nrc consumer health report 2010 - christus - tmfhc · pdf filenrc consumer health report 2010...

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NRC Consumer Health Report 2010

Prepared for:Trinity Mother Frances

Contact InformationNational Research Corporation1245 Q StreetLincoln, NE 68508Toll-free: (800)388-4264Tel: (402)475-2525Fax: (402)[email protected]

Markets: 50;2219;2219

TYLER, TX CBSA,TEXAS

COPYRIGHT © 2011 NATIONAL RESEARCH CORPORATION - CONSUMER HEALTH REPORT 1

Table of Contents

At Risk Populations - Low Income, Uninsured, Medicaid, and Medicare only

VIII Preventive Health Behaviors ...........................................................43

VII Health Risk Profiles/Chronic Conditions ........................................17

Overall Health Status

Healthcare Utilization

Trust in Hospitals, Doctors, Nurses, Health Plans, and Pharmacists

XI Survey .............................................................................................88

X Community Trust and Confidence in Healthcare ...........................86

At Risk Populations - Low Income, Uninsured, Medicaid, and Medicare only

IX Physician Visit Usage and Access ..................................................82

IV Community Demographics .............................................................. 9Reasons Uninsured

III Executive Summary .......................................................................... 5

I Study Objectives .............................................................................. 2II Methodology .................................................................................... 3

Providers for Those Unable to Pay

VI Health Status and Utilization ...........................................................13

V Consumer Perception of Best Community Health Programs ..........11

Sources of Insurance

Age, Income, Household Size, Years in Community


National Research Corporation (NRC) Consumer Health Report is a valuable resource in determining the health status, health risk/chronic conditions, preventive health behaviors, physician access and community perceptions of healthcare in TYLER, TX CBSA.

Identification of the prevalence of chronic conditions within various demographic and geographic segments within the community.

Measurement and evaluation of health status and healthcare utilization within the community.

The Consumer Health Report provides a tool to enable organizations to strengthen the health of their community by assisting in the following:

Study Objectives

1.

2.

3. Profiling of high-risk populations.

4. Identification of gaps in care and preventive health behaviors among various demographic and geographic segments within the community.


Methodology

The survey document is an internet-based questionnaire which respondents received through internet invitations. The questionnaires were developed utilizing NRC’s experience in the design and implementation of hundreds of consumer research studies. Questions were designed to meet the objectives determined from the combined input of marketing directors and strategic planners nationwide. The questions were presented in a clear and concise manner, in an easy-to-understand format, and the questionnaire was thoroughly pre-tested in an actual field situation to ensure respondents’ question comprehension.

The respondent was the individual in the household who is most often your target for communications-- the primary healthcare decision-maker. This individual most often selects the hospital, physician, healthcare products and services utilized by household members and, therefore, was the subject of the study.

Sample Size

Survey Instrument

Survey Timing

The Respondent

The NRC Consumer Health Report provides a detailed view of the health need, health status, behaviors, and perceptions of residents within TYLER, TX CBSA. The NRC Consumer Health Report is conducted annually across communities in over 200 of the nation's largest metropolitan statistical areas (MSAs), and is also available at state and national levels.

The TYLER, TX CBSA sample for 2010 was comprised of 350 households. The standard error range for a sample of 350 households is ± 5.2 percent at the 95 percent confidence level.

BenchmarksThe Tyler, TX CBSA sample for 2010 was comprised of 350 households. The standard error range for a sample of 350 households is ± 5.2 percent at the 95 percent confidence level.

The TEXAS sample for 2010 was comprised of 19,450 households. The standard error range for a sample of 19,450 households is ± 0.7 percent at the 95 percent confidence level.

The National sample for 2010 was comprised of 264,892 households which includes the largest 180 MSAs within the U.S. The standard error range for a sample of 264,892 households is ± 0.2 percent at the 95 percent confidence level.

Beginning in May 2008, ongoing data collection was implemented for the survey. Internet survey invitations begin on the first of each month with returns completed by the 22nd.


The survey data was electronically coded and tabulated by National Research Corporation according to an innovative and thorough tabulation specification plan.

