cimarron memorial hospital medical service area …rd.okstate.edu/health/ok/pdf/cimarron co. ph...

Cimarron Memorial Hospital Medical Service Area

Telephone Survey Form and Results

Oklahoma State Department of Health

Oklahoma Office of Rural Health

Oklahoma Cooperative Extension Service Oklahoma State University

October 2001

ADAI R

ALFALFA

ATO KA

BECKHAM

BLAI NE

BRYAN

CANADI AN

CARTER

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CHOCTAW

CI MARRON

CLEVELAND

COMANCHE

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CRAI G

CUSTER

DELA

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ELLI S GARFIELD

GRADY

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GREER

HARM

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HARPER

JACKSON

JEFFERSON

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KIOWA LATI MER

LOVE

MAYES

MURRAY

MUSKO GEE

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PAWNEE

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ROGER MILLS

ROG ERS

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STEPHENSTI LLMAN

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WASHI TA

WOO DS

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MAJOR

KINGFI SHER

BEAVERTEXAS

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LINCO LNOKFUSKEE

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GARVIN

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HUG HES

PI TTSBURG

HASKELL

LE FLO RE

COAL

JOHNSTON

PONTOTO C

MCCURTAI N

Boise City

Keyes

AE-01174

Cimarron Memorial Hospital Medical Service Area Telephone Survey Form and Results

Sarah Trzebiatowski & April Burns – Student Extension Assistants, OSU, Stillwater 405-744-6083

Mary K. Lawler – Assistant Extension Specialist, OSU, Stillwater

405-744-6081

Cheryl F. St. Clair, Assistant Extension Specialist, OSU, Stillwater 405-744-6081

Gerald A. Doeksen - Extension Economist, OSU, Stillwater

405-744-6081

Stan Ralstin - Area Extension Rural Development Specialist, Enid 580-233-5295

Scott Grillin - Cimarron County Extension Director, Boise City

405-282-3331

Rod Hargrave - Coordinator, 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

October 2001

Cimarron Memorial Hospital

Medical Service Area Telephone Survey Form

CIMARRON MEMORIAL HOSPITAL Page 1 of 4 MEDICAL SERVICE AREA TELEPHONE SURVEY

Screener

� 73933 Boise City � 73949 Griggs � 73937 Felt � 73946 Kenton � 73947 Keyes

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?

� Boise City � Amarillo, Texas � Guymon � Dalhart, Texas � Beaver � Clayton, New Mexico � Woodward � Liberal, Kansas

� Elkhart, Kansas

4. If you use a family doctor outside of Cimarron County, why? _____________________________________________________________________________________

_____________________________________________________________________________________ 5. Are you able to get an appointment with your family doctor when you need one? � Yes � No

6. A. How would you describe the quality of care provided by your family doctor? � Satisfied � Dissatisfied B. If dissatisfied, why? ____________________________________________________ 7. Do you think there are enough family doctors in Cimarron County? � Yes � No � Don’t Know 8. Do you think that additional specialty doctors are needed in Cimarron County? � Yes � No � Don’t Know 9. 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


10. A. What health insurance covers you and your family? 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 � ___________________ �

10. B. What health insurance covers you and 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 ��Pre-existing medical condition ��__________________________________________

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? � Cimarron Memorial Hospital -Boise City � Coon Memorial Hospital-Dalhart

� Memorial Hospital of Texas County-Guymon � Northwest Texas Healthcare System-Amarillo � Beaver County Memorial Hospital-Beaver � Southwest Medical Center-Liberal

� Woodward Hospital-Woodward � Union County General Hospital-Clayton � Newman Memorial Hospital-Shattuck � Morton County Hospital-Elkhart � BSA Health System-Amarillo � Other___________________

14. If other than Cimarron Memorial Hospital, why did you choose this/these hospital(s)?

____________________________________________________________________________


15. If your last visit to a hospital was to Cimarron Memorial Hospital, what hospital services did you use?

� Emergency Room � Physical Therapy � Outpatient Surgery � Inpatient Surgery � Laboratory (blood) Tests � Inpatient Stay � Radiology (x-ray, MRI, mammogram) � Birthing Services

� Respiratory Therapy � _______________ 16. A. If Yes to 15, how would you describe your experience at Cimarron Memorial Hospital? � Satisfied � Dissatisfied

B. If dissatisfied, why?_____________________________________________ 17. A. Do you think Cimarron Memorial Hospital is meeting the health needs of Cimarron County

residents? � Yes � No � Don’t Know B. If “No”, Why? _____________________________________________________________

18. If you have used Emergency Room services in the past 12 months at the Cimarron Memorial Hospital,

what services were used? � X-Ray (Radiology) � Laboratory � Respiratory Therapy � Cardiac Evaluation � Obstetrics (OB) � Trauma Care � Routine Illness � Other ____________________________

