Community Health Survey Results Highlands County May 2012

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1 Couity Hath Survy Rsuts Hihas Couty May 2012 Ray Dia, Chaira Eizabth Ru, Excutiv Dirctor Kathy LaRoch, Busiss Dvopt a Pai Dirctor Trsa Ky, Spcia Procts Cooriator

2 WHO WE ARE Th hath coucis wr crat i 1983 by Foria Statut to itiy, arss a rsov hath car issus o oca cocr. Each hath couci is a privat, o-proit oraizatio ovr by a Boar o Dirctors. Th Boar brs ar appoit by Couty Coissiors to rprst th cocrs o hath car cosurs, provirs a purchasrs. Th Hath Couci o Wst Ctra Foria, Ic. (HCWCF) srvs Har, Hihas, Hisborouh, Maat a Po coutis. Th Couci has xtsiv xpric wori with or-proit a o-proit acis, pubic hath oraizatios, cosurs a prossioas. Coaboratio a coopratio ar critica to th succss o our issio. W hav thr stratic oas: (1) iuc th accssibiity o hath car a socia support systs throuh coprhsiv hath pai; (2) provi ucatio about sstia couity hath chas a soutios; a (3) participat as a coaborativ partr to arss currt a ri hath issus to vop a sustai icit a cost ctiv srvic ivry systs. HEALTH COUNCIL OF WEST CENTRAL FLORIDA, INC. BOARD OF DIRECTORS Nacy Caaha, Hisborouh Ray Dia, Maat (Chair) Nic Gavz, Hisborouh Susa Loo, Hisborouh Caro Macy, Hisborouh Jas Wsy Na, Po Russ Pattrso, Hisborouh Car X. Watrs, Po TO LEARN MORE ABOUT THE HEALTH COUNCIL Visit our wbsit - Or Cotact Us: Hath Couci o Wst Ctra Foria, Ic Kor Bv., Suit 221 St. Ptrsbur, FL (Fax)

3 Tab o Cotts I. Bacrou 1 II. Doraphics 2 Gr, Rac, Ethicity 2 A o Rspots 3 Rsic o Rspots 3 Eucatio Lv 4 Aua Housho Ico 4 Hath Car Covra 4 III. Prsoa Hath Status a Quaity o Car 5 Ovra Hath 5 Quaity o Car 8 IV. Accss to Car 11 V. Quaity o Li Iicators 20 VI. Nots o Subpopuatios 23 Appix A: Survys 25 Prit Survy-Eish 26 Prit Survy-Spaish 30 O-Li survy-eish 34 O-Li Survy-Spaish 45 Appix B: Survy Rsposs 56

4 Bacrou Th Hihas Couty Hath Dpartt couct a couity hath survy as part o a broar ort rat to th vopt o a couity hath iprovt pa. Hath partt sta si th survy a thoooy, rcruit partrs a proot participatio i th survy throuhout th couity. Epoys, brs a cits o partr acis a th ra pubic wr rcruit to participat i th survy. Partrs icu: Avo Par Hih Schoo Ctra Foria Hath Car Church o th Brthr Church Srvic Ctr Foria Hospita Harta Divisio Harta Library Cooprativ-Avo Par, La Paci, a Sbri Hihas Couty Hath Dpartt-Avo Par, La Paci, a Sbri Hihas Couty Hoowrs Associatio Hihas Couty Fair Associatio Hihas Rioa Mica Ctr Maa Miistris North Ctra Hihts Hath Fair NuHop Er Car Srvics Prira Isia Bautista Avo Par Saarita's Touch Car Ctr South Foria Couity Co Tooa Hihts Hoowrs Associatio Tri-Couty Hua Srvics Vtras Srvics Aiistratio Th survy was avaiab o-i as w as i har copy a was avaiab i both Eish a Spaish. Th o-i survy icu iv quaity o i qustios that wr ot o th prit vrsio o th survy as sta t th istrut iht b too o or thos copti th survy i prit or. Rsposs wr coct btw Fbruary 6 a Apri 30, Th Hath Dpartt cotract with th Hath Couci o Wst Ctra Foria to aayz th ata ro th survy. Data was copi by tota rsposs, rac a thicity, as w as by roup charactristics icui: rspots copti th survy i Spaish; rspots who iicat o ica provir that is s at ast oc a yar; rspots with o hath isurac; rspots upoy or o yar or or; rspots poy part-ti; rspots with o car to t to ica appoitts; Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