Weighting ensures that the sample is representative. For example, if 20 percent of the households within your market area are headed by a family member 18 to 24 years of age, then within the sample 20 percent of the area heads of households are 18 to 24 years of age. This pattern is held consistent across all variables applied in the weighting procedures.

Weighting the Data

• Age of Head of Household

• Area Population

• Race

• Household Income

• Presence of Children

• Marital Status

The Sample

The survey invitations consisted of households nationally representative of the 48 contiguous United States. The national balancing criteria included:

• U.S. Census Regions

• Age of Head of Household

• Population Density

Methodology

To ensure proper sample representation within each tabulated market area, the data was weighted according to a number of key demographic variables:


Executive SummaryConsumer Health Report Card

TYLER, TX CBSA

Overall Household Health Status

TYLER, TX CBSA

Source: 2010 NRC Healthcare Market Guide, National Research Corporation

Tyler, TX CBSA

State of TEXAS National


Health Risks


TYLER, TX CBSA


• Top 3 Health Risks:

• Top 3 Health Risks (Low Income):

TYLER, TX CBSA's Top 3 Health Risks Compared to MSA, State and National Markets

• Top 3 Health Risks (Uninsured, Medicaid, Medicare):


Preventive Behaviors


TYLER, TX CBSA


• Top 3 Preventive Behaviors:

• Top 3 Preventive Behaviors (Low Income):

TYLER, TX CBSA's Top 3 Preventive Behaviors Compared to MSA, State and National Markets

• Top 3 Preventive Behaviors (Uninsured, Medicaid, Medicare):



TYLER, TX CBSA

• Days to Appointment for Routine Care

Your Consumers' Access to Healthcare

• Purpose of Physician Visit (force ranked high to low):


Your Community's Trust and Confidence in Healthcare


Community Demographics

Shown below is a presentation of self-reported responses to questions pertaining to insurance, and reasons for individuals being uninsured.

Sources of Insurance

Reasons Uninsured

Questions asked to obtain the results:• Your household is uninsured because (select all that apply):• What health plan/product is that?


Base: Respondents who stated they were uninsured.Multiple responses can be given.


Provided below is a presentation of four key demographic factors for TYLER, TX CBSA respondents within the annual Healthcare Consumer Health Report survey. The majority of questions within the Consumer Health Report can be analyzed across any one of these factors.

Community Demographics

TYLER, TX CBSA Demographics

Questions asked to obtain the results:• Please list all members of your household living at home. Type each person's first name and answerthe following questions for each member. If you prefer not to give the names of the members of yourhousehold, you can type their initials instead of their full name.• Age, Gender, Relationship To You, and Health of Household Member• Including yourself, how many people live in your household?• What is your annual household income (before taxes)?• How long have you lived in your community?



Consumer Perception of Best Community Health Programs

This section reports consumer perception of community health programs by hospital name. TYLER, TX CBSA respondents were asked to name the hospital/facility they perceive has the Best Community Health Programs in their area.

Hospital/Facility with Best Community Health ProgramsTYLER, TX CBSA, TX

(% of Respondents Naming Facility)

Question asked to obtain the results:• What is your first choice hospital/facility for best at providing community health programs?



Providers to Those Unable to Pay

TYLER, TX CBSA respondents were asked to name the hospital/facility they perceive provides care to those unable to pay.

Top of Mind Hospital/FacilityProvides Care to Those Unable to Pay

TYLER, TX CBSA, TX(% of Respondents Naming Facility)

Question asked to obtain the results:• What is your first choice hospital/facility for providing care to those unable to pay?



This section reports the various self-reported measures of the general physical health among TYLER, TX CBSA residents, including information regarding healthcare service utilization.

Overall Health Status

Health Status and Utilization

Health status within the NRC Consumer Health Report is measured by asking residents to individually rate the health status of themselves and each member of their household, and creating a household score.

