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
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 - www.hathcoucis.or Or Cotact Us: Hath Couci o Wst Ctra Foria, Ic. 9600 Kor Bv., Suit 221 St. Ptrsbur, FL 33702 727-217-7070 727-570-3033 (Fax)
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
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, 2012. 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, 2012 1 Hath Couci o Wst Ctra Foria
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 23.3 48.9 Fa 76.7 51.1 Rac/Ethicity (=1,137) Bac/Arica Arica 9.4 9.3 Whit 70.4 80.7 Hispaic or Latio 16.9 17.8 Asia/Paciic isar 1.1 1.3 Nativ Arica 0.7 0.4 Haitia 0.1 /a Othr/or tha o 1.5 8.3 *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, 2012 2 Hath Couci o Wst Ctra Foria
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 18 0.3 18-25 11.3 26-39 23.3 40-54 26.6 55-64 20.1 65-74 11.8 75+ 6.7 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, 2012 3 Hath Couci o Wst Ctra Foria
Tab 4: Eucatio Lv o Rspots as Copar With Hihas Couty Tota Popuatio Hihst Gra copt (= 1,136) % Rspots % Popuatio* Etary/Mi Schoo 4.8 24.0 Hih Schoo Dipoa or GED 35.0 37.9 Tchica or Tra Schoo 8.1 /a Couity Co 22.6 /a Bachor s Dr 16.2 9.5 Grauat Dr 13.3 4.3 *Sourc: US Csus Burau, 2005-07 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 $10,000 18.0 $10,000-$20,000 16.5 $21,000-$30,000 17.2 $31,000-$50,000 18.3 $51,000-$99,999 22.0 $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 41.0 37.0 Hath isurac ro aiy br s ob 2.6 /a Miitary (Tricar) or VA 3.2 13.5 Pay or y ow 14.6 25.0 Micar/Micar Avata 13.2 33.7 Micai/ay i 18.1 20.0 Othr 2.7 /a * Sourc: US Csus Burau, 2009 Hihas Couty Couity Hath Survy Aaysis, 2012 4 Hath Couci o Wst Ctra Foria
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, 2012 5 Hath Couci o Wst Ctra Foria
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, 2012 6 Hath Couci o Wst Ctra Foria
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, 2012 7 Hath Couci o Wst Ctra Foria
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, 2012 8 Hath Couci o Wst Ctra Foria
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, 2012 9 Hath Couci o Wst Ctra Foria
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, 2012 10 Hath Couci o Wst Ctra Foria
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 66.0 23.9 72.8 56.1 40.1 oic Privat ciic 2.2 1.1 2.1 1.9 2.1 Hihas Couty Hath Dpartt 8.3 41.3 4.4 10.3 25.5 Ctra Foria Hath Car Saarita s Touch Hospita Ercy Roo I o t hav aywhr to o wh I a sic 4.7 17.4 2.9 9.3 10.9 1.9 4.3 1.5 0.9 4.2 10.2 6.5 9.3 18.7 11.5 3.6 4.3 3.6 0.9 5.2 Othr 3.0 1.1 3.4 1.9 0.5 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) 32.9 14.1 38.9 25.2 16.7 9.6 6.5 7.9 22.4 11.5 Hihas Couty Couity Hath Survy Aaysis, 2012 11 Hath Couci o Wst Ctra Foria
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) 46.1 37.0 45.9 42.1 44.3 4.4 26.1 2.0 4.7 15.6 3.3 14.1 1.8 4.7 9.4 0.5 1.1 0.6 0 0.5 0 0 0 0 0 1.2 1.1 1.3 0 1.0 Othr 2.0 0 1.8 0.9 1.0 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) 69.5 58.7 71.1 73.8 60.4 9.0 2.2 9.8 9.3 4.2 No 21.4 39.1 19.1 16.8 35.4 Hihas Couty Couity Hath Survy Aaysis, 2012 12 Hath Couci o Wst Ctra Foria
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) 53.6 50.0 75.7 44.9 44.8 17.6 4.3 20.5 13.1 8.3 No 31.2 29.3 28.8 39.3 37.0 I o t rbr i I hav 4.5 16.3 2.8 4.7 10.9 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) 79.1 55.4 80.5 85.0 70.3 13.5 1.1 16.5 1.9 3.1 0.6 0 0.5 0.9 0.5 4.5 9.8 3.3 2.8 8.9 Fr saps 8.9 1.1 9.8 12.1 3.6 Fr ro 1.2 3.3 1.0 1.9 2.1 ru copay Hrba 4.3 3.3 3.8 3.7 5.2 Hihas Couty Couity Hath Survy Aaysis, 2012 13 Hath Couci o Wst Ctra Foria