5 rspots with isurac but hih uctibs a/or co-pays; a rspots who cou ot aor icatios. Data wr rviw or trs a ircs btw various roups. I so cass thr was itt variatio, or th ubr o rspots by catory was too sa to a a riab iustratio. Coparisos o rsposs by rac, thicity a thos who copt th survy i Spaish (rrr to as Spaish spars i th rport) yi th bst iustratios or coparisos a ar prst or ach survy qustio. Quaity o i qustios wr rport or a rsposs rciv, as th poo o rspots was iit to thos who copt th survy o-i, a urthr braow by catoris i ot provi siiicat ioratio. Possib issus rat to th survy or thir itrprtatios ar hihiht i appropriat sctios. O ovra issu is itrprtatio o rsposs ro vtras. It is ot ow whthr rsposs corrspo to th civiia hath car syst or th VA hath car syst. I. Doraphics Hihas Couty has a stiat popuatio o 102,588 prsos. A tota o 1,184 pop rspo to th survy. Not vry qustio was aswr by vry prso. Th ubr o rsposs or ach qustio is iicat i parthsis. Tab 1: Gr/Rac/Ethicity o Rspots as Copar With Hihas Couty Tota Popuatio Gr, Rac a Ethicity (=1,136) % Survy Rspots % Hihas Couty Popuatio* Ma Fa Rac/Ethicity (=1,137) Bac/Arica Arica Whit Hispaic or Latio Asia/Paciic isar Nativ Arica Haitia 0.1 /a Othr/or tha o *Sourc: ESRI Busiss Soutios, 2011 Fas wr isproportioaty rprst i survy rspots wh copar with th Couty popuatio. Racia a thic ivrsity ao Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

6 survy rspots rct th ovra popuatio. Th survy i ot hav a rspos or or tha o rac as a optio. Hispaic or Latio is a thic siatio a ca b o ay rac. Tab 2: A o Rspots A Cohort (=1,136) % Survy Rspots Ur Data or ra popuatio is ot avaiab i th sa a cohorts as rqust i survy so coparisos caot b a. Tab 3: Rsic o Rspots by Prct Rsicy (= 1,141) Fu Ti Rsit 95% Part Ti 5% City or Tow (=1,138) Avo Par 26.2 % La Paci 19.2 % Loria 1.5 % Sbri 49.2 % Spri La 2.2 % Vus 0.3 % Othr 1.5 % Sbri, Avo Par a La Paci ar th thr icorporat citis i Hihas Couty i ra o popuatio, but th aority o th popuatio rsis i uicorporat aras. Iiviuas ay hav rport rsic by arst couity or aii arss. Loria, Spri La a Vus ar a i uicorporat Hihas Couty. Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

7 Tab 4: Eucatio Lv o Rspots as Copar With Hihas Couty Tota Popuatio Hihst Gra copt (= 1,136) % Rspots % Popuatio* Etary/Mi Schoo Hih Schoo Dipoa or GED Tchica or Tra Schoo 8.1 /a Couity Co 22.6 /a Bachor s Dr Grauat Dr *Sourc: US Csus Burau, Arica Couity Survy Iiviuas with ss tha a hih schoo ucatio wr urrprst i th survy a iiviuas with bachor s rs a avac rs wr ovr rprst. Th survy rquir ost rspots to hav th abiity to ra a writ i orr to copt th survy which ay accout or so o th ur-rprstatio. Svra poyrs proot th survy to thir poys which ay accout or th ovrrprstatio o hihr vs o ucatio. Tab 5: Aua Housho Ico o Rspots Aua Housho Ico (=1,133) Prct Lss tha $10, $10,000-$20, $21,000-$30, $31,000-$50, $51,000-$99, $100,000 or or 8.0 Data or ra popuatio is ot avaiab i th sa ico cohorts as rqust i survy so coparisos caot b a. Tab 6: Hath Car Covra Typ o Hath Isurac ( = 1,133) % % Rspots Popuatio* Hath Isurac ro y ob Hath isurac ro aiy br s ob 2.6 /a Miitary (Tricar) or VA Pay or y ow Micar/Micar Avata Micai/ay i Othr 2.7 /a * Sourc: US Csus Burau, 2009 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