•Household Health Status

Within the national sample , with a score of 0%, represent the lowest percentage who responded their health status was either "Fair or Poor"

Within the national sample , with a score of 0%, represent the highest percentage who responded their health status was either "Fair or Poor"

•

TYLER, TX CBSA Household Health Status by IncomeBottom 2 Box (Fair and Poor)

Questions asked to obtain the results:• In general, would you say the health of each household member is (Ask for each household member):• What is your annual household income (before taxes)?



Healthcare Service Utilization

Healthcare service utilization within the NRC Consumer Health Report is measured by asking residents to state whether they have utilized any of the following health care service lines over the past 36 months.

Question asked to obtain the results:• Have you or a household member used any of the following services in the last three years?




TYLER, TX CBSA Service Utilization Last 36 Months by Income

Questions asked to obtain the results:• Have you or a household member used any of the following services in the last three years?• What is your annual household income (before taxes)?




TYLER, TX CBSA Service Utilization Last 36 Months by Health Plan Type

Questions asked to obtain the results:• Have you or a household member used any of the following services in the last three years?• What health plan/product is that?



Health Risk Profiles

This section reports the various self-reported measures of the general physical health among TYLER, TXCBSA residents, including information regarding the existence of various health risks, health behaviors, andchronic conditions.

Represented below is the percentage of TYLER, TX CBSA households that report one or more householdmembers have been diagnosed with having the following chronic condition. Comparison benchmarks aregiven for the MSA, state and national.

Question asked to obtain the results:• Has ANY HOUSEHOLD MEMBER been diagnosed as having any of the following health problems?(Select as many as apply)




Represented below is the percentage of TYLER, TX CBSA households that report one or more household members have been diagnosed with having the following chronic condition. Comparison benchmarks are given for the MSA, state and national.




Health Risk ProfilesCompared to Healthy People 2010

• 8% adults 50 years plus as measured by bone mineral density test had the disease.

Questions asked to obtain the results:• Has ANY HOUSEHOLD MEMBER been diagnosed as having any of the following health problems?(Select as many as apply)• What is the age of each household member living at home?


Healthy People 2010 Target:

Healthy People 2010 U.S. Department of Health & Human Services



• Reduce cigarette smoking to 12% among adults 18 years plus.







• Reduce the proportion of adults with high blood pressure to 16%.







• Reduce the proportion of adults who are obese by 15%.






Health Risk Profiles - Low Income

Represented below is the percentage of TYLER, TX CBSA households in lower income categories that report one or more household members have been diagnosed with the chronic condition, compared to the market average.

Questions asked to obtain the results:• Has ANY HOUSEHOLD MEMBER been diagnosed as having any of the following health problems?(Select as many as apply)• What is your annual household income (before taxes)?



Health Risk Profiles - Uninsured, Medicaid, and Medicare Only

Represented below is the percentage of uninsured, medicaid or medicare only households in TYLER, TX CBSA that report one or more household members have been diagnosed with the chronic condition, compared to the market average.


Questions asked to obtain the results:• Has ANY HOUSEHOLD MEMBER been diagnosed as having any of the following health problems?(Select as many as apply)• What health plan/product is that?



Preventive Health Behaviors

Represented below is the percentage of TYLER, TX CBSA households that have had the following preventive health care services or tests in the last 12 months. Comparison benchmarks are given for the MSA, state and national.


Question asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)



Preventive Health BehaviorsCompared to Healthy People 2010

• Increase the proportion of young children and adolescents who receive all vaccines that have beenrecommended or universal administration for at least 5 years to 80%.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• How many children do you have living in your household who are under the age of 18?


Child Immunizations among Households with Children





• 70% women 40 years plus have had mammogram within past 2 years.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is the age of each household member living at home?• What is the gender of each household member living at home?


Mammograms among Households with a Female 40 Years Plus





• 8% adults 50 years plus as measured by bone mineral density test had the disease.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is age of each household member?


Osteoporosis Testing among Households with an Adult 50 Years Plus


U.S. Department of Health & Human ServicesHealthy People 2010



• 97% women 18 years plus have had pap smear test.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is the age of each household member?• What is the gender of each household member?


Pap Smear Test among Households with a Female 18 Years Plus





• 90% care beginning in the first trimaster of pregnancy.• 90% early and adequate pre-natal care.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is the age of each household member living at home?• What is the gender of each household member living at home?