19. Have you or any member of your household used the services of the WIC clinic and/or immunization clinic offered by Cimarron Memorial Hospital in the Hospital Annex on Main in Boise City in the past 12 months? � Yes � No

20. A. If Yes to Number 19, were you: � Satisfied � Dissatisfied B. If dissatisfied, why? ____________________________________________________________ C. If Cimarron County had its own Health Department that offered services like WIC (women, infants, and children nutrition), immunizations, and others, would you use those services? � Yes � No OPTIONAL QUESTION: 21. Do you feel that your community provides adequate services for the following:

(Community to 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 � African American � 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)

Cimarron Memorial Hospital Medical Service Area

Telephone Survey Results

Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 1

Response Frequency Percent73933 Boise City 129 80%73946 Kenton 14 9%73937 Felt 12 7%73947 Keyes 5 3%73949 Griggs 1 1%Total 161 100%

QScreen. What is your zip code?

9%

7%

3%

1%

80%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

73933 Boise City

73946 Kenton

73937 Felt

73947 Keyes

73949 Griggs


Response Frequency PercentYes 158 98%No 3 2%Total 161 100%

Q1. Do you use a family doctor for most of your routine care?

No2%

Yes98%


Response Frequency Percentwoman/child clinic 1 34%my mother 1 33%no one 1 33%

Total Responses 3 100%

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


Response No. Percent Response No. PercentBoise City 136 84% Elkhart, KS 2 1%Guymon 15 9% Beaver 1 1%Clayton, NM 4 2% Keyes 1 1%Amarillo, TX 2 1%Dalhart, TX 2 1% Total 161 100%

Q3. Where do you go the most for your family's primary health care needs?

84%

9%

2%

1%

1%

1%

1%

1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Boise City

Guymon

Clayton, NM

Amarillo, TX

Dalhart, TX

Elkhart, KS

Beaver

Keyes


Response Frequency PercentPersonal preference 7 28%Quality of care 5 20%Specialists 4 16%Closer to home/Convenience 3 12%Established patient 3 12%Available health services 1 4%Better facilities 1 4%Gender of doctor 1 4%


Q4. Why do you use a doctor outside of the Cimarron County?



Q5. Are you able to get an appointment with your family doctor when you need one?

Yes98%

No2%


Frequency PercentSatisfied 153 97%Dissatisfied 5 3%Total 158 100%

Q6A. How would you describe the quality of care provided by your family doctor?

Dissatisfied3%

Satisfied97%


Response Frequency Percentpoor quality of service 2 32%unqualified 1 17%billing problems 1 17%wrong medications 1 17%unable to get appointment 1 17%


Q6B. Why are you dissatisfied with the quality of careprovided by your family doctor?


Frequency PercentYes 17 11%No 135 83%Don't know 9 6%Total 161 100%

Q7. Do you think there are enough family doctors in Cimarron County?

No83%

Don't know6%

Yes11%


Response Frequency PercentYes 115 72%No 34 21%Don't know 12 7%Total 161 100%

Q8. Do you think that additional specialty doctors are needed in Cimarron County?

Yes 72%

Don't know7%

No21%


Response Frequency PercentCardiology 31 27%OB-GYN 27 23%Pediatrics 15 13%Other 42 37%Total 115 100%

Q9. Which one specialist do you think should come on a regular basis to your community to offer a specialty clinic?

Cardiology27%

OB-GYN23%

Pediatrics13%

Other37%


Response Frequency Percentsurgeon 26 65%geriatric doctor 3 8%dentist 2 4%general practitioner 2 4%all specialists 1 3%kidney doctor 1 3%oncologist 1 3%urologists 1 3%allergy specialist 1 3%don't know 2 4%


Q9Other. "Other" specialists listed from Q9.


Response Frequency Percent*Insurance through Employer/Previous Employer 60 37%Medicare 59 37%Medicare Supplement 46 29%Self-Paid Plan 30 19%Do Not Have Health Insurance 25 16%Medicaid/Sooner Care 5 3%VA Benefits 4 2%Total 229*Percent based on number of respondents of 161.

Q10A. What health insurance covers you?

37%

29%

19%

16%

2%

3%

37%

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

Employer/PreviousEmployer

Medicare

MedicareSupplement

Self-Paid Plan

Do Not Have HealthInsurance

Medicaid/SoonerCare

VA Benefits


Response Frequency Percent*Insurance through Employer/Previous Employer 55 34%No One Else in Family 38 24%Medicare 30 19%Self-Paid Plan 26 16%Medicare Supplement 24 15%Do Not Have Health Insurance 16 10%Medicaid/Sooner Care 13 8%VA Benefits 4 2%Champus/TriCare Program 1 1%Native American Benefits 1 1%Total 208*Percent based on number of respondents of 161.

