Elk City Medical Service Area - Oklahoma State University ...rd.okstate.edu/health/ok/pdf/Haskell County Survey.pdf · Indian Health 3 20% Don't Go 3 20% Stigler Hospital ER 1 7%

Haskell County Medical Service Area Telephone Survey Form and Results

HaskellCounty

Oklahoma State Department of Health, Office of Rural Health

Oklahoma Cooperative Extension Service,

Oklahoma State University

September 2002

AE-02158

Haskell County Medical Service Area Telephone Survey Form and Results

Dondee Payne - Student Assistant, OSU, Stillwater (405) 744-6083

Cheryl F. St.Clair – Assistant State Extension Specialist, OSU, Stillwater

(405) 744-6081

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

Carl Wallace – Haskell County Extension, Stigler (918) 967-4330

Jack V. Frye - Area Extension Rural Development Specialist, Ada

(580) 332-4100

Alexandria Hart - Regional Health Consultant, 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

September 2002

Haskell County Healthcare System Medical Service Area

Telephone Survey Form

HASKELL COUNTY TELEPHONE SURVEY Page 1 of 4

Survey Date: July 15-19 Screener Zip Code – Town 74440 – Hoyt 74941 – Keota 74552 – Kinta 74943 – Lequire 74944 – McCurtain 74455 – Porum 74561 – Quinton 74462 – Stigler, Enterprise, Lewisville, Kanima, & Tamaha 74472 – Whitefield 1. Do you use a family doctor/P.A. (physician assistant) 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? [list communities in area]

Checotah Oklahoma City Tulsa Fort Smith, AR Poteau Wilburton Eufaula Sallisaw Other _______________ McAlester Stigler Muskogee Talihina

4. If you use a family doctor/P.A. (physician assistant) outside of Haskell County, why?

_______________________________ 5. If you or your family/P.A. (physician assistant) members have used a family doctor in Haskell County

in the last 12 months, were you satisfied with the type of care you received? Satisfied Dissatisfied If dissatisfied, why? ____________________________________________________ 6. Do you think there are enough family/P.A. (physician assistant) doctors in Haskell County? 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

HASKELL COUNTY 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 Other _______________ 9. If you do not have health insurance coverage, which best describes why?

Cannot afford coverage Pre-existing medical condition Other _______________

10. Has any member of your household used the services of a hospital in the past 12 months? Yes No 11. If Yes to number 10, at which hospital(s) were services used? Fort Smith, AR – Sparks Health System Fort Smith, AR – St. Edwards Mercy Health Network Eufaula – Lakeview Community Hospital

McAlester – McAlester Regional Health Center Muskogee – Muskogee Regional Medical Center Muskogee – Veterans Administration Medical Center Poteau – Eastern Oklahoma Medical Center Sallisaw – Sequoyah Memorial Hospital Stigler – Haskell County Healthcare System Talihina – Choctaw Nation Indian Hospital Tulsa area hospitals Wilburton – Latimer County General Hospital Other _______________

12. If other than Haskell County Healthcare System, why did you not choose our facility?

______________________________________________________________________________________ 13. If you or a member of your household used Haskell County Healthcare System within the past 12

months, what hospital services were used? Ambulance Outpatient Surgery

Durable Medical Equipment Radiology (x-ray, CT, mammogram) Emergency Room Respiratory Therapy

Home Health Residential Care Hospice Rural Health Clinic

Inpatient Stay Specialty Doctor Inpatient Surgery Other _______________

Laboratory (blood) Tests

HASKELL COUNTY TELEPHONE SURVEY Page 3 of 4 14. If answered 13, how would you describe you or your household member’s experience at Haskell

County Healthcare System? Satisfied Dissatisfied If dissatisfied, why? ____________________________________________________________________ 15. If you have used Emergency Room services in the past 12 months at the Haskell County Healthcare

System, what services were used? Cardiac Evaluation Respiratory Therapy Laboratory X-Ray (Radiology) Trauma Care Routine Illness Other _______________

16. If answered 15, how would you describe your experience at the emergency room in the Haskell

County Healthcare System? Satisfied Dissatisfied If dissatisfied, why? ____________________________________________________________________ 17. Does your community provide adequate services for the following?