Rspos A Rspots (=1,171) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Ca t aor 5.4 27.2 3.6 1.9 16.1 Do t 4.0 2.2 3.8 4.7 5.2 ay Othr 5.0 0 6.1 1.9 3.1 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) 17.2 51.1 11.5 24.3 38.5 8.5 27.2 6.1 8.4 19.8 34.2 16.3 35.4 27.1 24.5 7.1 6.5 7.1 5.6 7.8 0.9 1.1 0.9 0.9 0.5 Not iib or hath 1.1 12.0 0.1 0.9 5.7 Hihas Couty Couity Hath Survy Aaysis, 2012 14 Hath Couci o Wst Ctra Foria
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) 33.7 6.5 39.4 35.5 15.1 Othr 7.9 0 8.6 7.5 3.6 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) 4.7 15.2 3.0 9.3 10.4 5.4 5.4 4.5 7.5 8.3 2.5 4.3 1.5 10.3 3.1 Hihas Couty Couity Hath Survy Aaysis, 2012 15 Hath Couci o Wst Ctra Foria
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) 0.9 1.1 0.5 1.9 2.1 1.0 3.3 0.3 0.9 4.2 5.2 7.6 4.4 5.6 8.3 7.1 6.5 5.3 6.5 8.3 79.1 63.0 84.9 63.6 70.8 Othr 1.0 0.0 0.9 2.8 0.0 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) 7.6 45.7 4.0 0.0 25.0 Hihas Couty Couity Hath Survy Aaysis, 2012 16 Hath Couci o Wst Ctra Foria
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) 13.1 3.3 14.6 8.4 6.8 6.7 0.0 7.5 7.5 2.6 17.3 8.7 17.8 15.9 13.0 2.6 2.2 2.3 3.7 3.1 2.1 22.8 0.0 0.9 12.0 1.3 12.0 0.0 2.8 6.3 65.6 27.2 70.0 65.4 50.0 Othr 1.7 0.0 0.0 0.0 1.0 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, 2012 17 Hath Couci o Wst Ctra Foria
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) 9.3 2.2 9.6 8.4 5.2 1.8 2.2 1.4 2.8 3.1 3.0 2.2 3.4 0.0 3.1 Dta 17.7 30.4 15.4 15.0 28.6 Ercy 4.7 6.5 4.4 5.6 5.2 roo Eocriooy 9.2 4.3 10.9 4.7 5.2 Faiy 1.9 1.1 1.9 3.7 1.0 pai Hath 4.7 6.5 4.6 1.9 5.2 ucatio Hari 3.2 2.2 3.8 0.9 2.1 Ipatit 2.0 2.2 2.0 1.9 2.6 hospita car Mica 3.3 3.3 3.4 3.7 3.1 suppis Mta hath/ cousi 11.5 5.4 12.8 7.5 6.3 OB/Pracy 4.1 1.1 3.9 4.7 4.2 Ocooy 3.0 1.1 3.8 0.9 1.6 Cariooy 3.4 1.1 3.9 4.7 1.0 Physica thrapy/rhab 3.0 2.2 3.4 1.9 2.1 Hihas Couty Couity Hath Survy Aaysis, 2012 18 Hath Couci o Wst Ctra Foria
Rspos A Rspots (=1,152) Spaish Spars (=92) Whit (=800) Bac (=107) Hispaic (=192) Prscriptio 4.5 4.3 4.6 3.7 4.2 icatios Prvtiv 5.5 3.3 5.6 3.7 3.6 car Puoary 2.2 2.2 2.5 0.9 1.6 Substac abus tratt 3.0 1.1 3.6 0.9 1.0 Visio 6.8 7.6 6.4 7.5 7.8 No iicuty obtaii ths or othr srvics 55.6 46.7 56.9 64.5 47.4 Othr 5.6 0.0 6.5 1.9 3.6 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, 2012 19 Hath Couci o Wst Ctra Foria
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) 5.4 30.0 28.8 16.5 19.0 Day Car (474) 3.4 20.5 24.1 10.5 41.6 Atr schoo car (475) 4 17.5 23.2 13.3 42.1 Rcratio (480) 3.8 15.8 35.4 31.9 13.1 Evirot (479) 10.6 48.9 22.5 7.3 10.6 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) 10.7 31.5 23.3 6.3 28.2 Trasportatio (475) 2.7 9.5 18.9 53.9 14.9 Churchs (477) 35.4 43.6 11.5 0.8 8.6 Hihas Couty Couity Hath Survy Aaysis, 2012 20 Hath Couci o Wst Ctra Foria
Srvic % Do't % Exct % Goo % Fair % Poor ow Shoppi (475) 6.1 30.3 42.3 17.5 3.8 Er ay car (475) 2.5 10.1 18.3 19.4 49.7 Socia support (477) 3.8 20.8 29.1 14.5 31.9 Srvics/activitis (477) 3.8 20.5 28.7 21.8 25.2 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) 4.2 32.4 43.9 15.8 3.8 Jobs with rowth (476) 1.3 10.3 32.4 53.2 2.9 Hihr ucatio (473) 6.8 27.1 36.4 53.2 2.9 Aorab housi (476) 2.9 25.2 37.8 23.3 10.7 Rasoab cout (476) 12.8 41.0 30.0 13.2 2.9 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, 2012 21 Hath Couci o Wst Ctra Foria
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) 32.8 50.2 14.7 0.8 1.5 Worpac (474) 34.6 51.1 11.0 0.6 2.7 Schoos (474) 10.1 40.5 24.5 5.3 19.6 Payrous (475) 6.1 34.5 26.9 6.5 25.9 Pars (472) 9.5 45.8 26.7 6.4 11.7 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) 7.2 31.1 26.0 12.9 22.8 Mta hath crisis (472) 2.1 12.9 24.4 32.6 28.0 Substac abus crisis (472) 1.9 8.7 22.7 30.7 36.0 Pracy (470) 6.0 25.1 22.6 11.7 34.7 Fiacia crisis (473) 1.7 8.2 22.0 34.0 34.0 Dath (472) 6.1 22.0 24.8 13.8 33.3 Chir with spcia s (466) 1.3 9.4 20.2 29.6 39.5 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, 2012 22 Hath Couci o Wst Ctra Foria