8 Not: Iiviuas ay hav or tha o provir. Pay or y ow icus suppta Micar poicis; Micai icus oit Micar/Micai. Prsos ovr 65 ay aso hav poyr provi covra. Micar a VA/Tricar rcipits wr urrprst; howvr, thr wr icosistcis i rsposs to qustios rari isurac covra i th survy so cautio shou b us i ai coparisos with th ra popuatio. So rspots i ot appar to thi o Micar a Micai as hath isurac proras. So rspo that thy i ot hav hath isurac i qustio #7, but th chc Micar or Micai i qustio #20. So rspots sai thy i ot hav hath isurac i qustio #7 a th chc hath isurac ro a aiy br i qustio #20. So rspots hav or tha o or o isurac - Micar a Micai; Micar a a suppta; Micar a Tricar, tc. but th survy st-up oy aow th rspot to chc o box. Wh icorporati prit survys ito Survy Moy, a try cr sct what thy biv to b th irst payr or priary or o isurac a rcor oy that o. II. Prsoa Hath Status a Quaity o Car Qustio: How o you rat your ovra hath? Ovra 55% o a rspots (= 1,184) rat thir hath as oo. Bacs (=107) rat thir hath as xct or tha ay othr roup. Whits (= 800) ost ot rat thir ovra hath as oo. Pop who aswr th survy i Spaish (=92) rat thir hath ost ot as air. Hispaic/Latio thicity (=192) rat thir ovra hath as oo, but ary 1/3 rat thir hath as air. Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

9 Ovra Hath- A Rsposs o't ow 1% air 20% poor 3% xct 21% oo 55% Ovra Hath -Aswr i Spaish o't ow 3% poor 6% xct 21% air 46% oo 24% Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

10 Ovra Hath-Hispaic/Latio Do't Kow 3% Poor 4% Exct 24% Fair 32% Goo 37% Ovra Hath- Bac Fair 26% Do't Kow 2% Poor 4% Exct 31% Goo 37% Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

11 Ovra Hath-Whit air 17% poor 3% o't ow 1% xct 20% oo 59% Qustio: How wou you rat th quaity o hath car srvics i Hihas Couty? Ratis or quaity o car wr airy cosistt ao a rac/thicitis but Spaish spars prciv a owr quaity o car. Quaity o Car- A Rspots Do't Kow 3% Poor 11% Exct 10% Fair 36% Goo 40% Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

12 Quaity o Car-Spaish Spars Do't Kow 2% Poor 5% Exct 15% Fair 51% Goo 27% Quaity o Car-Bacs Do't Kow 3% Poor 8% Exct 15% Fair 24% Goo 50% Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

13 Quaity o Car Hispaic/Latio Do't Kow 5% Poor 9% Exct 10% Fair 37% Goo 39% Quaity o Car-Whits Do't Kow 3% Poor 11% Exct 9% Fair 36% Goo 41% Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

14 III. Accss to Car Qustio: Whr o you o toay i Hihas Couty i you wr sic a ica hp? Rspos % A Rspots (=1,181) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) My octor s oic Privat ciic Hihas Couty Hath Dpartt Ctra Foria Hath Car Saarita s Touch Hospita Ercy Roo I o t hav aywhr to o wh I a sic Othr Spaish spars ar or iy to o th Hihas Couty Hath Dpartt a ar ast iy to o a hospita rcy roo. Not: Othr rsposs icu VA ciic or hospita; octor s oic i Orao, Po, Hisborouh, Har, or othr Coutis; s avic o aiy br who is i ica i; urt car ctr; it wou p o syptos; owhr i Hihas Couty; try octor irst th o to ER i ca t t i. Qustio: Whr wou you o toay i Hihas Couty i your chir/pts ica hp? Rspos I o t hav chir or pts Hospita Ercy Roo % A Rspots (=1,175) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