Yes No Don’t Know Ambulance Service Dental Service Home Health Care Service Hospice Service Optometry Service Nursing Home Service

18. Has any member of your household used the services of the Haskell County Health Department in

the past 12 months? Yes No 19. If Yes to Number 18, were you: Satisfied Dissatisfied If dissatisfied, why? ____________________________________________________________________

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 ______________

HASKELL COUNTY 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)

Contact Person: Sharon Hall, CEO, Haskell County Healthcare System - 918-967-4682 Or Tammy Shaw, CFO, Haskell County Healthcare System - 918-967-4682

Haskell County Healthcare System Medical Service Area

Telephone Survey Results

Response Frequency Percent

74462 Stigler, Enterprise, Lewisville, Kanima, & Tamaha 109 53.7%74941 Keota 28 13.8%74455 Porum 25 12.3%74561 Quinton 17 8.4%74944 McCurtain 9 4.4%74552 Kinta 7 3.4%74472 Whitefield 5 2.5%74440 Hoyt 3 1.5%

Total 203 100.0%

QScreen. What is your zip code?

13.8%

12.3%

8.4%

4.4%

3.4%

2.5%

1.5%

53.7%

0% 10% 20% 30% 40% 50% 60%

74462 Stigler, Enterprise, Lewisville,Kanima, & Tamaha

74941 Keota

74455 Porum

74561 Quinton

74944 McCurtain

74552 Kinta

74472 Whitefield

74440 Hoyt

Haskell County Healthcare System Medical Service Area Telephone Survey 1

Response Frequency PercentYes 189 93%No 14 7%Total 203 100%

Q1. Do you use a family doctor or physician assistant for most of your routine health care?

No7%

Yes93%



VA, Muskogee 4 25%Indian Health 3 20%Don't Go 3 20%Stigler Hospital ER 1 7%Stigler 1 7%Oklahoma City 1 7%Ft. Smith, Arkansas 1 7%Wherever Can Get Into 1 7%

Total Responses 15 100%

Q2. If no, who do you go to for routine care?


Response No. Percent Response No. PercentStigler 137 67.5% Poteau 3 1.5%Muskogee 16 7.9% Eufaula 3 1.5%McAlester 10 4.9% Wilburton 2 1.0%Fort Smith, AR 9 4.4% Spiro 2 1.0%Talihina 7 3.4% Warner 1 0.5%Tulsa 5 2.5% Other undesignated 1 0.5%Oklahoma City 4 1.9%Checotah 3 1.5% Total 203 100.0%

Q3. Where do you go THE MOST for your family's routine health care needs?

67.5%

7.9%

4.9%

4.4%

3.4%

2.5%

1.9%

1.5%

1.5%

1.5%

1.0%

1.0%

0.5%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

Stigler

Muskogee

McAlester

Fort Smith, AR

Talihina

Tulsa

Oklahoma City

Poteau

Eufaula

Wilburton

Spiro

Warner

Other undesignated



Confidence/Quality of Care 14 22%Closer to Home/Convenience 10 16%Insurance/Cost/Affordability 10 16%Established Patient 9 14%Specialist 9 14%Personal Preference 5 8%Use Indian Health Services 3 4%No Reason 1 2%Can't see same Dr. in Haskell County 1 2%Transportation Availability 1 2%


Q4. If you use a family doctor or physician assistant outside of Haskell County, why?


Frequency PercentYes 151 74%No 52 26%

Total 203 100%

Q5A. Have you or your family members used a family doctor or physician assistant in Haskell County in the last

12 months?

Yes74%

No26%


Response Frequency PercentSatisfied 146 97%Dissatisfied 5 3%

Total 151 100%

you received from the family doctor or physician assistant in Haskell County?

Q5B. Were you satisfied or dissatisfied with the quality of care

Satisfied97%

Dissatisfied3%


Response Frequency PercentLack of Quality Care 3 60%Misdiagnosed 1 20%Too long wait 1 20%

Total 5 100%

5C. If dissatisfied with the quality of care you received from the family doctor or physician

assistant in Haskell County, WHY?

Mis-diagnosed

19%

Lack of Quality Care

60%

Too long wait20%


Response Frequency PercentYes 112 55%No 61 30%Don't Know 30 15%

Total 203 100%

Q6. Do you think there are enough family doctors/physician assistants in Haskell County?