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 29-39 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, 2012 23 Hath Couci o Wst Ctra Foria
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, 2012 24 Hath Couci o Wst Ctra Foria
APPENDIX A SURVEYS Hihas Couty Couity Hath Survy Aaysis, 2012 25 Hath Couci o wst Ctra Foria
PRINT SURVEY-ENGLISH Hihas Couty Couity Hath Survy Aaysis, 2012 26 Hath Couci o wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 27 Hath Couci o wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 28 Hath Couci o wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 29 Hath Couci o wst Ctra Foria
PRINT SURVEY- SPANISH Hihas Couty Couity Hath Survy Aaysis, 2012 30 Hath Couci o Wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 31 Hath Couci o Wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 32 Hath Couci o Wst Ctra Foria
Hihas Couty Couity Hath Survy Aaysis, 2012 33 Hath Couci o Wst Ctra Foria
ON-LINE SURVEY- ENGLISH Hihas Couty Couity Hath Survy Aaysis, 2012 34 Hath Couci o Wst Ctra Foria
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
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
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
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
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
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
Hihas Couty Couity Hath Survy *15. Do you your couity is a sa pac to iv? Pas rat th xtt to which you sa i th oowi sttis. Exct Goo Fair Poor Do'tow Ho Worpac Schoos Payrous Pars *16. 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'tow Micacrisis Mtahathcrisis Substacabuscrisis Pracy Fiaciacrisis Dath Chirwithspcias *17. Pas iicat whthr you ar a u ti rsit or a part ti rsit o Hihas Couty. A part ti rsit rsis hr six oths or ss. Iaau tirsitohihascouty. Iaapart tirsitohihascouty. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 41
Hihas Couty Couity Hath Survy *18. What is th a o th city or tow i which you iv? AvoPar LaPaci Loria Sbri SpriLa Vus Othr(passpciy) *19. What is your rac/thicity? Pas choos oy o. Bac/AricaArica Whit/Caucasia HispaicorLatio AsiaorPaciicIsar NativArica Haitia Othr(passpciy) *20. What is your a? Ur18 18 25 26 39 40 54 55 64 65 74 75+ Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 42
Hihas Couty Couity Hath Survy *21. What is your r? Ma Fa *22. What is th hihst v o ucatio that you hav copt? Pas choos oy o. Etary/ischoo HihschooipoaorGED Tchicaortraschoo Couityco Four yarco/bachor'sr Grauat/avacr *23. What is your currt poyt status? (Pas choos a that appy c Epoy(u ti) c Epoy(part ti) c Upoy Lssthaoyar c Upoy Morthaoyar c Rtir c Disab c Stut(part ti) c Stut(u ti) c Iaotprstypoyorsiwor Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 43
Hihas Couty Couity Hath Survy *24. What is th approxiat tota ico o a arrs i your housho? (Pas choos oy o.) Lsstha$10,000 $10,000 $20,000 $21,000 $30,000 $31,000 $50,000 $51,000 $99,999 $100,000oror 25. What i o hathcar covra o you hav? Ircivhathisuracroyob. Ihavhathisuracoraaiybr'sob. IhaviitaryisuracoVAbits. Ipayoryowhathisurac. IhavMicarorMicarAvata. IhavMicai(ayi) Ioothavhathisurac. Othr(passpciy) Youhavowcoptthsurvy.Thayouvryuchorparticipati. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 44
ON-LINE SURVEY- SPANISH Hihas Couty Couity Hath Survy Aaysis, 2012 45 Hath Couci o Wst Ctra Foria