Pre-Natal Care among Households with a Female 15 Years Plus





• Increase smoking cessation attemps to 75% by adult smokers.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is the age of each household member living at home?


Stop Smoking Program among Households with an Adult 18 Years Plus





• 60% adults 20 years plus at a healthy weight (Body Mass Index of 18.5 to 25).

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is the age of each household member living at home?


Weight Loss Program among Households with an Adult 20 Years Plus





• Increase the proportion of adults who receive a colorectal cancer screening examination to 50%



Colon Screening among Households with an Adult 50 Years Plus





• Increase the proportion of adults who have had their blood cholesterol checked within the preceding5 years to 80%



Cholesterol Test among Households with an Adult 18 Years Plus





• Increase the proportion of children and adults who use the oral health care system each yearby 56%



Dental Exam among Households with Children




Preventive Health Behaviors - Low Income

Represented below is the percentage of TYLER, TX CBSA households in lower income categories that have had the following preventive healthcare services or tests in the last 12 months, compared to the market average.

Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What is your annual household income (before taxes)?



Preventive Health Behaviors - Uninsured, Medicaid, and Medicare Only

Represented below is the percentage of uninsured, medicaid or medicare only households in TYLER, TX CBSA that have had the following preventive healthcare services or tests in the last 12 months, compared to the market average.


Questions asked to obtain the results:• Has any household member used or had any of the following health care services or tests in the last12 months? (Select as many as apply)• What health plan/product is that?



Physician Visit Usage and Access

Purpose of Physician Visit by IncomeTYLER, TX CBSA

This section outlines the household's last physician visit usage and days to appointment access, including purpose of visit.


Questions asked to obtain the results:• Thinking of your HOUSEHOLD's last physician visit, what was the purpose of this most recent visit?• What is your annual household income (before taxes)?



•


Physician Access for Routine CareWithin the national sample has the highest percentage of households at 0% that waited more than 30 days for an appointment for routine care.

Within the national sample, has the lowest percentage of households at 0% that waited more than 30 days for an appointment for routine care.

•

Days to Appointment Access for Routine Care

TYLER, TX CBSA

Question asked to obtain the results:• How many days were there between the day your appointment was made and the day you saw thedoctor?




Physician Access for Routine Care in Lower Income Categories in TYLER, TX CBSA

• Reduce proportion of families that experience difficulties or delays in obtaining healthcare or do notreceive needed care for one or more family members.

Question asked to obtain the results:• How many days were there between the day your appointment was made and the day you saw thedoctor?• What is your annual household income (before taxes)?






•No Physician Visit

Within the national sample has the highest percentage of households at 0% who reported they have not seen a physician within the last two years.

Within the national sample, has the lowest percentage of households at 0% who reported they have not seen a physician within the last two years.

•

Question asked to obtain the results:• Thinking of your HOUSEHOLD's last physician visit, what was the purpose of this most recent visit?



Community Trust and Confidence in Healthcare

This section reports the various self-reported measures regarding the communities trust and confidence in healthcare, including measurements of trust in doctors, nurses, and health plans.

27 %27 %45 %

10 %10 %16 %

26 %26 %37 %

26 %26 %37 %

20 %21 %30 %

Pharmacists

Health Plans

Nurses

Doctors

Hospitals

NationalTEXASTYLER, TX CBSAMarket/Trust in

Question asked to obtain the results:• How would you rate your level of trust and confidence in the following?5 point score 'Very High' to 'Very Low'a. Hospitals d. Nursesb. Health Plans e. Pharmacistsc. Physicians


Level of Trust and Confidence - "Very High"


Community Trust and Confidence in Healthcare

"Very High" Trust/Confidence in Lower Income Categories

Questions asked to obtain the results:• How would you rate your level of trust and confidence in the following?5 point score "Very High" to "Very Low"a. Hospitals d. Nursesb. Health Plans e. Pharmacistsc. Physicians• What is your annual household income (before taxes)?


TYLER, TX CBSA

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