No30%

Don't Know18%

Yes55%


Specialist City No. %

Cardiologist Tulsa (8), Fort Smith (8), Muskogee (7), Stigler (3), OKC (3), McAlester (2) 31 18.2%

Dermatologist Muskogee (4), Fort Smith (3), McAlester (1), Tulsa (1) 9 5.3%

Ears, Nose & Throat Muskogee (2), Fort Smith (2), Tulsa (1) 5 3.4%

Gastroenterologist Tulsa (2), Fort Smith (2), Muskogee (1), McAlester (1) 6 3.5%

Gynecologist Fort Smith (2), Muskogee (1), Tulsa (1) 4 2.4%

Internal Medicine Muskogee (3), Tulsa (2), Stigler (1), Fort Smith (1) 7 4.1%

Neurologist Tulsa (4), Muskogee (2), Fort Smith (2) 8 4.7%

OB/GYN Muskogee (4), Fort Smith (4), Tulsa (4), McAlester (2), Poteau (1), OKC (1) 16 9.4%

Oncologist Tulsa (3), McAlester (2), Fort Smith (2), Muskogee (1), OKC (1) 9 5.3%

Ophthalmologist Fort Smith (2), Talihina (1), OKC (1) 4 2.4%

Orthopedic Surgeon Stigler (6), Muskogee (2), Fort Smith (2), Poteau (1), Talihina (1), Tulsa (1) 13 7.6%

Pediatrician Muskogee (3), McAlester (2), Poteau (1), Fort Smith (1) 7 4.1%

Surgeon Stigler (2), Fort Smith (2), Tulsa (2), Muskogee (1), OKC (1) 8 4.7%

Urologist Fort Smith (4), Muskogee (3), McAlester (1), OKC (1), Tulsa (1) 10 5.9%

Other*Fort Smith (10), Tulsa (8), Stigler (4), OKC (3), Muskogee (2), Talihina (1), Checotah (1), Spiro (1), Gore (1), McAlester (1), Fort Gibson (1) 33 19.0%

Totals 170 100.0%Three responses each for Diabetes Specialist & Optometrist. Two responses each for Allergy Specialist, Dentist, Ear Specialist, Nephrologist, Obstetrician, Otolaryngologist, & Rheumatologist. One response each for Arthritis Specialist, Audiologist, Chiropractor, Endocrinologist, Infectious Disease Specialist, Liver Specialist, Neurosurgeon, Pediatric Orthopedist, Pediatric Surgeon, Plastic Surgeon, Podiatrist, Proctologist, & Pulmonary Specialist

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?


Response Frequency Percent*Insurance through Employer/Previous Employer 96 47%Medicare 63 31%Medicare Supplement 42 21%Self-paid Plan 32 16%Medicaid/Sooner Care 18 9%Native American Benefits 17 8%VA Benefits 12 6%Champus / TriCare Program 8 4%Total 288

*Percent based on number of respondents (203)

Q8A. What health insurance covers you?

31%

21%

16%

9%

6%

4%

8%

47%

0% 10% 20% 30% 40% 50%

Employer/PreviousEmployer

Medicare

Medicare Supplement

Self-paid Plan

Medicaid/Sooner Care

Native American Benefits

VA Benefits

Champus / TriCareProgram


Response Frequency Percent*Insurance through Employer/Previous Employer 55 40%Medicare 33 24%Medicaid/Sooner Care 28 20%Medicare Supplement 19 14%VA Benefits 15 11%Self-paid Plan 14 10%Native American Benefits 13 9%Champus / TriCare Program 6 4%Total 183*Percent based on number of respondents who have family members in household (137)

Q8B. What health insurance covers your family?

24%

20%

14%

11%

10%

9%

4%

40%

0% 10% 20% 30% 40%

Employer/PreviousEmployer

Medicare

Medicaid/Sooner Care

Medicare Supplement

VA Benefits

Self-paid Plan

Native AmericanBenefits

Champus / TriCareProgram


Response Frequency PercentCannot afford coverage 29 91%Pre-Existing Medical Condition 1 3%Other 2 6%Total 32 100%

Q9. If you do not have health insurance coverage, which best describes WHY?

Pre-Existing Medical

Condition3%

Other6%

Cannot afford coverage

91%


Response Frequency PercentYes 90 44%No 113 56%

Total 203 100%

Q10. Has any member of your household used the services of a hospital in the past 12 months?

Yes44%

No56%


Response Frequency PercentStigler-Haskell County Healthcare System 53 59%Tulsa Area Hospitals 8 10%Fort Smith, AR-Sparks Health System 6 7%Muskogee-Muskogee Regional Medical Center 6 7%McAlester-McAlester Regional Health Center 4 4%OKC Area Hospitals 4 4%Fort Smith, AR- St. Edwards Mercy Health Network 3 3%Talihina- Choctaw Nation Indian Hospital 2 2%Poteau-Eastern Oklahoma Medical Center 2 2%Eufaula-Lakeview Community Hospital 1 1%Tahlequah - W. W. Hastings Indian Hospital 1 1%

Total 90 100%

Q11. At which hospital were services received?