Q10B. What health insurance covers your family?

24%

19%

16%

15%

10%

8%

2%

1%

1%

34%

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

Employer/Previous Employer

No One Else in Family

Medicare

Self-Paid Plan

Medicare Supplement

Do Not Have Health Insurance

Medicaid/Sooner Care

VA Benefits

Champus/TriCare Program

Native American Benefits


Response Frequency PercentCannot afford 21 80%Have a pre-existing condition 1 4%Use Medical Share Plan 1 4%In-between Jobs 1 4%Still Looking 1 4%Not a Citizen Yet 1 4%

Total 26 100%

Q11. If you do not have health insurance coverage, which best describes why?

Still Looking4%

Not a Citizen Yet4%

In-between Jobs4%

Use Medical Share Plan

4%

Cannot afford80%

Have a pre-existing

condition4%



Q12. Has any member of your household used the services of a hospital in the past 12 months?

Yes48%

No52%


Response Frequency PercentCimarron Memorial Hospital, Boise City 45 58%BSA Health System, Amarillo, TX 11 14%Memorial Hospital of Texas County, Guymon 6 8%Union County General Hospital, Clayton, NM 5 6%Northwest Texas Healthcare System, Amarillo, TX 3 5%Morton County Hospital, Elkhart TX 2 3%Tulsa hospitals 2 3%Coon Memorial Hospital, Dalhart, TX 1 1%Southwest Medical Center - Liberal, KS 1 1%Amarillo hospital 1 1%Total 77 100%

Q 13. At which hospital were services received?

14%

8%

6%

5%

3%

3%

1%

1%

1%

58%

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

Cimarron Memorial Hospital, Boise City

BSA Health System, Amarillo, TX

Memorial Hospital of Texas County, Guymon

Union County General Hospital, Clayton, NM

Northwest Texas Healthcare System, Amarillo, TX

Morton County Hospital, Elkhart TX

Tulsa hospitals

Coon Memorial Hospital, Dalhart, TX

Southwest Medical Center - Liberal, KS

Amarillo hospital


Response Frequency PercentRecommendation/Referral 13 41%Established patient 5 16%Specialists 5 16%Closer to home/Convenience 4 13%Personal preference 3 9%Better facilities 2 5%


Q14. If other than the Cimarron Memorial Hospital, why did you choose this/these hospital?

16%

16%

13%

9%

5%

41%

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

Recommendation/Referral

Established patient

Specialists

Closer tohome/Convenience

Personal preference

Better facilities


Response No. Percent* Response No. Percent*Lab Tests 34 76% Outpatient Surgery 2 4%Emergency Room 27 60% Physical Therapy 2 4%Radiology 27 60% Inpatient Surgery 3 7%Inpatient Stay 12 27% Bone Density Test 1 2%Respiratory Therapy 6 13% Total 112

*Percent based on number of "Cimarron County Hospital" answers in Q13 (45).

Q15. What hospital services did you use on your most recent visit to Cimarron Memorial Hospital?

76%

60%

60%

27%

13%

4%

4%

7%

2%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Lab Tests

Emergency Room

Radiology

Inpatient Stay

Respiratory Therapy

Outpatient Surgery

Physical Therapy

Inpatient Surgery

Bone Density Test


Response Frequency PercentSatisfied 46 92%Dissatisfied 4 8%Total 50 100%

Q16A. How would you describe your experience at Cimarron Memorial Hospital?

Dissatisfied8%

Satisfied92%


Response Frequency Percentquality of care 2 50%billing problems 1 25%doctor unavailable 1 25%


Q16B. Why were you dissatisfied with your experience at Cimarron Memorial Hospital?


Frequency PercentYes 96 59%No 51 32%Don't Know 14 9%Total 161 100%

Q17A. Do you think Cimarron Memorial Hospital is meeting the health needs of the residents in the surrounding area?

No32%Don't Know

9%

Yes59%


Reponse Frequency Percent

26 38%

20 29%

7 10%administrative problems (5): better billing (1) 6 9%more staff 3 4%quality of care 3 4%updated facilities/technology/equipment 2 3%don't know 1 1%more health services 1 1%more people to go to the doctor 1 1%

Total Responses 70 100%*Respondents may give more than one reason.

Q17B. If no, why?

specialists (5): surgeons (10), obstetrician (2), anesthesiologist (1), cardiologist (1), pediatrician (1)

doctors: more doctors (21), qualified doctors (3), doctors covered by SoonerCare (1), availability of doctors (1)

financial problems (5): not knowing if hospital is going to close (2)



Q18A. Have you used Emergency Room services at the Cimarron Memorial Hospital in the past 12 months?