15 Rspos My octor s or piatricia s oic Hihas Couty Hath Dpartt Ctra Foria Hath Car Saarita s Touch Schoo ciic or urs I o t ow o ay pac whr I cou o % A Rspots (=1,175) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) Othr A roups iicat a octor or piatricia as th ost rqut choic i tti car or a chi or pt. Not: Most othr rsposs cou b attribut to o o th catoris iicat. Not: So rspots ay hav itrprt th abov two qustios to a i a rcy situatio, whi othrs itrprt th to a i a o-rcy situatio. Qustio: Do you hav a ica provir who you s at ast oc a yar or prvtiv srvics such as hath scris a boo tsts? Rspos Ys, i Hihas Couty Ys, outsi o Hihas Couty % A Rspots (=1,175) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) No Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

16 Spaish spars a Hispaic/Latios wr ss iy to hav a ica provir or prvtiv srvics. Qustio: I th past iv yars hav you rciv ica car ro ay octors who spciaiz i o ara o hath car, such as hart, u, visio or hari? (Chc a that appy). Rspos Ys, i Hihas Couty Ys, outsi o Hihas Couty % A rspots (=1,173) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) No I o t rbr i I hav Whits rport or out-o-couty provirs or spciaty car tha ay othr roup. Qustio: Wh you t a prscriptio or icatio, what o you o? (Chc a that appy). Rspos Prscriptio i i Hihas Couty Fi outsi o Hihas Couty Fi outsi o th US Buy OTC ista A Rspots (=1,171) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Fr saps Fr ro ru copay Hrba Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

17 Rspos A Rspots (=1,171) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Ca t aor Do t ay Othr A arr prct o Spaish Spars a Hispaic/Latios rport ot bi ab to aor prscriptios. Whits a Bacs rport usi r saps or tha othr roups. Spaish Spars a Hispaic/Latios rport or us o ovr-th coutr icatios i pac o th prscriptio icatio. Not: 74% o othr rsposs iicat ai orr pharacy, ay iicati that it was a rquirt o thir isurac. VA ciic was spciicay ist, as was ot bi ab to aor crtai xpsiv icatios. Qustio: May pop ac iacia chas i accssi th hath car syst. Doctor a hospita visits ca b xpsiv. Isurac prius ca b costy, a v with isurac covra ca b iaquat. Pas chc a o th oowi that appy to you. Rspos Do t hav isurac a caot aor to pay out-o-poct or y car Do t hav isurac a ca t aor to pay th hath isurac prius Hav isurac, but I hav a hih uctib a co-pays Hav isurac but ca t i provirs who wi accpt it Not iib or hath isurac u to hath or othr prob A Rspots (=1,163) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Not iib or hath Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

18 Rspos isurac u to y citizship/iiratio status No iacia iicutis that prvt ro tti car A Rspots (=1,163) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Othr Spaish spars a Hispaic/Latios rport or iicuty i aori isurac. Approxiaty 1/3 o Whits a Bacs rport havi isurac but havi hih uctibs a co-pays. Ovra 1/3 o rspots rport o iacia iicutis prvti th ro tti car. Not: Othr rsposs icu 17% who iicat havi Micai; havi troub ii provir who accpts covra; ot bi ab to covr pts o thir pa u to cost; 355 iicat thy ha isurac with rasoab uctibs a co-pays; hav Micar but o suppt; oy ab to aor it bcaus poyr provi it. Qustio: Lac o trasportatio a o rivi tis aso ca b barrirs to accssi ica srvics. Pas chc a o th oowi that appy to you. Rspos Do t hav a car to t to ica appoitts Ry o ris to ta to y ica appoitts Ry o ica trasport to ta to y ica appoitts A Rspots (=1,162) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