Hihas Couty Couity Hath Survy (Spaish) EcosoPaiicacióacouia,(siasis)(CHIP)CoaoHihas,coutoco DpartatoSau,stávaoacabouaEcustaSauCouitaria.Livitaosaquosayua coptaracustaycopartirsusopiiosacrcaossrviciossaucoaohihas.ta cutaqustasuacustatotataóia.susrspustassrástrictatcoicias. Estacustaicuy25prutassccioaútips,stovaatoaraproxiaat15iutos cotstar.losrsutaosacustasaráacoocrsmayo. Graciasporsuparticipació,stoosvaaayuarahacrCoaoHihasusitiouchoassauab. *1. Coo vaora ust su sau ra? (Marqu ua scció) Exct Buo Ruar Pobr Nos *2. Dó t ustaría ir hoy Coao Hihas, si s ra y csita ayua éica? Por avor, ia sóo uo. Mustaríairaaoiciaioctor Mustaríairauacíicaprivaa AcuiriaaDpartatoSauCoaoHihas. Yoiríaa CtraForiaHathCar. Mustaríairaciica Saarita stouchcarctr. Mustaríairaasaarciasuhospita Notoaoircuaostoyro Otro(avorspciicar) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 46
Hihas Couty Couity Hath Survy (Spaish) *3. Dó t ustaría ir hoy Coao Hihas si sus hios / pits sta ros y csitaba atció éica? Por avor, ia sóo uo. Yootohiosopits Mustaríairaasaarciasuhospita Mustaríairaaoiciaiéicoopiatra IriaaDpartatoSauCoaoHihas Yoiríaaa CtraForiaHathCar. Mustaríairaaciica SaaritaTouchCarCtr. Yoiríaauacíicaascuaoarra Noséiúuaropuirair. Otro(avorspciicar) *4. Ti ust u provor srvicios éicos qu pua vr a os ua vz a año para os srvicios prvtivos, coo xás éicos y prubas sar? Sí,touprovoratcióéicaCoaoHihasquvoporoosuavzaaño. Sí,touprovorsrvicioséicosuraCoaoHihasquvoporoosuavzaaño. No,otouéicoaquivoporoosuavzaaño. Otro *5. E os útios cico años, ha rcibio atció éica os éicos qu s spciaiza u ára a sau, tas coo corazó, puó, visió o auició? Por avor, arqu o qu corrspoa. c Sí,hrcibioaatcióuooásspciaistasCoaoHihas,osútioscicoaños. c Sí,hrcibioaatcióuooásspciaistasuraCoaoHihas,osútioscicoaños. c No,ohvistoauspciaistaosútioscicoaños. c Norcurosihvistoauspciaista. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 47
Hihas Couty Couity Hath Survy (Spaish) *6. Cuao rcibs ua rcta para u icato, qué hacs? Por avor, arqu o qu corrspoa. c ToarctauaaraciaCoaoHihas. c ToarctauaaraciauraCoaoHihas. c ToarctauraosEE.UU. c Euarcopraricatoporrcta,coprosirctaauaotraquspuaayuar c Puocosuirustrasratisiéico. c Obtoicatosratuitosascopaisaracuticas c Puousarrioshirbascasros. c Nopuopaarosicatosrctaos. c Yoocsitoosicatosporrcta. c Otro(avorspciicar) *7. Muchas prsoas rta iicutas iaciras para tr accso a sista sau. Las visitas a éico y hospita pu sr costoso. Las prias suro pu sr costosos, icuso co suro, a cobrtura pu sr iacuaa. Por avor, arqu toas as qu s apiqu a ust. c Notosuroéicoyopupritiruopaaribosioporossrvicioséicos. c Notosuroéicoyopupritiruopaaraspriassurosau. c Yotosurosau,protiuatoucibyco paos. c Yotosurosau,proopuocotrarprovorsquoacpt. c Yoosoyibparasurosaubioaprobassauootrotipo. c Yoosoyibpararcibirsurosaubioaicoicióciuaaía/iiració. c Notoiuaiicutaiaciraquipiobtratcióéica. c Otro(avorspciicar) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 48
Hihas Couty Couity Hath Survy (Spaish) *8. La ata trasport y aras istacias tabié pu sr barrras para accso a os srvicios éicos. Por avor, arqu toas as qu s apiqu a ust. c Notoucochparairaiscitaséicas. c Puocoiarosaiosquvaraaiscitaséicas. c Coíoquossrviciostrasportéicoparaquvaraaiscitaséicas. c Coíoos taxis paraquvaraaiscitaséicas. c Notoiuaaraaraiscitaséicas. c Toopciostrasport,proopuopritiruopaarporos. c Toopciostrasport,proosohacrarovia. Otro Yootoiúprobacotrasport. c c Otro(avorspciicar) *9. Hay otras razos qu ua prsoa o pu accsar a os srvicios csarios sau. Por avor, arqu toas as qu s apiqu a ust. c Noséquésrviciosstáispoibs. c Torsrvassobraicaciaossrvicios. c Mtoquiioraciósauopusrcoicia. c Estoysaiaoporasarassprasparaascitasyossrvicios. c Toiicutaparahacrarroscuiaoosiños. c YoohabouybiIésycroquoputroquéicoic. c YoosoyuciuaaoosEE.UU.,yosprobasiocosistaa. c Yootoiuastasiicutas. c Otro(avorspciicar) Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 49
