Membership with Citizens Health Care Advocates (CHCA) is open to all.  Contributions are appreciated and are not a requirement for membership. 

You may contact us for more information, a brochure, or a schedule of our programs by sending mail to: 

Citizens Health Care Advocates (CHCA)

P O BOX 67

Owensboro, Kentucky 42302-0067

Or email us at:         info@CHCA.US

You are welcome to be part of our various committees.

We need your support.

We appreciate your input. Click here for Our 2009 Survey link

For word format file of survey please email us @ Healthy@chca.us

2009 Community Health

Needs Survey

Spring 2009

 
Your Age Group: ___ Under 18         ___ 19-34       ___35-54      ___55-64      ___65-74       ___75 or over

Do you currently have health insurance?  ___Yes    ___No   

   If yes, is it: ___ Medicaid/KCHIP  ___Medicare  ___Private, employer assisted  ___Private, I pay all costs

Seen a doctor in past 6 months?__ Yes  __ No       Been hospitalized in the past year?__ Yes   ___ No

Check if you:   ___ Smoke       ___ Are likely 20 lbs. overweight     ___Exercise at least 20 min. most days

Do you currently owe more money to a doctor/hospital than you can pay this year?  ___Yes    ___No

Are you a healthcare professional, or employed in a health care environment?  ___Yes   ___No

 

1.   What do you consider to be our community’s most pressing health care issue? ______________

      __________________________________________________________________________________

 

2.   What is your FAMILY’s most pressing health care issue? _________________________________

      __________________________________________________________________________________

 

3.   Have you experienced a problem/barrier to getting health care in this community?   __Yes    __No

      If yes, what was it? ___________________________________________________________________

 

4.   Please check (ü) the five (5) items that you believe to be the top health care related problems facing our local community:

___ Unhealthy habits (smoking, lack of activity and exercise, poor eating habits)

___ High number of uninsured and underinsured people

___ Shortage of primary care doctors/people without a primary doctor

___ Doctors not accepting Medicaid/Medicare, or new Medicaid/Medicare patients

___ Use of the emergency room as the only health care option for some

___ Cost of medical care

___ High cost of physician liability insurance’s impact on availability of services

___ Cost of prescription medicines

___ Cost of medical insurance, co-pays and deductibles

___ Difficulty in accessing psychiatric, mental health or behavioral health services

___ Low income people feeling they are not treated equally by the healthcare system

___ Difficulties with transportation to and from medical services

___ Language barriers, other complications in serving immigrants

___ Shortage of health care support professionals (nurses, etc.)

___ Availability and accessibility to appropriate pre-natal/pregnancy care

___ Difficulties in early identification and intervention for early childhood disorders

___ Dental Care accessibility for those without insurance or on Medicaid

___ Other (please list) ___________________________________________________________

 

5.   Owensboro Medical Health System (OMHS) is planning the construction of a new hospital.  Please check those items which most clearly reflect your feelings or beliefs regarding this:

___ I agree that we need a new hospital and the promised new services and benefits.

___ I question the need for a new hospital and whether there will be benefits from it.

___ The public has been adequately informed about the need for a new hospital.

___ The public does not understand the need for a new hospital.

___ If building a new hospital was put to a vote in this county, it would be endorsed or approved.

___ If building a new hospital was put to a vote in this county, it would be turned down.                        Please offer comments, questions or concerns about the proposed new hospital: ____________________ 

 _____________________________________________________________________________________

Please complete and return this form at this site, via email, by regular mail to the above address, or fax to

CHCA at 683-0079.   Due date is no later than June 30, 2009.   CHCA is an all volunteer citizen group dedicated to working on behalf of the public’s interest and community needs in health care.   If you wish to receive meeting notices and newsletters from CHCA, please provide your name and contact info.              Name_________________________________________

Email: _____________________________ Mailing Address _______________________________________________________