SUMMARY OF FINDINGS: OMF 2015 MEDICAL NEEDS ASSESSMENT

CLICK HERE TO DOWNLOAD SURVEY RESULTS IN A PDF FILE

DEMOGRAPHICS

Total surveys completed:  341

62 %    Eastsound area

13 %    Deer Harbor area

16 %    Olga area

  9 %    Orcas Ferry area

 

Gender

66 %    Female

34 %    Male

 

Marital Status

69 %   Married

12 %   Divorced/Separated

10 %   Single

  8 %   Widowed

 

Age

  2 %    25 – 34

  8 %    35 – 44

13 %    45 – 54

24 %    55 – 64

35 %    65 – 74

16 %    75 – 84

  2 %    older than 85

 

Education

  6 %   High School

17 %   Some College/Tech Ed.

  3 %   Two-Year Associate Degree

34 %   Four-Year College Degree

40 %   Graduate Education

 

Employment

86 %   Full-time

  4 %   Part-Time

10 %   Retired/Unemployed

 

Years on Island

  4 %   Less than 1 year

  7 %   1 – 3 years

11 %   4 – 6 years

11 %   7 – 10 years

67 %   More than 10 years

 

Type of Health Insurance

  1 %   No Insurance

  4 %   Armed Services

  5 %   Medicaid

18 %   Through Employer

22 %   Private Insurance

50 %   Medicare

 

GENERAL HEALTH CONCERNS

HEALTH CONCERNS IN YOUR COMMUNITY

(average ranking, from “1, no concern” to “5, a great concern”)

4.30   Emergency services available 24/7

3.86   Higher costs of health care

3.31   Focus on wellness and disease prevention

3.27   Mental health

3.23   Heart disease

3.19   Financial ability to pay for medical care

2.81   Violence (domestic, workplace, emotional, physical sexual)  

2.68   Substance abuse

2.55   Suicide prevention

 

WHAT BARRIERS PREVENT YOU FROM RECEIVING HEALTH CARE?

23 %   Lack of physicians in specialty I need

14 %   Lack of weekend or evening hours

13 %   Distance

10 %   Can’t afford it

  7 %   Inability to get an appointment

  7 %   Won’t be able to see the same provider every time

  6 %   Afraid personal info won’t be kept private

  4 %   Don’t know who to call

  3 %   Lack of insurance

  3 %   Lack of transportation services

 

URGENT MEDICAL CARE

HAVE YOU OR YOUR CHILD EVER NEEDED URGENT MEDICAL HELP?

64 %   Yes

36 %   No

 

FOR WHICH CONDITIONS DID YOU NEED AFTER-HOURS URGENT MEDICAL HELP?

(percent of 134 total responses) 

49 %    Severe cut or laceration    

27 %    Trouble Breathing 

24 %    Broken bone 

23 %    Belly pain 

12 %    Emotional distress or panic attack 

  3 %    Effects of other accident 

  2 %    Infection

  2 %    Effects of falling down 

  2 %    Chest pain 

  2 %    Fever 

  2 %    Urinary tract infection 

  2 %    Dental problems 

  1 %    Diabetic-related problems 

  1 %    Severe headache 

  1 %    Prescribed drug allergic reaction 

  1 %    Other allergic reaction 

  1 %    Mental confusion 

  1 &    Stroke 

  1 %    Complications of pregnancy 

  1 %    Women’s health problem 

  1 %    Effects of car accident 

<1 %    Suicidal thoughts or action

<1 %    Accidental prescribed drug overdose

<1 %    Severe drug or alcohol intoxication 

<1 %    Sexual problem 

<1 %    Seizures 

<1 %    Effects of domestic assault 

  0 %    Effects of assault outside home 

  2 %    Other 

 

REASONS YOU CHOSE YOUR URGENT CARE PROVIDER

13 %   Provider is competent

12 %   Trust the caregiver

11 %   Ease of accessibility

11 %   Provider treats you with respect

11 %   Past helpful experience

11 %   Provider treats you with concern and compassion

  9 %   Provider has good reputation

  7 %   Takes your insurance

  7 %   Provider responds well to personal requests

  4 %   Provides privacy

  2 %   Lower cost

 

FOR WHICH CONDITIONS DID YOUR CHILD NEED AFTER-HOURS URGENT MEDICAL HELP? (percent of 51 total responses)