19 Rspos Ry o taxis to ta to y ica appoitts I o t hav ay way to t to ica appoitt Hav trasportatio optios but ca t aor to pay or th Hav trasportatio optios but I o t wat th o cout No probs with trasportatio A Rspots (=1,162) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Othr Most rspots rport o prob with trasportatio. Spaish spars a Hispaic/Latios rport ot havi a car at hihr rats tha othr roups. Not: Most othr cots cou b attribut to o o th rsposs iicat. O rspos iicat as prics too hih. Qustio: Thr ar othr rasos that soo ay ot accss hath car srvics. Pas chc a o th oowi that appy to you. Rspos Do t ow what srvics ar avaiab % A Rspots (=1,159) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

20 Rspos I a sptica about ctivss o srvics Arai y hath ioratio ay ot b pt coitia I a iscoura by o waits I hav iicuty arrai chi car I o t spa Eish w a I ay ot ursta what th octor ts I a ot a US citiz a ar probs with th a syst I o t hav ay o ths iicutis % A Rspots (=1,159) % Spaish Spars (=92) % Whit (=800) % Bac (=107) % Hispaic (=192) Othr Most rspots rport o aitioa probs accssi srvics. Lac o ow about avaiab srvics was rport ost rquty by Spaish spars. Spaish spars itii aua as a barrir. Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

21 Not: Th Eish prit vrsio o th survy or this qustio iavrtty oitt th rspos that ras I o t ow what srvics ar avaiab. It was ot oitt o th Spaish prit vrsio or o-i vrsio. Othr rsposs icu or bttr a or rsourcs or ta hath a substac abus i Hihas Couty; waiti too o or a appoitt or urt prob; octor s caci appoitts a havi iicuty rschui; icovit hours (o ws or vis); to trav outsi o couty or ica car. Qustio: Hihas Couty is i a oraphic ara siat by th Fra ovrt as a hath prossioa shorta ara. Hav you ou it iicut to obtai ay o th oowi srvics? (Chc a that appy). Rspos Atrativ thrapy (Hrbas, acupuctur) Abuac srvic Chiropractic car A Rspots (=1,152) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Dta Ercy roo Eocriooy Faiy pai Hath ucatio Hari Ipatit hospita car Mica suppis Mta hath/ cousi OB/Pracy Ocooy Cariooy Physica thrapy/rhab Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

22 Rspos A Rspots (=1,152) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Prscriptio icatios Prvtiv car Puoary Substac abus tratt Visio No iicuty obtaii ths or othr srvics Othr Whi th aority o rspots rport o iicuty accssi srvics, ta car a ta hath/cousi srvics wr rport as havi so accss issus. Ut s wr assss or othr roups icui rspots who iicat o ica provir that is s at ast oc a yar; rspots with o hath isurac; rspots upoy or o yar or or; rspots poy part-ti; rspots with o car to t to ica appoitts; rspots with isurac but hih uctibs a/or co-pays; a rspots who cou ot aor icatios. Dta, visio a ta hath/cousi wr cosistty i th top thr ut s across a roups. So ior variatios occurr as oows: Ao th icay isur who hav hih uctibs or co-pays (398), ta, ta hath/cousi a atrativ ici rat as th ost iicut to obtai. Ao thos who iicat thy cou ot aor thir icatios (63), icatios wr th sco ost iicut srvic bhi ta srvics with visio a ta hath ti or thir pac. Ao part-ti poy iiviuas (118) ocriooy was ra thir bhi ta a ta hath. Not: Othr rsposs icu o orthopic, phrooists, arists a y suros avaiab i couty or Micai; ac o rhuatooy, ratooy, GYN, urosuros, ta, ha spciaists, sports ici, cariooy, piatric spciaists o a typs icui ta hath, iwivs; Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

23 or xt hours; itary; trasportatio; troub tti appoitts wh sowbirs ar i rsic. IV. Quaity o Li Iicators Quaity o Li qustios wr oy avaiab to o-i rspots. Maxiu ubr o rsposs i this ba o qustios was 481. Qustio: Is Hihas Couty a oo pac to rais chir? Pas rat th Couty i trs o th quaity o th oowi srvics. Srvic % % Do't Exct % Goo % Fair % Poor ow Schoo syst (479) Day Car (474) Atr schoo car (475) Rcratio (480) Evirot (479) Not: 387 o tota rspots rport ot havi chir or othr pts a btw 172 a 174 o thos rspots aswr th quaity o i qustios rat to Hihas Couty bi a oo pac to rais chir. No o th srvics ha stro ratis o xct. Rcratio srvics show roo or iprovt with th aority rati srvics as air or poor. Rspots i ar part i ot ow about th quaity o ay car a atr schoo proras. Evirot was rat oo to xct by ary 60% o rspots. Qustio: Is Hihas Couty a oo pac to row o? Pas rat th Couty i trs o th quaity o th oowi srvics. Srvic % Do't % Exct % Goo % Fair % Poor ow Er riy housi (476) Trasportatio (475) Churchs (477) Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

