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Community Assessments

Community Assessments. Kelley Withy, MD, PhD withy@hawaii.edu Hawaii State Rural Health Association Annual Conference Maui Beach Hotel, April 5, 2011. Greatest Demand Specialties. http://www.surveymonkey.com/s/3SMRP6Q. Community Meetings. Comprehensive Rural Health Plan.

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Community Assessments

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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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