Prague Municipal Hospital Medical Service Area Telephone Survey Form and Results CIMARRON TEXAS BEAVER HARPER GRANT WOODS ALFALFA WOODWARD ELLIS MAJOR GARFIELD NOBLE KAY PAWNEE OSAGE WASHINGTON NOWATA CRAIG ROGERS MAYES OTTAWA DELAWARE ROGER MILLS DEWEY CUSTER PAYNE TULSA CREEK BLAINE LOGAN KINGFISHER OKLAHOMA LINCOLN CANADIAN OKFUSKEE OKMULGEE CHEROKEE WAGONER MUSKOGEE ADAIR SEQUOYAH HARMON BECKHAM GREER JACKSON McINTOSH WASHITA CLEVELAND HASKELL CADDO HUGHES GRADY PITTSBURG KIOWA LATIMER MCCLAIN LE FLORE PONTOTOC COMANCHE GARVIN STEPHENS COAL TILLMAN PUSHMATAHA MURRAY POTTA- WATOMIE SEMINOLE COTTON CARTER JOHNSTON ATOKA JEFFERSON LOVE MAR- SHALL BRYAN CHOCTAW MCCURTAIN Stroud Chandler Meeker Prague Your Opinion Counts Oklahoma State Department of Health, Office of Rural Health Oklahoma Cooperative Extension Service, Oklahoma State University May 2001
AE-01037 Telephone Survey Form and Results April Miller and Sarah Trzebiatowski - Student Assistants OSU, Stillwater (405) 744-6083 Mary K. Lawler Assistant Extension Specialist, OSU, Stillwater (405) 744-6081 Gerald A. Doeksen - Extension Economist, OSU, Stillwater (405) 744-6081 Mick Jones - Lincoln County Extension, Chandler (405) 258-0560 Jack Frye - Area Extension Rural Development Specialist, Ada (580) 332-4100 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 2001
Telephone Survey Form
PRAGUE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA: TELEPHONE SURVEY Page 1 of 4 Screener: The following communities are included in the Prague Municipal Hospital medical service area. What community do you live in? Is this your zip code? Meeker (74855) Paden (74860) Prague (74864) Sparks (74869) Boley (74829) 1. Do you use a family doctor 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? Prague Chandler Shawnee Stroud Midwest City Seminole Oklahoma City Indian Health Service-Okemah Sac & Fox Primary Care Clinic 3 Other. Where do you go the most for your family's primary health care needs? 4. If you use a family doctor outside of the Prague Municipal Hospital medical service area, why? 5. Are you able to get an appointment with your family doctor when you need one? Yes No 6A. How would you describe the quality of care provided by your family doctor? Satisfied Dissatisfied 6B. If dissatisfied, why? 7. Do you think there are enough family doctors in the Prague Municipal Hospital medical service area? Yes No Don t Know 8. Do you think that additional specialty doctors are needed in the Prague Municipal Hospital medical service area? Yes No Don t Know
PRAGUE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA: TELEPHONE SURVEY Page 2 of 4 9A. If yes to 8, identify one specialist you think should come on a regular basis to your community to offer a specialty clinic. Cardiology Obstetrics-gynecology Pediatrics Other 9B. "Other" specialists listed from Q9A. 10A. What health insurance covers you? 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 You 10B. What health insurance covers your family? 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 11. If you do not have health insurance coverage, which best describes why? Cannot afford coverage Don't need it Loss of employment 12. Has any member of your household used the services of a hospital in the past 12 months? Yes No
PRAGUE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA: TELEPHONE SURVEY Page 3 of 4 13. If yes, at which hospital(s) were services received? Prague Municipal Hospital--Prague Creek Nation Community Hospital--Okemah Stroud Regional Medical Center-Stroud Indian Health Service hospitals Shawnee Regional Hospital--Shawnee Oklahoma City area hospitals Mission Hill Memorial Hospital--Shawnee Seminole Medical Center--Seminole Other 14. If other than Prague Municipal Hospital, why did you choose this/these hospital(s)? 15. If your last visit to a hospital was to Prague Municipal Hospital, what hospital services did you use? Emergency Room Outpatient Surgery Inpatient Surgery Laboratory (blood) Tests Inpatient Stay Radiology (x-ray, CT, mammogram) Specialty Clinic Respiratory Therapy Physical Therapy 16A. If Yes to 15, how would you describe your experience at Prague Municipal Hospital? Satisfied Dissatisfied 16B. If dissatisfied, why? 17A. Do you think Prague Municipal Hospital is meeting the health needs of residents of the medical service area? Yes No Don t Know 17B. If no, why? 18A. Have you used Emergency Room services at the Prague Municipal Hospital in the past 12 months? 18B. If you have used Emergency Room services in the past 12 months at the Prague Municipal Hospital, what services were used? X-Ray (Radiology) Laboratory Respiratory Therapy Cardiac Evaluation Obstetrics (OB) Trauma Care Routine Illness Other 19. Has any member of your household used the services of the Lincoln County Health Department (or your local health department) in the past 12 months? Yes No 20A. If Yes to Number 19, were you/they: Satisfied Dissatisfied 20B. If dissatisfied, why?