10%

7%

7%

4%

4%

3%

2%

2%

59%

0% 10% 20% 30% 40% 50% 60%

Stigler-Haskell County Healthcare System

Tulsa Area Hospitals

Fort Smith, AR-Sparks Health System

Muskogee-Muskogee Regional Medical Center

McAlester-McAlester Regional Health Center

OKC Area Hospitals

Fort Smith, AR- St. Edwards Mercy HealthNetwork

Talihina- Choctaw Nation Indian Hospital

Poteau-Eastern Oklahoma Medical Center


Response Frequency PercentSpecialist 12 26%Recommendation/Referral 8 17%Availability of Health Services 7 15%Confidence/Quality of Care 6 13%Established Patient 5 11%Insurance/Cost/Affordability 4 9%Closer to Home/Convenience 4 9%Total Responses 46 100%

Q12. If other than the Haskell County Healthcare System, why did you choose this/these hospital(s)?

%17%

15%

13%

11%

9%

9%

26%

0% 10% 20% 30%

Specialist

Recommendation/Referral

Availability of HealthServices

Confidence/Quality of Care

Established Patient

Insurance/Cost/Affordability

Closer toHome/Convenience


Response No. Percent* Response No. Percent*Laboratory Tests 35 22% Rural Health Clinic 8 5%Radiology 33 20% Home Health 5 3%Emergency Room 32 20% Ambulance Services 3 2%Oupatient Surgery 11 7% Inpatient Surgery 3 2%Specialty Doctor 10 6% Inpatient Stay 3 2%Respiratory Therapy 8 5% Residential Care 2 1%Durable Medical Equip. 8 5% T Total 161 100%

Q13. If you or a member of your household used Haskell County Healthcare System, what hospital services were used?

22%

20%

20%

7%

6%

5%

5%

5%

3%

2%

2%

2%

1%

0% 10% 20%

Laboratory Tests

Radiology

Emergency Room

Oupatient Surgery

Specialty Doctor

Respiratory Therapy

Durable Medical Equip.

Rural Health Clinic

Home Health

Ambulance Services

Inpatient Surgery

Inpatient Stay

Residential Care


Response Frequency PercentSatisfied 49 92%Dissatisfied 4 8%Total 53 100%

Q14A. How would you describe you or your household member's experience at Haskell County Healthcare System?

Dissatisfied8%

Satisfied92%


Response Frequency PercentLack of quality of care 2 50%Lack of qualified staff 1 25%Long wait in ER 1 25%


Q14B. If dissatisfied with your experience at Haskell County Healthcare System, WHY?



Q15A. Have you used Emergency Room services at the Haskell County Healthcare System in the past 12 months?

No81%

Yes19%


Response Frequency Percent*Laboratory 26 68.4%Radiology 24 63.2%Routine Illness 11 28.9%Trauma Care 10 26.3%Cardiac Evaluation 8 21.1%Respiratory Therapy 8 21.1%Total 87*Percent based on "yes" answers to Q15A (38).

Q15B. If you have used Emergency Room services in the past 12 months at Haskell County Healthcare System, what services were used?

21.1%

21.1%

28.9%

63.2%

68.4%

26.3%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

Laboratory

Radiology

Routine Illness

Trauma Care

Cardiac Evaluation

Respiratory Therapy


Response Frequency PercentSatisfied 29 76%Dissatisfied 9 24%

Total 38 100%

Q16A. How would you describe your experience at the emergency room in the Haskell County Healthcare System?

Dissatisfied24%

Satisfied76%


Response Frequency* PercentLack of quality care 4 44%Long wait in ER 4 44%Unorganized 1 12%


Q16B. If dissatisfied with your experience at the Emergency Room in the Haskell County Healthcare System, why were you dissatisfied?



Q17. Has any member of your household used the services of the Haskell County Health Department in the past 12 months?

Yes 22%

No78%


Response Frequency PercentSatisfied 41 93%Dissatisfied 2 5%Don't Know 1 2%

Total 44 100%

Q18A. Were you satisfied or dissatisfied with the services of the Haskell County Health Department?

Dissatisfied5%

Satisfied93%

Don't Know2%


Response Frequency PercentMisdiagnosed 1 50%Lack of quality staff 1 50%

Total 2 100%

Q18B. Why were you dissatisfied with the services of the Haskell County Health Department?


Frequency Response of Yes Answers Percent*Nursing Home Services 137 67%Ambulance 131 65%Home Health 122 60%Dental Services 112 55%Optometry 102 50%Hospice Services 101 50%

* Based on total responses of 203

Q19A. Does your community provide adequate services for the following?