37 %   Severe cut or laceration 

31 %   Trouble Breathing 

29 %   Fever 

25 %   Broken bone 

19 %   Effects of other accident 

16 %   Infection 

14 %   Emotional distress or panic attack 

12 %   Effects of falling down 

10 %   Belly pain 

  8 %   Severe headache 

  8 %   Other allergic reaction 

  6 %   Seizures 

  2 %   Accidental prescribed drug overdose 

  2 %   Prescribed drug allergic reaction 

  2 %   Mental confusion 

  2 %   Complications of pregnancy 

  2 %   Women’s health 

  2 %   Chest pain 

  2 %   Urinary tract infection 

  0 %   Stroke 

  0 %   Sexual problems 

  0 %   Severe alcohol or drug intoxication 

  0 %   Suicidal thoughts, intention or action 

  0 %   Diabetes-related problem 

  0 %   Effects of domestic or other assault 

  0 %   Effects of car accident 

22 %   Other

 

REASONS YOU CHOSE YOUR CHILD’S URGENT CARE PROVIDER

15 %   Ease of accessibility

15 %   Past helpful experience

14 %   Provider is competent

14 %   Trust the caregiver

14 %   Treats you with respect

13 %   Treats your child with concern and compassion

  9 %   Takes your insurance

  7 %   Provider has a good reputation

  7 %   Provider responds well

  3 %   Provides privacy

  2 %   Lower cost

 

FOR WHICH CONDITIONS DID ANOTHER FAMILY MEMBER NEED AFTER-HOURS URGENT MEDICAL HELP? (percent of 87 total responses)

20 %   Severe cut or laceration 

15 %   Trouble breathing 

11 %   Broken bone 

11 %   Belly pain 

11 %   Chest pain 

11 %   Effects of other accident 

11 %   Dental 

10 %   Infection 

10 %   Effects of falling down 

  8 %   Urinary tract problem 

  7 %   Other allergic reactions 

  7 %   Fever 

  6 %   Emotional distress or panic attack 

  6 %   Diabetes related problem 

  6 %   Women’s health problems 

  5 %   Mental confusion 

  3 %   Suicidal thoughts, intention or action 

  3 %   Prescribed drug allergic reaction 

  3 %   Seizures 

  3 %   Effects of car accident 

  2 %   Stroke 

  1 %   Severe headache 

  1 %   Accidental prescribed overdose 

  1 %   Severe alcohol or drug intoxication 

  0 %   Complications of pregnancy 

  0 %   Sexual problems 

  0 %   Effects of domestic or other assault 

10 %   Other

 

REASONS YOU CHOSE YOUR OTHER FAMILY MEMBER’S URGENT CARE PROVIDER

13 %   Ease of accessibility

12 %   Provider treats him/her with concern and compassion

12 %   Provider is competent

12 %   Trusts the caregiver

11 %   Provider treats him/her with respect

11 %   Past helpful experience from provider

  9 %   Provider responds well to personal requests

  9 %   Provider has good reputation

  6 %   Takes our insurance

  1 %   Lower cost

 

LOCAL MEDICAL CARE

HAVE YOU HAD TO BE TRANSFERRED OFF ISLAND FOR MEDICAL EMERGENCIES?

(percent of 84 responses)  

Yes   59 %  

No    41 %

 

HOW IMPORTANT IS IT TO YOU TO HAVE AN AFTER-HOURS PHYSICIAN? 

(percent of 200 total responses)

56 %   Extremely important        (87 %  Extremely or Very important)

31 %   Very important            

  9 %   Moderately

  4 %   Slightly important

<1 %   Not important at all

 

WOULD YOU PAY A MONTHLY FEE TO PROVIDE AN AFTER-HOURS PHYSICIAN? 

(percent of 326 responses)

    25 %   Yes

    30 %   No

    45 %   Maybe

 

WOULD YOU SUPPORT A TAX LEVY TO PROVIDE AN AFTER-HOURS PHYSICIAN? 

(percent of 325 responses)

    46 %   Yes    

    20 %   No

    34 %   Maybe

 

WHAT SPECIALTIES DO YOU WISH WERE OFFERED ON ORCAS? (listed in order of average ratings, 281 responses)

     (1, 2, & 3)   Orthopedics, ophthalmology, and oncology (equal average ratings)

      4.    Dermatology

      5.    Urology

      6.    Pulmonology

      7.    Psychiatry

      8.    Audiology

      9.    Pediatrics

    10.    Endocrinology

 

HOW IMPORTANT ARE THE FOLLOWING SERVICES? 