Hihas Couty Couity Hath Survy (Spaish) *10. E Coao Hihas s cutra u ára oráica siaa por obiro ra coo u ára co scasz prosioas a sau. Ha tio iicutas para obtr cuaquira os siuits srvicios? Por avor, arqu o qu corrspoa. c Trapiasatrativas(hirbas,acuputura,tc) c Lossrviciosabuacia c OB/CuiaoPr ata. c Loscuiaosquiroprácticos(paratrataitoprobas spaaycouavrtbra) c Ecuiaota. c Ocooíasrvicios(paratrataitocácr) c SrviciosCariooía(paratrataitotrastoros corazó) c Saasrcias c Trapiaísica,trapiarhabiitació c SrviciosEocriooia(paratrataitoatiroisy otrostrastoroshoroasóraos) c Paiicacióaiiar/cotroaataia c Proraasucacióparaasau c Srviciosparaapriaauitiva c Otro(avorspciicar) c Rctas/icias c Laatcióprvtiva c Srviciospuoar(paratrataitoasa,arspiració yotrostrastorospuoars) c Laatcióparapacitshospitaizaos c Suiistroséicos c Dsauta/cosría c Abusosustaciascotroaas c Cuiaoavisió c Nohtioiicutaparaobtrstosuotrossrvicios. *11. Cóo caiicaría a caia os srvicios sau Coao Hihas? Exct Buo Justo Pobr Nosé Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 50
Hihas Couty Couity Hath Survy (Spaish) *12. Es Coao Hihas u bu uar para criar a os hios? Favor caiicar coao, cuato a a caia os srvicios siuits. Exct Bua Ruar Maa Nosab Dsistascoar Datcióiura Dspuésascua Rcració Mioabit *13. Es Coao Hihas s u bu uar para vcr? Favor caiicar coao cuato a a caia os srvicios siuits. Exct Bua Ruar Maa Nosab Trasport Isias Copras EcuiaoEvcits Oraizaciosy/o Maorabit vivia aciasayua Srviciosyactivias *14. Cr qu hay oportuia coóica Coao Hihas? Por avor caiiqu Coao Hihas, térios si orc os siuits: Eprsaspropia Exct Bua Ruar Maa Nosab ocayopraos Lostrabaossaroo prosioay/o traitoabora Oportuias ucaciósuprior Opciosvivia aquirorao Tipotrasport razoab Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 51
Hihas Couty Couity Hath Survy (Spaish) *15. Sit qu su couia s u uar suro para vivir? Favor caiicar rao qu ust s sit suro a siuit coiuració. Exct Bua Ruar Maa Nosab Casa Luartrabao Escuas Patiosscoars Parquspubicos *16. Exist ua r apoyo Coao Hihas para iiviuos y aiias otos strés y crisis? Favor caiicar rao qu ust cr qu hay ua r as siuits situacios. Exct Bua Ruar Maa Nosab Crisiséica Crisissauta Crisisosabusos Ebarazo Crisisiacira Murt Niñoscocsias sustacias spcias *17. Por avor, iiqu si ust s u rsit a tipo copto o u rsit a tipo parcia Coao Hihas. U rsit tipo parcia rsi aquí sis ss o os. YosoyursitatipocoptoCoaoHihas. YosoyursittipoparciaCoaoHihas. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 52
Hihas Couty Couity Hath Survy (Spaish) *18. Cuá s obr a ciua o pubo o ust viv? AvoPar LaPaci Loria Sbri SpriLa Vus Otro(avorspciicar) *19. Cuá s su raza / ori ético? (Por avor, ia sóo uo.) Nro/AroAricao Baco/Caucásico Hispaosoatios AsiáticosoisñosPacíico NativoAricao Haitiao Otro(avorspciicar) *20. Cuá s tu a? Mors18años 18 25 26 39 40 54 55 64 65 74 75+ Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 53
Hihas Couty Couity Hath Survy (Spaish) *21. Cuá s su éro? Mascuio Fio *22. Cuá s iv ucativo ás ato qu ha coptao? Por avor ia sóo uo. EscuaPriaria/Itria CoioUivrsitario(2años) DipoascuascuariaoGED Técicay/oscuatécica Uivrsiacuatroaños/GraoBachirato Estuiospos rauaos *23. Cuá s su situació abora actua? Por avor, ia too o qu corrspoa. c Epaos(atipocopto) c Epaos(atipoparcia) c Dspaa/o Másuaño c Estuiats(atipoparcia) c Dspao/a Mosuaño c Jubiao c Discapacitao c Estuiats(atipocopto) c Yoostoypaoaactuaiaobuscatrabao *24. Cuá s irso tota aproxiao toos os qu rsi su hoar? Por avor, ia sóo uo. Mos$10,000 $10.000 $20.000 $21.000 $30.000 $31.000 $50.000 $51.000 $99.999 $100,000oás Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 54
