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Addressing Hawaii's Critical Healthcare Needs - Rural Health Conference Findings

Gain insights from Dr. Kelley Withy's assessment at the Hawaii State Rural Health Association Annual Conference on Maui. Discover the greatest demand specialties, community and county needs, challenges, and solutions. Explore the Hawaii Health Survey results and factors affecting healthcare access.

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Addressing Hawaii's Critical Healthcare Needs - Rural Health Conference Findings

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  1. Community Assessments Kelley Withy, MD, PhD withy@hawaii.edu Hawaii State Rural Health Association Annual Conference Maui Beach Hotel, April 5, 2011

  2. Greatest Demand Specialties

  3. http://www.surveymonkey.com/s/3SMRP6Q

  4. Community Meetings

  5. Comprehensive Rural Health Plan • 22 meetings in 11 communities in 2003 • Stateside needs: • Dental Care • Economy (jobs) • Healthcare providers and technology • Health Insurance • Substance Abuse Treatment • Transportation

  6. County needs • Hawaii: • Substance Abuse Services for adolescents • Transportation • Kauai • Dental • Healthcare Providers • Transportation • Maui • Dental • Healthcare Providers • Substance Abuse Services • Transportation Also: Lack of Community Leadership; Lack of Activities for Youth; Lack of Health Knowledge; Cultural and Environmental factors, Violence/Crime, Access to Services

  7. Written and Oral Surveys-Hawaii Health Survey • Hawaii Health Survey: “Was there a time in the last 12 months that you felt you should see a healthcare provider but did not? If yes, why?” • 12% surveyed were unable to see a doctor (includes an emergency room doctor) • By island: Big Island 15 % Maui 13 % Kauai 12 % Oahu 10 % • Why can’t they see a doctor? 38% financial reasons (which could include airfare) 23% access reasons For primary care: 40% cost; 24% Access For specialists: 36% cost; 41% Access • What type of doctor did they have trouble getting in to see? • 41% could not see primary care physicians • 19% can’t see specialists **People without health insurance were 3 times more likely to NOT see doctor. **

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