PRAGUE MUNICIPAL HOSPITAL MEDICAL SERVICE AREA: TELEPHONE SURVEY Page 4 of 4 OPTIONAL QUESTION: 21. Do you feel that your community provides adequate services for the following: (Select 2 from the list below) Yes No Don t Know A. Ambulance Service B. Home Health Care C. Nursing Homes 22. What concerns you most about health care in your community? (INTERVIEWER: 1 OR 2 ISSUES) 23. What is your age? 18-20 21-30 31-40 41-50 51-60 61-70 71-80 81+ 24. What is your race? (Optional) White Asian Hispanic Black Native American Other 25. 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 26. DO NOT ASK THIS QUESTION!!!! Interviewer will decide on the answer to this question!!! Male Female Unknown (Can t Tell)
Telephone Survey Results
QScreen. What is your zip code? 74864 Prague 113 56% 74855 Meeker 44 22% 74860 Paden 21 10% 74869 Sparks 12 6% 74829 Boley 11 6% Total 201 100% 0% 10% 20% 30% 40% 50% 60% 74864 Prague 56% 74855 Meeker 22% 74860 Paden 10% 74869 Sparks 6% 74829 Boley 6% Telephone Survey Form and Results 1
Q1. Do you use a family doctor for most of your routine care? Yes 175 87% No 26 13% Total 201 100% No 13% Yes 87% Telephone Survey Form and Results 2
Q2. If no, who do you go to for routine care? Indian Health Services 5 19% AM/PM Clinic 4 15% OB/GYN 3 11% Shawnee Medical Center 2 8% cardiologist 1 4% county health department 1 4% kidney doctor 1 4% Midwest City Hospital 1 4% specialists 1 4% VA Clinic in OKC 1 4% don't go 6 23% Total Responses 26 100% Telephone Survey Form and Results 3
Q3. Where do you go the most for your family's primary health care needs? Response No. Percent Response No. Percent Shawnee 85 44% Midwest City 5 3% Prague 63 32% Stroud 3 1% Oklahoma City 16 6% Sac & Fox Prim Care Clin 3 1% Indian Hlth Svc 6 3% Other 10 4% Chandler 5 3% Total 191 100% Seminole 5 3% 0% 10% 20% 30% 40% 50% Shawnee 44% Prague 32% Oklahoma City 6% Indian Hlth Svc Chandler Seminole Midwest City Stroud Sac & Fox Prim Care Clin Other 3% 3% 3% 3% 1% 1% 4% Telephone Survey Form and Results 4
Q3 Other. Where do you go the most for your family's primary health care needs? Okemah, OK 2 20% Edmond, OK 2 20% Other - Wichita, KS (1), Sapulpa (1), Cushing (1), 6 60% Davenport (1), Bristow (1), Tinker Prim. Hlth Clinic (1) Total Responses 10 100% Telephone Survey Form and Results 5
Q4. Why do you use a doctor outside of the Prague medical service area? cost/affordability/insurance reasons 30 27% established patient 22 20% closer to home/convenience 21 19% confidence/quality of care 19 17% personal preference 9 8% specialists 5 5% military reasons 3 3% recommendation/referral 2 1% Total Responses 111 100% Telephone Survey Form and Results 6
Q5. Are you able to get an appointment with your family doctor when you need one? Yes 161 94% No 10 6% Total 171 100% Yes 94% No 6% Telephone Survey Form and Results 7
Q6A. How would you describe the quality of care provided by your family doctor? Frequency Percent Satisfied 168 98% Dissatisfied 3 2% Total 171 100% Dissatisfied 2% Satisfied 98% Telephone Survey Form and Results 8
Q6B. Why are you dissatisfied with the quality of care provided by your family doctor? unable to get appointment 2 67% not enough time with doctor 1 33% Total Responses 3 100% Telephone Survey Form and Results 9