Hihas Couty Couity Hath Survy (Spaish) *25. Qué tipo cobrtura sau ti? Tosuroéicoitrabao. Tosurosauporuibroaaiia. TousuroiitarosbiciosaAiistracioVtraos(VA) Puopaaripropiosurosau. ToMicarAvataoMicar. ToMicai(cuaquirtipo) Notosurosau. Otro(avorspciicar) Yahacoptaoacusta.Muchasraciasporparticipar. Hihas Couty Couity Hath Survy Aaysis, 2012 Hath Couci o Wst Ctra Foria 55
APPENDIX B SURVEY RESPONSES Hihas Couty Couity Hath Survy Aaysis, 2012 56 Hath Couci o Wst Ctra Foria
Hihas Couty Couity Hath Survy 1. How o you rat your ovra hath? (Chc o sctio) Rspos Prct Rspos Cout Exct 20.8% 247 Goo 54.9% 650 Fair 19.7% 233 Poor 3.4% 40 I o't ow 1.3% 15 aswr qustio 1,185 sipp qustio 0 Hihas Couty Couity Hath Survy Aaysis, 2012 57
2. Whr wou you o toay i Hihas Couty i you wr sic a ica hp? Pas choos oy o. Rspos Prct Rspos Cout I wou o to y octor's oic 66.1% 781 I wou o to a privat ciic 2.2% 26 I wou o to th Hihas Couty Hath Dpt 8.3% 98 I wou o to Ctra Foria Hath Car 4.7% 56 I wou o to Saarita's Touch Car Ctr 1.9% 23 I wou o to a hospita rcy roo 10.2% 121 I o't hav aywhr to o wh I a sic 3.6% 42 Othr (pas spciy) 3.0% 35 aswr qustio 1,182 sipp qustio 3 Hihas Couty Couity Hath Survy Aaysis, 2012 58
3. Whr wou you o toay i Hihas Couty i your chir/pts wr sic a ica hp? Pas choos oy o. Rspos Prct Rspos Cout I o't hav chir or pts 32.9% 387 I wou o to a hospita rcy roo 9.6% 113 I wou o to y octor's or piatricia's oic 46.1% 542 I wou o to th Hihas Couty Hath Dpt 4.4% 52 I wou o to Ctra Foria Hath Car 3.3% 39 I wou o to Saarita's Touch Car Ctr 0.5% 6 I wou o a schoo ciic or urs 0.0% 0 I o't ow o ay pac whr I cou o. 1.2% 14 Othr (pas spciy) 2.0% 23 aswr qustio 1,176 sipp qustio 9 Hihas Couty Couity Hath Survy Aaysis, 2012 59
4. Do you hav a ica provir who you s at ast oc a yar or prvtativ srvics, such as hath scris a boo tsts? Rspos Prct Rspos Cout Ys, I hav a ica provir i Hihas Couty who I s at ast oc a yar. 69.6% 818 Ys, I hav a ica provir outsi Hihas Couty who I s at ast oc a yar. 9.0% 106 No, I o ot hav a ica provir who I s at ast oc a yar. 21.4% 252 aswr qustio 1,176 sipp qustio 9 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. Rspos Prct Rspos Cout Ys, I hav rciv car ro o or or spciaists i Hihas Couty i th past iv yars. 53.7% 630 Ys, I hav rciv car ro o or or spciaists outsi Hihas Couty i th past iv yars. 17.6% 207 No, I hav ot s a spciaist i th past iv yars. 31.2% 366 I o't rbr whthr or ot I hav s a spciaist. 4.5% 53 aswr qustio 1,174 sipp qustio 11 Hihas Couty Couity Hath Survy Aaysis, 2012 60
6. Wh you t a prscriptio or a icatio, what o you o? Pas chc a that appy. Rspos Prct Rspos Cout I t th prscriptio i at a pharacy i Hihas Couty. 79.0% 926 I t th prscriptio i at a pharacy outsi Hihas Couty. 13.5% 158 I t th prscriptio i outsi th U.S. 0.6% 7 I buy a ovr th coutr ici ista. 4.5% 53 I t r saps ro y octor. 8.9% 104 I t r ici ro ru copais. 1.2% 14 I us hrba ris ista. 4.3% 50 I ca't aor prscriptio icatios. 5.4% 63 I o't ay prscriptio icatios. 4.1% 48 Othr (pas spciy) 5.0% 59 aswr qustio 1,172 sipp qustio 13 Hihas Couty Couity Hath Survy Aaysis, 2012 61
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. Rspos Prct Rspos Cout I o't hav hath isurac a caot aor to pay out-o-poct or ica srvics. 17.2% 200 I o't hav hath isurac a caot aor to pay th hath isurac prius. 8.5% 99 I hav hath isurac, but I hav a hih uctib a copays. 34.3% 399 I hav hath isurac, but I ca't i provirs who wi accpt it. 7.0% 82 I a ot iib or hath isurac u to hath or othr probs. 0.9% 11 I a ot iib or hath isurac u to y citizship/iiratio status. 1.1% 13 I o't hav ay iacia iicutis that prvt ro tti hath car. 33.7% 392 Othr (pas spciy) 7.9% 92 aswr qustio 1,164 sipp qustio 21 Hihas Couty Couity Hath Survy Aaysis, 2012 62