24 Srvic % Do't % Exct % Goo % Fair % Poor ow Shoppi (475) Er ay car (475) Socia support (477) Srvics/activitis (477) Trasportatio was rat as poor by or tha ha o th rspots. Nary ha o rspots i t ow about th quaity o r ay car, a aost a thir i t ow about socia support srvics. Churchs wr th strost srvic with 79% o rspots rati th as xct or oo. No othr srvic ha stro ratis or xct. Shoppi was rat air to oo by 72% o rspots. Qustio: Do you thr is cooic opportuity i Hihas Couty? Pas rat th Couty i trs o th quaity o th oowi srvics. % Poor % Do't ow Iicator % Exct % Goo % Fair Locay ow busiss (476) Jobs with rowth (476) Hihr ucatio (473) Aorab housi (476) Rasoab cout (476) Mor rspots ha opiios about cooic iicators tha othr quaity o i qustios, i.. wr I o t ow rsposs. Jobs with rowth a hihr ucatio ra poor or or tha ha o rspots. Rasoab couti tis wr rat as oo or xct by 54% o rspots. Housi aorabiity was rat ost ot as air. Two-thirs o rspots rat ocay ow busiss as air or poor i Hihas Couty. Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

25 Qustio: Do you your couity is a sa pac to iv? Pas rat th xtt to which you sa i th oowi sttis. Stti % Exct % Goo % Fair % Poor % Do't ow Ho (476) Worpac (474) Schoos (474) Payrous (475) Pars (472) Rspots wr ss iy to ow about payrou a schoo scurity tha othr sttis. Schoos wr rat as ss sa tha hos or worpacs. Ovra, rspots sa i thir couity. Qustio: Is thr a twor o support i Hihas Couty or iiviuas a aiis uri tis o strss a crisis? Pas rat th xtt to which you biv thr is a twor i th oowi situatios. % Exct % Goo % Fair % Poor % Do't ow Ntwor Mica crisis (473) Mta hath crisis (472) Substac abus crisis (472) Pracy (470) Fiacia crisis (473) Dath (472) Chir with spcia s (466) Kow o support twors was ow ovra. Mica a pracy criss rat hihr tha othr twors. Mta Hath, substac abus, chir with spcia, a iacia criss twors wr rat ost cooy as poor. Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

26 V. NOTES ON SUBPOPULATIONS Whi ot statisticay vaiat, th oowi obsrvatios o subpopuatios rsposs ar or or cosiratio. Car shou b us i rawi cocusios ro th obsrvatios, but thy ay poit to opportuity or aitioa quaitativ aaysis. Siz o th subpopuatio is ot or rrc. No ruar ica provir (=252) Mor iy to us ER thsvs but try to ta a pt to a octor s oic Lss iy to hav s a spciaist i ast 5 yars Mor iy to rport iabiity to aor icatio but aso hihr rats o ot i ay icatio Aost 18% rport o iacia iicutis obtaii car Ca t aor icatio (=63) 52.4 % rat prsoa hath as air Wou us Hihas Couty Hath Dpartt or thsvs but wou o to physicia or pt Lss iy to hav a ruar provir (71.4%) Lss iy to hav isurac (69.8%) Not ow what srvics ar avaiab (36.5%) 38% rport o iicuty obtaii car Upoy ovr 1 yar (=77) 48% rat prsoa hath as oo Wou sti o to thir octor as wou pts 56% o t hav a provir 50% o t hav hath isurac Most i a cohort No isurac/ca t aor car (=205) 53% rat prsoa hath as xct or oo Wou us Hihas Couty Hath Dpartt or thsvs but wou o to physicia or pt 60% o t hav a ruar ica provir 40% rat quaity o car as air Has hath Isurac with hih uctibs a/or co-pays (=398) Rport wr issus with accss Part ti poy (=118) 68% rat prsoa hath as oo Go to thir octor or car Rciv spciaty car i ast 5 yars Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