Q7. Do you think there are enough family doctors in the Prague medical service area? Frequency Percent Yes 48 24% No 93 46% Don't know 60 30% Total 201 100% Don't know 30% No 46% Yes 24% Telephone Survey Form and Results 10
Q8. Do you think additional specialty doctors are needed in the Prague medical service area? Yes 76 38% No 69 34% Don't know 56 28% Total 201 100% Don't know 28% No 34% Yes 38% Telephone Survey Form and Results 11
Q9A. Which one specialist do you think should come on a regular basis to your community to offer a specialty clinic? Cardiology 30 39% Pediatrics 19 25% OB-GYN 9 12% Other 18 24% Total 76 76% Cardiology 39% Other 24% OB-GYN 12% Pediatrics 25% Telephone Survey Form and Results 12
Q9B. "Other" specialists listed from Q9A. dermatologist 3 16% family doctor 3 16% orthopedist 3 16% cancer doctor 1 6% diabetes doctor 1 6% foot doctor 1 6% geriatric specialist for the elderly 1 6% psychologist 1 6% surgeon 1 6% urologist 1 6% don't know 2 10% Total Responses 18 100% Telephone Survey Form and Results 13
Q10A. What health insurance covers you? Insurance through Employer/Previous Employer 118 41% Medicare 57 20% Medicare Supplement 27 9% Self-Paid Plan 22 8% Do Not Have Health Insurance 22 8% Medicaid/Sooner Care 13 5% VA Benefits 12 4% Native American Benefits 11 4% Champus/TriCare Program 5 2% Other 1 0% Total 288 0% 10% 20% 30% 40% 50% Employer/Previous Employer 41% Medicare 20% Medicare Supplement Self-Paid Plan Do Not Have Health Insurance Medicaid/Sooner Care VA Benefits Native American Benefits Champus/TriCare Program Other 9% 8% 8% 5% 4% 4% 2% 0% Telephone Survey Form and Results 14
Q10B. What health insurance covers your family? Insurance through Employer/Previous Employer 101 39% No One Else in Family 49 19% Medicare 32 12% Medicaid/Sooner Care 21 8% VA Benefits 12 5% Self-Paid Plan 12 5% Medicare Supplement 11 4% Do Not Have Health Insurance 10 4% Native American Benefits 9 3% Champus/TriCare Program 3 1% Total 260 0% 10% 20% 30% 40% 50% Employer/Previous Employer No One Else in Family 19% 39% Medicare 12% Medicaid/Sooner Care 8% VA Benefits Self-Paid Plan Medicare Supplement Do Not Have Health Insurance Native American Benefits Champus/TriCare Program 5% 5% 4% 4% 3% 1% Telephone Survey Form and Results 15
Q11. If you do not have health insurance coverage, which best describes why? Cannot afford coverage 20 91% Have a pre-existing medical condition 2 9% Total 22 100% Have a preexisting medical condition 9% Cannot afford coverage 91% Telephone Survey Form and Results 16
Q12. Has any member of your household used the services of a hospital in the past 12 months? Yes 76 38% No 125 62% Total 201 100% Yes 38% No 62% Telephone Survey Form and Results 17
Q 13A. At which hospital were services received? Shawnee Regional Hospital 30 39% Oklahoma City Hospitals 21 28% Prague Municipal Hospital 10 13% Tulsa Hospitals 4 5% Seminole Medical Center 3 4% Creek Nation Comm Hospital-Okemah 3 4% Indian Health Services Hospitals 3 4% Mission Hill Memorial Hospital-Shawnee 1 1% Other - Cushing Regional Hospital 1 1% Total 76 100% 0% 10% 20% 30% 40% 50% Shawnee Regional Hospital 39% Oklahoma City Hospitals 28% Prague Municipal Hospital 13% Tulsa Hospitals Seminole Medical Center Creek Nation Comm Hospital-Okemah Indian Health Services Hospitals 5% 4% 4% 4% Mission Hill Memorial Hospital-Shawnee Other - Cushing Regional Hospital 1% 1% Telephone Survey Form and Results 18