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. Rspos Prct Rspos Cout I o't hav a car to t to y ica appoitts. 4.7% 55 I ry o ris to ta to y ica appoitts. 5.4% 63 I ry o ica trasport srvics to ta to y ica appoitts. 2.5% 29 I ry o taxis to ta to y ica appoitts. 0.9% 11 I o't hav ay way to t to y ica appoitts. 1.0% 12 I hav trasportatio optios, but I ca't aor to pay or th. 5.2% 60 I hav trasportatio optios, but I o't wat th o cout. 7.1% 82 I o't hav ay probs with trasportatio. 79.7% 927 Othr (pas spciy) 1.0% 12 aswr qustio 1,163 sipp qustio 22 Hihas Couty Couity Hath Survy Aaysis, 2012 63
9. Thr ar othr rasos that soo ay ot accss hath car srvics. Pas chc a o th oowi that appy to you. Rspos Prct Rspos Cout I o't ow what srvics ar avaiab. 7.6% 88 I a sptica about th ctivss o srvics. 13.1% 152 I a arai that y hath ioratio ay ot b pt coitia. 6.7% 78 I a iscoura by o waits or appoitts a srvics. 17.2% 200 I hav iicuty arrai chi car. 2.6% 30 I o't spa Eish vry w a thi I ay ot ursta what th octor ts. 2.1% 24 I a ot a U.S. citiz, a ar probs with th a syst. 1.3% 15 I o't hav ay o ths iicutis. 65.6% 761 Othr (pas spciy) 1.7% 20 aswr qustio 1,160 sipp qustio 25 Hihas Couty Couity Hath Survy Aaysis, 2012 64
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. Rspos Prct Rspos Cout Atrativ thrapy (hrbas, acupuctur) 9.3% 107 Abuac srvics 1.8% 21 Chiropractic car (or th tratt o bac a spia probs) 3.0% 35 Dta car 17.7% 204 Ercy roo car 4.7% 54 Eocriooy srvics (or th tratt o thyroi a othr horoa ora isorrs) 9.3% 107 Faiy pai/birth cotro 1.9% 22 Hath ucatio proras 4.8% 55 Hari srvics 3.2% 37 Ipatit hospita car 2.0% 23 Mica suppis 3.4% 39 Mta hath/cousi 11.5% 133 OB/Pracy Car 4.1% 47 Ocooy srvics (or th tratt o cacr) 3.0% 35 Cariooy srvics (or th tratt o hart isorrs ) 3.4% 39 Physica thrapy, rhab thrapy 3.0% 35 Prscriptios/icatios 4.5% 52 Prvtiv car 5.5% 63 Hihas Couty Couity Hath Survy Aaysis, 2012 65
Puoary srvics (or th tratt o astha, brathi, a othr u isorrs) 2.2% 25 Substac abus srvics 2.9% 34 Visio car 6.8% 78 I hav ot ha iicuty obtaii ths or othr srvics. 55.6% 641 Othr (pas spciy) 5.6% 64 aswr qustio 1,153 sipp qustio 32 11. How wou you rat th quaity o th hath car srvics i Hihas Couty? Rspos Prct Rspos Cout Exct 10.2% 117 Goo 39.9% 460 Fair 36.0% 415 Poor 10.6% 122 I o't ow 3.3% 38 aswr qustio 1,152 sipp qustio 33 Hihas Couty Couity Hath Survy Aaysis, 2012 66
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't Kow Rspos Cout Schoo syst 5.4% (26) 30.4% (146) 28.8% (138) 16.5% (79) 19.0% (91) 480 Day car 3.4% (16) 20.4% (97) 24.0% (114) 10.5% (50) 41.7% (198) 475 Atr schoo car 4.0% (19) 17.4% (83) 23.1% (110) 13.2% (63) 42.2% (201) 476 Rcratio 3.7% (18) 15.8% (76) 35.6% (171) 31.8% (153) 13.1% (63) 481 Evirot 10.6% (51) 49.0% (235) 22.5% (108) 7.3% (35) 10.6% (51) 480 aswr qustio 482 sipp qustio 703 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't ow Rspos Cout Er riy housi 10.7% (51) 31.4% (150) 23.5% (112) 6.3% (30) 28.1% (134) 477 Trasportatio 2.7% (13) 9.5% (45) 18.9% (90) 54.0% (257) 14.9% (71) 476 Churchs 35.6% (170) 43.5% (208) 11.5% (55) 0.8% (4) 8.6% (41) 478 Shoppi 6.1% (29) 30.3% (144) 42.2% (201) 17.6% (84) 3.8% (18) 476 Er ay car 2.5% (12) 10.1% (48) 18.3% (87) 19.5% (93) 49.6% (236) 476 Socia support oraizatios a acis 3.8% (18) 20.7% (99) 29.3% (140) 14.4% (69) 31.8% (152) 478 Srvics a activitis 3.8% (18) 20.5% (98) 28.7% (137) 22.0% (105) 25.1% (120) 478 aswr qustio 479 sipp qustio 706 Hihas Couty Couity Hath Survy Aaysis, 2012 67