27 Ca t aor a o t hav hath isurac No car (=55) 33% rat prsoa hath as air Wou o to octor s oic but wou p o a ri to ta th 47% rport o hath isurac 34% rat th quaity o car oo Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

28 APPENDIX A SURVEYS Hihas Couty Couity Hath Survy Aaysis, Hath Couci o wst Ctra Foria

29 PRINT SURVEY-ENGLISH Hihas Couty Couity Hath Survy Aaysis, Hath Couci o wst Ctra Foria

30 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o wst Ctra Foria

31 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o wst Ctra Foria

32 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o wst Ctra Foria

33 PRINT SURVEY- SPANISH Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

34 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

35 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

36 Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

37 ON-LINE SURVEY- ENGLISH Hihas Couty Couity Hath Survy Aaysis, Hath Couci o Wst Ctra Foria

38 Hihas Couty Couity Hath Survy ThCouityHathIprovtPaiCouci(CHIP)oHihasCouty,icouctiowiththHihas CoutyHathDpartt,iscouctiaCouityHathSurvy.Wivityoutoassistusbycoptith survyashariyouropiiosabouthathcarsrvicsihihascouty.pasotthatthisisacopty aoyoussurvy.youraswrswibptstrictycoitia. Thsurvyicus25utipchoicqustios,whichwitayouapproxiaty15iutstoaswr.Wwi rportthrsutsimay. Thayouoryourparticipatio.WapprciatyourhpiaiHihasCoutyahathirpactoiv! *1. How o you rat your ovra hath? (Chc o sctio) Exct Goo Fair Poor Io'tow *2. Whr wou you o toay i Hihas Couty i you wr sic a ica hp? Pas choos oy o. Iwouotoyoctor'soic Iwouotoaprivatciic IwouotothHihasCoutyHathDpt IwouotoCtraForiaHathCar IwouotoSaarita'sTouchCarCtr Iwouotoahospitarcyroo Io'thavaywhrtoowhIasic Othr(passpciy) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 35

39 Hihas Couty Couity Hath Survy *3. Whr wou you o toay i Hihas Couty i your chir/pts wr sic a ica hp? Pas choos oy o. Io'thavchirorpts Othr Iwouotoahospitarcyroo Iwouotoyoctor'sorpiatricia'soic IwouotothHihasCoutyHathDpt IwouotoCtraForiaHathCar IwouotoSaarita'sTouchCarCtr Iwouoaschoociicorurs Io'towoaypacwhrIcouo. Othr(passpciy) *4. Do you hav a ica provir who you s at ast oc a yar or prvtativ Othr srvics, such as hath scris a boo tsts? Ys,IhavaicaproviriHihasCoutywhoIsatastocayar. Ys,IhavaicaproviroutsiHihasCoutywhoIsatastocayar. No,IoothavaicaprovirwhoIsatastocayar. *5. I th past iv yars, hav you rciv ica car ro ay octors who spciaiz i o ara o hath car, such as hart, u, visio, or hari? Pas chc a that appy. c Ys,IhavrcivcarrooororspciaistsiHihasCoutyithpastivyars. c Ys,IhavrcivcarrooororspciaistsoutsiHihasCoutyithpastivyars. c No,Ihavotsaspciaistithpastivyars. c Io'trbrwhthrorotIhavsaspciaist. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 36

