1), 4% Okeene Municipal Hospital Medical Service Area Telephone Survey 14
Q12. If other than the Okeene Municipal Hospital, why did you choose this/these hospital? Recommendation/Referral 15 25% Availability of Health Services 11 18% Established Patient 9 15% Specialist 9 15% Insurance/Cost/Affordability 6 9% Closer to Home/Convenience 5 8% Confidence/Quality of Care 3 5% Personal Preference 3 5% Total Responses 61 100% 0% 10% 20% 30% 40% Recommendation/Referral 25% Availability of Health Services Established Patient Specialist 15% 15% 18% Insurance/Cost/Affordability Closer to Home/Convenience 9% 8% Confidence/Quality of Care Personal Preference 5% 5% Okeene Municipal Hospital Medical Service Area Telephone Survey 15
Q13. What hospital services did you use on your most recent visit to Okeene Municipal Hospital? Response No. Percent* Response No. Percent* Laboratory Tests 21 30% Inpatient Surgery 2 3% Radiology 10 14% Rehabilitation 2 3% Emergency Room 10 14% Specialty Doctor 2 3% Inpatient Stay 10 14% Rural Health Clinic 9 13% Total 71 Respiratory Therapy 3 4% Outpatient Surgery 2 3% *Percent based on number of "Okeene Municipal Hospital" answers in Q13. 0% 10% 20% 30% 40% 50% 60% 70% 80% Laboratory Tests 30% Radiology Emergency Room Inpatient Stay Rural Health Clinic 14% 14% 14% 13% Respiratory Therapy Outpatient Surgery Inpatient Surgery Rehabilitation Specialty Doctor 4% 3% 3% 3% 3% Okeene Municipal Hospital Medical Service Area Telephone Survey 16
Q14A. How would you describe your experience at Okeene Municipal Hospital? Satisfied 24 96% Dissatisfied 1 4% Total 25 100% Dissatisfied 4% Satisfied 96% Okeene Municipal Hospital Medical Service Area Telephone Survey 17
Q14B. Why were you dissatisfied with your experience at Okeene Municipal Hospital? Unprofessional Staff 1 100% Total Responses 1 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 18
Q15A. Have you used Emergency Room services at the Okeene Municipal Hospital in the past 12 months? Yes 34 17% No 166 83% Total 200 100% Yes 17% No 83% Okeene Municipal Hospital Medical Service Area Telephone Survey 19
Q15B. If you have used Emergency Room services in the past 12 months at Okeene Municipal Hospital, what services were used? * Laboratory 16 47% Radiology 11 32% Cardiac Evaluation 9 26% Trauma Care 9 26% Routine Illness 8 24% Respiratory Therapy 3 9% Total 56 *Percent based on "yes" answers to Q15A. 0% 10% 20% 30% 40% 50% 60% 70% Laboratory 47% Radiology 32% Cardiac Evaluation 26% Trauma Care 26% Routine Illness 24% Respiratory Therapy 9% Okeene Municipal Hospital Medical Service Area Telephone Survey 20
Q16A. If Yes to Q15, were you satisified or dissatisfied with these services? Satisfied 33 97% Dissatisfied 1 3% Total 34 100% Dissatisfied 3% Satisfied 97% Okeene Municipal Hospital Medical Service Area Telephone Survey 21
Q16B. Why were you dissatisfied with the quality of services? Unprofessional Staff 1 100% Total Responses 1 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 22
Q17. Have you or any member of your household used the services of the Blaine County Health Department or your local health department in the past 12 months? Yes 32 16% No 167 83% Don t Know 1 1% Total 200 100% Don t Know 1% Yes 16% No 83% Okeene Municipal Hospital Medical Service Area Telephone Survey 23
Q18A. If Yes to Q17, were you satisified or dissatisfied with these services? Satisfied 30 94% Dissatisfied 2 6% Total 32 100% Dissatisfied 6% Satisfied 94% Okeene Municipal Hospital Medical Service Area Telephone Survey 24
Q18B. Why were you dissatisfied with the quality of services? Better Management 1 50% Availability of Health Services 1 50% Total Responses 2 100% Okeene Municipal Hospital Medical Service Area Telephone Survey 25