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't ow Rspos Cout Locay ow a oprat busisss 4.2% (20) 32.3% (154) 44.0% (210) 15.7% (75) 3.8% (18) 477 Jobs with carr rowth a ob traii 1.3% (6) 10.3% (49) 32.3% (154) 53.2% (254) 2.9% (14) 477 Hihr ucatio opportuitis 6.8% (32) 27.0% (128) 36.3% (172) 28.5% (135) 1.5% (7) 474 Aorab housi optios 2.9% (14) 25.2% (120) 37.9% (181) 23.3% (111) 10.7% (51) 477 Rasoab couti tis 12.8% (61) 41.1% (196) 30.0% (143) 13.2% (63) 2.9% (14) 477 aswr qustio 478 sipp qustio 707 15. Do you your couity is a sa pac to iv? Pas rat th xtt to which you sa i th oowi sttis. Exct Goo Fair Poor Do't ow Rspos Cout Ho 32.7% (156) 50.3% (240) 14.7% (70) 0.8% (4) 1.5% (7) 477 Worpac 34.5% (164) 51.2% (243) 10.9% (52) 0.6% (3) 2.7% (13) 475 Schoos 10.1% (48) 40.6% (193) 24.4% (116) 5.3% (25) 19.6% (93) 475 Payrous 6.1% (29) 34.7% (165) 26.9% (128) 6.5% (31) 25.8% (123) 476 Pars 9.5% (45) 45.9% (217) 26.6% (126) 6.3% (30) 11.6% (55) 473 aswr qustio 477 sipp qustio 708 Hihas Couty Couity Hath Survy Aaysis, 2012 68
16. 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 Rspos Cout Mica crisis 7.2% (34) 31.2% (148) 25.9% (123) 12.9% (61) 22.8% (108) 474 Mta hath crisis 2.1% (10) 12.9% (61) 24.3% (115) 32.8% (155) 27.9% (132) 473 Substac abus crisis 1.9% (9) 8.7% (41) 22.6% (107) 30.9% (146) 35.9% (170) 473 Pracy 5.9% (28) 25.3% (119) 22.5% (106) 11.7% (55) 34.6% (163) 471 Fiacia crisis 1.7% (8) 8.2% (39) 21.9% (104) 34.2% (162) 34.0% (161) 474 Dath 6.1% (29) 22.0% (104) 24.9% (118) 13.7% (65) 33.2% (157) 473 Chir with spcia s 1.3% (6) 9.4% (44) 20.3% (95) 29.6% (138) 39.4% (184) 467 aswr qustio 475 sipp qustio 710 17. Pas iicat whthr you ar a u-ti rsit or a part-ti rsit o Hihas Couty. A part-ti rsit rsis hr six oths or ss. Rspos Prct Rspos Cout I a a u-ti rsit o Hihas Couty. 95.0% 1,085 I a a part-ti rsit o Hihas Couty. 5.0% 57 aswr qustio 1,142 sipp qustio 43 Hihas Couty Couity Hath Survy Aaysis, 2012 69
18. What is th a o th city or tow i which you iv? Rspos Prct Rspos Cout Avo Par 26.2% 298 La Paci 19.1% 218 Loria 1.5% 17 Sbri 49.3% 561 Spri La 2.2% 25 Vus 0.3% 3 Othr (pas spciy) 1.5% 17 aswr qustio 1,139 sipp qustio 46 19. What is your rac/thicity? Pas choos oy o. Rspos Prct Rspos Cout Bac/Arica Arica 9.4% 107 Whit/Caucasia 70.4% 801 Hispaic or Latio 16.9% 192 Asia or Paciic Isar 1.1% 12 Nativ Arica 0.7% 8 Haitia 0.1% 1 Othr (pas spciy) 1.5% 17 aswr qustio 1,138 sipp qustio 47 Hihas Couty Couity Hath Survy Aaysis, 2012 70
20. What is your a? Rspos Prct Rspos Cout Ur 18 0.3% 3 18-25 11.3% 128 26-39 23.3% 265 40-54 26.6% 303 55-64 20.1% 228 65-74 11.8% 134 75+ 6.7% 76 aswr qustio 1,137 sipp qustio 48 21. What is your r? Rspos Prct Rspos Cout Ma 23.3% 265 Fa 76.7% 872 aswr qustio 1,137 sipp qustio 48 Hihas Couty Couity Hath Survy Aaysis, 2012 71
22. What is th hihst v o ucatio that you hav copt? Pas choos oy o. Rspos Prct Rspos Cout Etary/i schoo 4.7% 54 Hih schoo ipoa or GED 35.1% 399 Tchica or tra schoo 8.1% 92 Couity co 22.6% 257 Four-yar co/bachor's r 16.2% 184 Grauat/avac r 13.3% 151 aswr qustio 1,137 sipp qustio 48 Hihas Couty Couity Hath Survy Aaysis, 2012 72
23. What is your currt poyt status? (Pas choos a that appy Rspos Prct Rspos Cout Epoy (u-ti) 54.0% 614 Epoy (part-ti) 10.4% 118 Upoy - Lss tha o yar 4.1% 47 Upoy - Mor tha o yar 6.8% 77 Rtir 16.2% 184 Disab 4.8% 55 Stut (part-ti) 1.9% 22 Stut (u-ti) 2.2% 25 I a ot prsty poy or si wor 5.1% 58 aswr qustio 1,137 sipp qustio 48 Hihas Couty Couity Hath Survy Aaysis, 2012 73
24. What is th approxiat tota ico o a arrs i your housho? (Pas choos oy o.) Rspos Prct Rspos Cout Lss tha $10,000 18.0% 204 $10,000-$20,000 16.5% 187 $21,000- $30,000 17.2% 195 $31,000-$50,000 18.3% 208 $51,000-$99,999 22.0% 249 $100,000 or or 8.0% 91 aswr qustio 1,134 sipp qustio 51 Hihas Couty Couity Hath Survy Aaysis, 2012 74
25. What i o hathcar covra o you hav? Rspos Prct Rspos Cout I rciv hath isurac ro y ob. 41.0% 465 I hav hath isurac or a aiy br's ob. 4.7% 53 I hav iitary isurac o VA bits. 2.6% 30 I pay or y ow hath isurac. 3.2% 36 I hav Micar or Micar Avata. 14.6% 165 I hav Micai (ay i) 13.1% 149 I o ot hav hath isurac. 18.1% 205 Othr (pas spciy) 2.7% 31 aswr qustio 1,134 sipp qustio 51 Hihas Couty Couity Hath Survy Aaysis, 2012 75