No70%

Yes30%


Response Frequency Percent*Laboratory 31 63%Radiology 23 47%Trauma Care 13 27%Cardiac Evaluation 12 24%Routine Illness 10 20%Respiratory Therapy 7 14%Obstetrics 3 6%Overnight Monitoring 1 2%Total 100*Percent based on "yes" answers to Q18A of 49.

Q18B. If you have used Emergency Room services in the past 12 months at Cimarron Memorial Hospital, what services were used?

6%

14%

20%

27%

47%

63%

24%

2%

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

Laboratory

Radiology

Trauma Care

Cardiac Evaluation

Routine Illness

Respiratory Therapy

Obstetrics

Overnight Monitoring



Q19. Have you or any member of your household used the services of the WIC program or immunization clinics offered by Cimarron

Memorial Hospital in the past 12 months?

Yes16%

No84%


Response Frequency PercentSatisfied 23 96%Dissatisfied 1 4%Total 24 4%

Q20A. If Yes to Q19, were you satisified or dissatisfied with these services?

Dissatisfied4%

Satisfied96%


Response Frequency Percentdidn't receive enough money 1 100%


Q20B. Why were you dissatisfied with the quality of services of the WIC program at Cimarron Memorial Hospital?


Response Frequency PercentYes 101 65%No 41 27%Don't Know 12 8%Total 154 100%

Q20C. If Cimarron County had its own Health Department that offered services like WIC (women, infants, and children nutrition), immunizations, and others, would you use those services?

Don't Know8%

Yes65%

No27%



Q21A. Do you feel your community provides adequate ambulance services?

Don't know5%No

3%

Yes 92%



Q21B. Do you feel your community provides adequate services for home health care?

Don't know24%

No8%

Yes 68%



Q21C. Do you feel that the community has adequate services for nursing homes?

Yes 76%

No11%

Don't know13%


Reponse Frequency PercentHospital: Losing the hospital (65), inpatient care at hospital (1), 67 31%

hospital taking care of community needs (1)doctors: more doctors (42), qualified doctors (10), availability 56 26%

of doctors (4)specialists (14): surgeons (26), cardiologists (2), dentists (2), 55 26%

eye doctor (2), OB-GYN (2), dermatologists (1), allergy specialists (1), geriatric doctor (1), obstetrician (1), ophthalmologists (1), gynecologists (1), internal medicine doctors (1)

healthcare: affordability of healthcare (5), distance to 12 6%healthcare (5), more healthcare services (2)

administrative: hospital accepting Medicare/Medicaid (2), 5 2%administrative problems (1), bookkeeping problems (1), government paperwork (1)

hospital staffing: improvement in hospital staffing (1), more 5 2%nurses (1), physician's assistants (1), qualified personnel (1),professional staff (1)

emergency services 3 1%insurance problems: affordability of insurance (2), insurance 3 1%

covering doctors (1)nursing home: losing the nursing home (2), qualified personnel 3 1%

for nursing home (1)in-home care 1 1%lack of variety in community 1 1%more equipment at hospital 1 1%poor health in community 1 1%

Total Responses 213 100%*Percent may not equal 100 due to rounding.

Q22. What concerns you most about health care in your community?


Response Frequency Percent18-20 Years 5 3%21-30 Years 9 6%31-40 Years 24 15%41-50 Years 29 18%51-60 Years 30 18%61-70 Years 22 14%71-80 Years 27 17%81 or Over 15 9%Total 161 100%

Q23. What is your age?

81 or Over9%

31-40 Years15% 21-30 Years

6%

18-20 Years3%

71-80 Years17%

61-70 Years14%

51-60 Years18%41-50 Years

18%


Response Frequency PercentCaucasian 149 93%Hispanic 12 7%Total 161 100%

Q24. What is your race?

Hispanic7%

Caucasian93%


Response Frequency Percent< $10,000 16 10%$10,000-$14,999 19 12%$15,000-$19,999 21 13%$20,000-$24,999 22 14%$25,000-$34,999 28 17%$35,000-$50,000 17 11%Over $50,000 20 12%Don't Know/Not Sure 11 7%Refused 7 4%Total 161 100%

Q25. What is your yearly household income?

$15,000-$19,999

13%

$10,000-$14,999

12%

$20,000-$24,999

14%

$25,000-$34,999

17%$35,000-$50,000

11% Over $50,00012%

Don't Know/Not

Sure7%Refused

4%

< $10,00010%


Response Frequency PercentMale 41 25%Female 120 75%Total 161 100%

Q26. What is the gender of the respondents?

Male25%

Female75%

cimarron memorial hospital medical service area …rd.okstate.edu/health/ok/pdf/cimarron co. ph...

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