(listed in order of average ratings, from “1, not important” to “5, very important,” 317 responses) 

    4.0   24-hour urgent care

    3.3   Rehabilitation 

    3.1   Nursing home care

    3.1   Convalescent care

    2.3   Residential treatment for adult disabilities

    2.0   Residential treatment for mental illness

    2.0   Residential treatment for drug/alcohol abuse

 

HOW IMPORTANT IS IT FOR YOU TO HAVE A PHYSICIAN ON ORCAS?     

(average rating, from “1, not important” to “5, very important,” 330 responses)

    4.4

 

WHAT ARE THE MOST IMPORTANT QUALITIES YOU WANT YOUR PHYSICIAN TO HAVE? (listed in order of average ratings, from “1, not important” to “5, very important,”  322 responses) 

4.8   Good diagnostic skill

4.6   Takes time to answer questions

4.6   Sees you quickly in an emergency

4.6   Informs you of your treatment options

4.5   Takes complaints seriously

4.5   Giveshelpful information

4.5   Gives clear recommendations for follow-up

4.5   Respects you

4.3   Shows compassion and concern

4.0   Friendliness

3.9   Offers after hours help

3.7   Prescribes medications you want

 

WHAT HEALTH EDUCATIONAL PROGRAMS WOULD YOU LIKE TO SEE OFFERED ON ORCAS? (Listed in order of most requested, 115 responses)

 115   Aging 

  80   Alternative healing 

  80   Nutrition 

  79   Fitness 

  68   Cancer 

  64   Alzheimer’s disease 

  63   Heart health 

  62   Chronic illness 

  54   Grief 

  53   Aging parents 

  42   Vaccinations 

  42   Treating mental illness 

  41   Parenting 

  41   Treating substance abuse 

  35   Obesity 

  30   Child development 

  29   Healthy pregnancy 

  22   Eating disorders 

 

WOULD YOU WANT A MEDICAL PROVIDER TO COME TO YOUR HOME IF YOU WERE UNABLE TO GET TO MEDICAL OFFICE ON ORCAS? (percent of 311 responses)

    54 %   Yes

    34 %   Maybe

     12 %   No

 

WOULD YOU BE WILLING TO PAY A MONTHLY FEE FOR THIS SERVICE?

(percent of 309 responses)

    19 %   Yes

    53 %   Maybe

    28 %   No

 

DO YOU WANT YOUR PROVIDER TO IMPROVE COLLABORATION WITH:

(percent answering “yes,” 99 responses)

    100 %   Local providers

      93 %   Off-island hospitals, clinics

      83 %   Local pharmacy

      71 %   OIFR

      48 %   Senior Center

       41 %   Long-term residence facilities

      36 %   Schools

 

SPECIFIC MEDICAL PROBLEMS

WHAT CONDITIONS YOU HAVE EXPERIENCED (number of responses, listed in frequency order)

125   Muscle/bone problems

103   Allergies

  97   Arthritis

  80   High cholesterol

  69   Hypertension

  64   Anxiety

  60   Urinary problems

  60   Chronic pain

  57   Depression

  55   Ob/Gyn 

  50   Headaches

  49   Weight control problems

  44   Cancer

  41   Heart problems

  32   Diabetes

  31   Irritable bowel

  28   Acne

  25   Asthma/Emphysema

  19   Kidney problems

  15   Endocrine problems

  13   PTSD

  13   Psychosis

  12   Alcoholism

  10   Eating disorders

  10   Stomach ulcers

    9   Liver problems

    5   Drug addiction

    3   Bipolar disorder

    3   Dementia

 

WHAT CONDITIONS YOUR CHILD OR FAMILY MEMBERS HAVE EXPERIENCED 

(number of responses, listed in frequency order) 

  34   Muscle/bone problems

  32   Allergies

  25   High Cholesterol

  25   Anxiety

  18   Heart problems

  17   Depression

  17   Headaches

  17   Weight control problems

  17   Hypertension

  15   Arthritis

  15   Urinary problems

  12   Cancer

  11   Diabetes

  11   Asthma/Emphysema

  11   Irritable bowel

  10   Acne

  10   Chronic pain

    8   Ob/Gyn

    7   Alcoholism

    7   Kidney problems

    4   PTSD

    4   Dementia

    3   Psychosis

    3   Liver problems

    2   Eating disorders

    1   Stomach ulcers

    1   Bipolar disorder

    1   Drug addiction

    1   Endocrine problems