67%

65%

60%

55%

50%

50%

0% 10% 20% 30% 40% 50% 60% 70%

Nursing Home Services

Ambulance

Home Health

Dental Services

Optometry

Hospice Services


Response Frequency* Percent

PhysiciansAvailability; need more physicians 25 8.2%Available to Sooner Care/Medicaid patients 5 1.6%Too long wait 4 1.3%Need for qualified physicians 24 7.8%Uncaring 11 3.6%Unprofessional behavior 7 2.3%Physician fees too high 3 1.0%

Subtotal - Physicians 79 25.8%

General HealthcareCosts 26 8.5%Cost of prescription drugs 5 1.6%Cost for elderly services 2 0.7%Availability of services 13 4.2%Transportation for health care 3 1.0%Distance to health care 7 2.3%Quality of care 3 1.0%Need more care for the disabled 3 1.0%Need more care for the low income 3 1.0%Need for family planning services 1 0.3%

Subtotal - General Healthcare 66 21.6%

Q20. What concerns you most about health care in your community?


(Continued)


HospitalNeed ICU 1 0.3%Need to provide birthing services 2 0.7%Hospital eager to Life Flight 2 0.7%Need to provide surgery 1 0.3%Hospital is disorganized 1 0.3%Test results too slow 1 0.3%Hospital not adequate to meet needs 19 6.2%Uncaring staff 1 0.3%Need to keep hospital 3 1.0%Upgrade quality of hospital 23 7.5%Concern with administration of hospital 1 0.3%

Subtotal - Hospital 55 17.9%

Specialty PhysiciansAvailability of specialists 17 5.6%Cardiologist 1 0.3%Dentist 2 0.7%Kidney Dialysis 2 0.7%OB/GYN 5 1.6%Pediatrician 5 1.6%Urologist 1 0.3%

Subtotal - Specialty Physicians 33 10.8%



(Continued)


Emergency ServicesProblems with ER; long waits 2 0.7%ER - Shortage of physicians 3 1.0%Shortage of equipment 1 0.3%Need '911' 8 2.6%EMS-availability 10 3.3%ER-staff more qualified 3 1.0%Take to hospital of choice 1 0.3%

Subtotal - Emergency Services 28 9.2%

InsuranceInsurance concerns 12 3.9%Cost 7 2.3%

Subtotal - Insurance 19 6.2%

Elderly ServicesOver-medicating the elderly 1 0.3%Need quality Nursing Home services 3 1.0%Need for more elderly services 6 2.0%Abusive use of home health care 1 0.3%Need more home health care services 3 1.0%

Subtotal - Elderly Services 14 4.6%



(Continued)


More nurses 2 0.7%Quality of care 3 1.0%Better trained 2 0.7%

Subtotal - Nurses 7 2.4%

Mid-Level PractitionersRather see a physician 5 1.5%

Total Responses 306 100.0%

*Respondents may give more than one response.

Nurses



Response Frequency Percent18-20 Years 6 3%21-30 Years 21 10%31-40 Years 30 15%41-50 Years 38 19%51-60 Years 29 14%61-70 Years 39 20%71-80 Years 32 16%81 or Over 5 2%Refused 3 1%Total 203 100%

Q21. What is your age?

41-50 Years19%

51-60 Years14% 61-70 Years

20%

71-80 Years16%

18-20 Years3%

21-30 Years10%

31-40 Years15%

Refused1%

81 or Over2%


Response Frequency PercentCaucasian 176 86%Native American 20 8%Hispanic 3 3%Refused 3 2%African American 1 1%Total 203 100%

Q22. What is your race?

Caucasian86%

Refused2%

African American

1% Hispanic3%

Native American

8%


Response Frequency Percent< $10,000 29 14.3%$10,000-$14,999 24 11.8%$15,000-$19,999 19 9.4%$20,000-$24,999 25 12.3%$25,000-$34,999 24 11.8%$35,000-$50,000 37 18.2%Over $50,000 29 14.3%Don't Know/Not Sure 7 3.4%Refused 9 4.5%Total 203 100.0%

Q23. What is your yearly household income?

$15,000-$19,9999.4%

$10,000-$14,99911.8%

$20,000-$24,99912.3%

$25,000-$34,99911.8%

$35,000-$50,00018.2% Over $50,000

14.3%

Don't Know/Not

Sure3.4%Refused

4.5%< $10,000

14.3%


Response Frequency PercentMale 51 25%Female 150 74%Not Given 2 1%Total 203 100%

Q24. What is the gender of the respondents?

Male25%

Female74%

Not Given1%


Elk City Medical Service Area - Oklahoma State University ...rd.okstate.edu/health/ok/pdf/Haskell County Survey.pdf · Indian Health 3 20% Don't Go 3 20% Stigler Hospital ER 1 7%

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