Q14. If other than Prague Municipal Hospital, why did you choose this/these hospital? closer to home/convenience 21 32% cost/affordability/insurance 12 18% specialists 12 18% recommendation/referral 9 14% confidence/quality of care 7 11% established patient 5 7% Total Responses 66 100% Telephone Survey Form and Results 19
Q15. What hospital services did you use on your most recent visit to Prague Municipal Hospital? * Emergency Room 10 100% Laboratory Tests (blood) 7 70% Radiology (X-Ray, Mammogram) 7 70% Inpatient Stay 3 30% Specialty Doctor 2 20% Physical Therapy 1 10% Primary Health Care Clinic 1 10% Total 31 * Percentage based on 10 persons using Prague Municipal Hospital. 0% 20% 40% 60% 80% 100% Emergency Room Laboratory Tests (blood) Radiology (X-Ray, Mammogram) 70% 70% 100% Inpatient Stay 30% Specialty Doctor 20% Physical Therapy Primary Health Care Clinic 10% 10% Telephone Survey Form and Results 20
Q16A. How would you describe your experience at Prague Municipal Hospital? Satisfied 9 90% Dissatisfied 1 10% Total 10 100% Dissatisfied 10% Satisfied 90% Telephone Survey Form and Results 21
Q16B. Why were you dissatisfied with your experience at Prague Municipal Hospital? too long of wait 1 100% Total Responses 1 100% Telephone Survey Form and Results 22
Q17A. Do you think Prague Municipal Hospital is meeting the health needs of the residents in the surrounding area? Frequency Percent Yes 79 39% No 56 28% Don't Know 66 33% Total 201 100% Yes 39% Don't Know 33% No 28% Telephone Survey Form and Results 23
Q17B. If no, why? Reponse Frequency Percent physicians/specialists: more doctors (11), qualified 25 64% doctors (8), specialists (3), OB/GYN (1), on-call doctor (1), doctor/patient relationship (1) staffing: understaffed (9), unprofessional (5), qualified 15 38% staff (1) inadequate equipment/modern equipment needed 7 18% funding 5 13% insurance problems 4 10% quality of care 3 8% too small of hospital 2 5% convenience 1 3% don't know 2 5% Total Responses 39 100% Telephone Survey Form and Results 24
Q18A. Have you used Emergency Room services at the Prague Municipal Hospital in the past 12 months? Yes 29 14% No 172 86% Total 201 100% Yes 14% No 86% Telephone Survey Form and Results 25
Q18. If you have used Emergency Room services in the past 12 months at Prague Municipal Hospital, what services were used? Laboratory 15 25% Trauma Care 13 21% X-Ray (radiology) 13 21% Cardiac Evaluation 9 15% Routine Illness 7 11% Respiratory Therapy 4 7% Total 61 100% 0% 10% 20% 30% Laboratory 25% Trauma Care 21% X-Ray (radiology) 21% Cardiac Evaluation 15% Routine Illness 11% Respiratory Therapy 7% Telephone Survey Form and Results 26
Q19. Has any member of your household used the services of the Lincoln County Health Department or your local health department in the past 12 months? Yes 23 11% No 178 89% Total 201 100% Yes 11% No 89% Telephone Survey Form and Results 27
Q20. If Yes to using Lincoln County Health Department services, were you: Satisfied 22 96% Dissatisfied 1 4% Total 23 100% Dissatisfied 4% Satisfied 96% Telephone Survey Form and Results 28