Q19A. Do you feel your community provides adequate ambulance services? Yes 136 68% No 34 17% Don't know 30 15% Total 200 100% No 17% Don't know 15% Yes 68% Okeene Municipal Hospital Medical Service Area Telephone Survey 26
Q19B. Do you feel your community provides adequate services for home health care? Yes 81 40% No 37 19% Don't know 82 41% Total 200 100% Don't know 41% No 19% Yes 40% Okeene Municipal Hospital Medical Service Area Telephone Survey 27
Q19C. Do you feel that the community provides adequate services for nursing homes? Yes 100 50% No 48 24% Don't know 52 26% Total 200 100% No 24% Don't know 26% Yes 50% Okeene Municipal Hospital Medical Service Area Telephone Survey 28
Q19D. Do you feel that the community provides adequate dental services? Yes 121 60% No 60 30% Don't know 19 10% Total 200 100% No 30% Don't know 10% Yes 60% Okeene Municipal Hospital Medical Service Area Telephone Survey 29
Q19E. Do you feel that the community provides adequate pharmacy services? Yes 151 75% No 39 20% Don't know 10 5% Total 200 100% No 20% Don't know 5% Yes 75% Okeene Municipal Hospital Medical Service Area Telephone Survey 30
Q19F. Do you feel that the community provides adequate nutrition education services? Yes 69 35% No 51 26% Don't know 80 39% Total 200 100% Don't know 39% No 26% Yes 35% Okeene Municipal Hospital Medical Service Area Telephone Survey 31
Q19G. Do you feel that the community provides adequate transportation to health care services? Yes 89 44% No 36 18% Don't know 75 38% Total 200 100% Don't know 38% No 18% Yes 44% Okeene Municipal Hospital Medical Service Area Telephone Survey 32
Q20. What concerns you most about health care in your community? Reponse Frequency Percent* Healthcare: Costs(27), Availability of services(16), Distance to Healthcare(12), Awareness(1), Quality of Care(1) 57 28% Doctors: Availability of Doctors(5), Qualified Staff(11), Spanish Speaking(1), Unprofessionalism(1) 18 9% Ambulance Services/Improved 911 Services 13 6% Specialist(5): Cardiologist(1), Dentist(2), Optometrist(1), Pediatrician(1), Pharmacist(1) 11 5% Elderly Care 9 4% Insurance: Cost(4), Coverage(4), Medicare Problems(1) 9 4% Hospital: Hospital Funding 3 2% Emergency Room Services/Trauma Care 2 2% Modern Equipment/Technology 2 2% Home Health Care 1 1% Nursing Homes: More 1 1% None 75 36% Total Responses 201 100% *Respondents may give more than one response. Okeene Municipal Hospital Medical Service Area Telephone Survey 33
Q21. What is your age? 18-20 Years 2 1% 21-30 Years 16 8% 31-40 Years 39 19% 41-50 Years 39 19% 51-60 Years 31 16% 61-70 Years 35 18% 71-80 Years 26 13% 81 or Over 12 6% Total 200 100% 41-50 Years 19% 51-60 Years 16% 61-70 Years 18% 31-40 Years 19% 21-30 Years 8% 18-20 Years 1% 81 or Over 6% 71-80 Years 13% Okeene Municipal Hospital Medical Service Area Telephone Survey 34
Q22. What is your race? Caucasian 191 95% Native American 2 1% Hispanic 6 3% Other: German 1 1% Total 200 100% Caucasian 95% Other: German 1% Hispanic 3% Native American 1% Okeene Municipal Hospital Medical Service Area Telephone Survey 35
Q23. What is your yearly household income? < $10,000 15 8% $10,000-$14,999 20 10% $15,000-$19,999 23 12% $20,000-$24,999 16 8% $25,000-$34,999 31 15% $35,000-$50,000 41 20% Over $50,000 28 14% Don't Know/Not Sure 16 8% Refused 10 5% Total 200 100% $25,000- $34,999 15% $35,000- $50,000 20% Over $50,000 14% $20,000- $24,999 8% $15,000- $19,999 12% $10,000- $14,999 10% Don't Know/Not < $10,000 8% Refused 5% Sure 8% Okeene Municipal Hospital Medical Service Area Telephone Survey 36
Q24. What is the gender of the respondents? Male 65 33% Female 135 67% Total 200 100% Male 33% Female 67% Okeene Municipal Hospital Medical Service Area Telephone Survey 37