40 Hihas Couty Couity Hath Survy *6. Wh you t a prscriptio or a icatio, what o you o? Pas chc a that appy. c ItthprscriptioiatapharacyiHihasCouty. c ItthprscriptioiatapharacyoutsiHihasCouty. c ItthprscriptioioutsithU.S. c Ibuyaovrthcoutriciista. c Itrsapsroyoctor. c Ica'taorprscriptioicatios. c Io'tayprscriptioicatios. c Othr(passpciy) c Itricirorucopais. c Iushrbarisista. *7. May pop ac iacia chas i accssi th hath car syst. Doctor a hospita visits ca b xpsiv. Isurac prius ca b costy, a v with isurac, covra ca b iaquat. Pas chc a o th oowi that appy to you. c Io'thavhathisuracacaotaortopayout o poctoricasrvics. c Io'thavhathisuracacaotaortopaythhathisuracprius. c Ihavhathisurac,butIhavahihuctibaco pays. c Ihavhathisurac,butIca'tiprovirswhowiaccptit. c Iaotiiborhathisuracutohathorothrprobs. c Iaotiiborhathisuracutoycitizship/iiratiostatus. c Io'thavayiaciaiicutisthatprvtrottihathcar. c Othr(passpciy) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 37

41 Hihas Couty Couity Hath Survy *8. Lac o trasportatio a o rivi tis aso ca b barrirs to accssi ica srvics. Pas chc a o th oowi that appy to you. c Io'thavacartottoyicaappoitts. c Iryoristotatoyicaappoitts. c Iryoicatrasportsrvicstotatoyicaappoitts. c Iryotaxistotatoyicaappoitts. c Io'thavaywaytottoyicaappoitts. c Ihavtrasportatiooptios,butIca'taortopayorth. c Ihavtrasportatiooptios,butIo'twatthocout. c Io'thavayprobswithtrasportatio. c Othr(passpciy) *9. Thr ar othr rasos that soo ay ot accss hath car srvics. Othr Pas chc a o th oowi that appy to you. c Io'towwhatsrvicsaravaiab. c Iaspticaaboutthctivssosrvics. c Iaaraithatyhathioratioayotbptcoitia. c Iaiscourabyowaitsorappoittsasrvics. c Ihaviicutyarraichicar. c Io'tspaEishvrywathiIayoturstawhatthoctorts. c IaotaU.S.citiz,aarprobswiththasyst. c Io'thavayothsiicutis. c Othr(passpciy) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 38

42 Hihas Couty Couity Hath Survy *10. Hihas Couty is i a oraphic ara siat by th Fra ovrt as a hath prossioa shorta ara. Hav you ou it iicut to obtai ay o th oowi srvics? Pas chc a that appy. c Atrativthrapy(hrbas,acupuctur) c Abuacsrvics c OB/PracyCar c Chiropracticcar(orthtrattobacaspiaprobs) c Dtacar c Ocooysrvics(orthtrattocacr) c Cariooysrvics(orthtrattohartisorrs) c Ercyroocar c Physicathrapy,rhabthrapy c Eocriooysrvics(orthtrattothyroiaothr horoaoraisorrs) c Faiypai/birthcotro c Hathucatioproras c Harisrvics c Mtahath/cousi c Prvtivcar c Othr(passpciy) c Puoarysrvics(orthtrattoastha,brathi,a othruisorrs) c Substacabussrvics c Ipatithospitacar c Micasuppis c Prscriptios/icatios c Visiocar c Ihavothaiicutyobtaiithsorothrsrvics. *11. How wou you rat th quaity o th hath car srvics i Hihas Couty? Exct Goo Fair Poor Io'tow Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 39

43 Hihas Couty Couity Hath Survy *12. Is Hihas Couty a oo pac to rais chir? Pas rat th Couty i trs o th quaity o th oowi srvics. Exct Goo Fair Poor Do'tKow Schoosyst Daycar Atrschoocar Rcratio Evirot *13. Is Hihas Couty a oo pac to row o? Pas rat th Couty i trs o th quaity o th oowi srvics. Exct Goo Fair Poor Do'tow Erriyhousi Trasportatio Churchs Shoppi Eraycar Sociasupport oraizatiosaacis Srvicsaactivitis *14. Do you thr is cooic opportuity i Hihas Couty? Pas rat Hihas Couty i trs o whthr it ors th oowi. Exct Goo Fair Poor Do'tow Aorabhousioptios Rasoabcouti Locayowa opratbusisss Jobswithcarrrowtha obtraii Hihrucatio opportuitis tis Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 40

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