Q20B. Why were you dissatisfied with the quality of services at Lincoln County Health Department? rude receptionist and staff 1 100% Total Responses 1 100% Telephone Survey Form and Results 29
Q21A. Do you feel your community provides adequate ambulance services? Yes 140 70% No 38 19% Don't know 22 11% Total 200 100% No 19% Don't know 11% Yes 70% Telephone Survey Form and Results 30
Q21B. Do you feel your community provides adequate home health care? Yes 87 43% No 38 19% Don't know 75 38% Total 200 100% Don't know 38% No 19% Yes 43% Telephone Survey Form and Results 31
Q21C. Do you feel that the community has adequate services for nursing homes? Yes 136 67% No 29 15% Don't know 35 18% Total 200 100% No 15% Don't know 18% Yes 67% Telephone Survey Form and Results 32
Q22. What concerns you most about health care in your community? Reponse p y (), y (), Frequency Percent qualified doctors (6), retaining doctors (6), doctors diagnosing 33 19% problems (3), doctor/patient relationship (2), using hometown doctors (1) emergency care: emergency room service (13), emergency 26 15% service (6), 911 service (6), emergency equipment (1) affordability: affordable health care (15), affordable health 20 12% insurance (5) hospital needs: modern medical technology and equipment (8), 16 9% availability of hospital services (3), hospital funding (3), administrative communication and cooperation (2) elderly care (6): home health care for elderly (4) 10 6% ambulance service 10 6% losing the hospital 9 5% specialists (4): specialists for the elderly (3) 7 4% nursing home: understaffed (2), cleanliness (1), health care at 4 2% nursing home (1) insurance using certain hospitals 4 2% quality of care 4 2% other - accessibility to health care (1), AM/PM clinic funding 4 2% (1), better roads (1), choice (1) public transportation 3 2% don't know 35 20% none 20 12% Total Responses 172 Telephone Survey Form and Results 33
Q23. What is your age? 18-20 Years 2 1% 21-30 Years 11 6% 31-40 Years 34 17% 41-50 Years 48 23% 51-60 Years 38 18% 61-70 Years 28 14% 71-80 Years 23 12% 81 or Over 15 8% Refused 1 1% Total 200 100% 41-50 Years 23% 51-60 Years 18% 61-70 Years 14% 31-40 Years 17% 21-30 Years 6% 18-20 YearsRefused 1% 1% 71-80 Years 12% 81 or Over 8% Telephone Survey Form and Results 34
Q24. What is your race? White 175 87% Black 12 6% Native American 10 5% Asian 1 1% Hispanic 1 1% Refused 1 1% Total 200 * Respondents may respond to more than one response. White 87% Refused 1% Hispanic 1% Asian 1% Native American 5% Black 5% Telephone Survey Form and Results 35
Q25. What is your yearly household income? < $10,000 26 13% $10,000-$14,999 21 11% $15,000-$19,999 18 9% $20,000-$24,999 18 9% $25,000-$34,999 29 15% $35,000-$50,000 31 15% Over $50,000 38 18% Don't Know/Not Sure 12 6% Refused 7 4% Total 200 100% Don't Know/Not Over $50,000 Sure 18% 6% Refused 4% < $10,000 13% $10,000- $14,999 11% $35,000- $50,000 15% $25,000- $34,999 15% $20,000- $24,999 9% $15,000- $19,999 9% Telephone Survey Form and Results 36
Q26. What is the gender of the respondents? Male 60 30% Female 140 70% Total 200 100% Male 30% Female 70% Telephone Survey Form and Results 37