2010 Consumer Needs Assessment Survey Sponsored by the Greater - - PowerPoint PPT Presentation

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2010 Consumer Needs Assessment Survey Sponsored by the Greater - - PowerPoint PPT Presentation

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2010 Consumer Needs Assessment Survey Sponsored by the Greater Baltimore HIV Health Services Planning Council Prepared by Funded by the Ryan White HIV/AIDS Treatment Extension Act InterGroup Services, Inc., March 2011 of 2009 through the

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2010 Consumer Needs Assessment Survey

Sponsored by the Greater Baltimore HIV Health Services Planning Council

Prepared by InterGroup Services, Inc., March 2011

Funded by the Ryan White HIV/AIDS Treatment Extension Act

  • f 2009 through the Baltimore City Health Department
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Thank You

  • Greater Baltimore HIV Health Services Planning Council
  • Planning Council Needs Assessment Committee
  • Baltimore City Health Department
  • Interviewers
  • Providers
  • Survey Respondents

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Outline

  • Background & Methodology
  • Demographic Profile of Respondents
  • Findings

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The Survey Sought to Answer Two Questions

  • What are the service needs of PLWH/As

within the Baltimore EMA?

  • What barriers exist that prevent PLWH/As

from receiving HIV-related services?

IGS 2011

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Methodology

  • 813 survey respondents (791 fully completed)
  • Face-to-face interviews with trained interviewers
  • Surveys done at provider locations or IGS
  • Consent forms
  • Incentive used: $20 grocery card
  • Data entry and analysis conducted by IGS

IGS 2011

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Outline

  • Background & Methodology
  • Demographic Profile of Respondents
  • Findings

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EMA Respondents

  • 813 respondents were interviewed
  • 791 known to reside in the EMA
  • Accounting for 97.3% of respondents
  • 673 Baltimore City residents
  • 118 counties residents

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IGS 2011

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Age of Respondents

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IGS 2005, IGS 2007, and IGS 2011

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Sex of Respondents

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IGS 2005, IGS 2007, and IGS 2011

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Race/Ethnicity

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IGS 2005, IGS 2007, and IGS 2011

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Mode of Exposure

IGS 2005, IGS 2007, and IGS 2011

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Jurisdiction

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IGS 2011

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Hot Spot ZIP Codes

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IGS 2011

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Housing Type

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IGS 2011

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Income Level

2007 2010 IGS 2007 and IGS 2011

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Insurance Type

IGS 2007 and IGS 2011

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Medication Coverage

IGS 2007 and IGS 2011

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Time in Primary Medical Care

IGS 2005, IGS 2007, and IGS 2011

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Time Between Diagnosis and Seeking Care

(ʻ07) (ʻ07) (ʻ07) (ʻ04) (ʻ04) (ʻ04) IGS 2005, IGS 2007, and IGS 2011

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Outline

  • Background & Methodology
  • Demographic Profile of Respondents
  • Findings

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EMA Service Demand

IGS 2011

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Top 10 Most Demanded Services Comparison

2007

  • 1. Primary Medical Care – 100%
  • 2. Case Management – 91.2%
  • 3. Local AIDS Pharm. Assist. – 84.1%
  • 4. Oral Health Care – 83.4%
  • 5. Medical Transportation – 70.7%
  • 6. EFA – 61.2%
  • 7. Medical Nutritional Therapy – 59.7%
  • 8. Mental Health – 59%
  • 9. Non-medical Case Mgt. – 57.8%
  • 10. Psychosocial – 57.5%

2010

  • 1. Primary Medical Care – 100%
  • 2. Local AIDS Pharm. Assist. – 84.3%
  • 3. Oral Health Care – 79.5%
  • 4. Medical Case Management – 77.7%
  • 5. Non-medical Case Mgt. – 68.8%
  • 6. EFA – 64.2%
  • 7. Mental Health – 58.3%
  • 8. Medical Transportation – 55.6%
  • 9. Health Ins. Prem. & Cost Sharing – 53.9%
  • 10. Medical Nutrition Therapy – 51.7%

IGS 2007 and IGS 2011

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Unmet Service Demand

Unmet service demand is determined by:

Example: if 5 people needed a service but 4 of them couldn’t get it, then the unmet need would be: 4/5=0.8 or 80% 80% unmet demand sounds high, but only 5 people needed the service

# of people who needed but couldn’t get a service # of people who needed the service

IGS 2011

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EMA Unmet Service Demand

IGS 2011

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Top 10 Unmet Services Comparison

2007

  • 1. Legal – 69.3%
  • 2. Hospice Care – 69.2%
  • 3. Home Health Care – 64.2%
  • 4. Respite Care – 60.0%
  • 5. Child Care >6 – 59.5%
  • 6. Rehabilitation – 59.0%
  • 7. EFA – 57.9%
  • 8. Linguistic Services – 57.1%
  • 9. Temporary Housing – 53.1%
  • 10. Child Care <6 – 52.6%

2010

  • 1. Permanency Planning – 91.4%
  • 2. Child Care 6+ – 90.0%
  • 3. Child Care <6 – 86.1%
  • 4. Legal – 80.8%
  • 5. Respite Care – 77.8%
  • 6. Linguistic Services – 58.8%
  • 7. Rehabilitation – 58.6%
  • 8. Temporary Housing – 53.4%
  • 9. Home Health Care – 52.5%
  • 10. Home/Comm. Based Health – 47.1%

IGS 2007 and IGS 2011

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Unmet Demand Barriers

 Not knowing that a service exists  Not knowing or understanding how to

access that service

 Not understanding the eligibility process  Difficulty navigating the service system

IGS 2011

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Barriers to Seeking Care

Barriers to Health Care n of responses Knowing who to call or where to go 150 Knowing about free HIV/AIDS care 141 Knowing how important seeing a doctor or nurse is 139 Having help getting over fear or shame 156 Having help stopping drug or alcohol use 128 Getting care in a private setting 75 Does not apply 369 Other 110

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IGS 2011

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Primary Medical Care Barriers

Primary Medical Care Barriers (n=12) n of responses % of respondents I do not need HIV medical care 2 16.7 I do not know how to get HIV medical care 1 8.3 Provider’s office hours did not fit my schedule 1 8.3 I couldn’t afford the co-pay/fee 1 8.3 I use drugs and/or alcohol 1 8.3 Does not apply 3 25.0 Other 4 33.3

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IGS 2011

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Medical Case Management Barriers

Medical Case Management Barriers (n=57) n of responses % of respondents I did not need medical case management 14 24.6 I did not want medical case management 2 3.5 I do not know how to get medical case management 21 36.8 Provider’s office hours did not fit my schedule 2 3.5 I was not getting good service 3 5.3 I don’t want anyone to know my HIV status 2 3.5 It was too hard to apply for 1 1.8 I was not eligible 1 1.8 I couldn’t afford the co-pay/fee 2 3.5 I use drugs and/or alcohol 3 5.3 Does not apply 7 12.3 Other 10 17.5 29

IGS 2011

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Outreach Barriers

Outreach Barriers (n=168) n of responses % of respondents I did not need outreach service 35 20.8 I did not want outreach services 4 2.4 I do not know how to use outreach services 81 48.2 I have never seen outreach or field workers in my area 43 25.6 The outreach hours did not fit my schedule 5 3.0 I was not getting good service 2 1.2 I don’t want anyone to know my HIV status 2 1.2 It was too hard to apply for 6 3.6 I was not eligible 1 0.6 I had no way to get there 1 0.6 Does not apply 8 4.8 Other 23 13.7 30

IGS 2011

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  • Thank You Interviewers!
  • Maria Abasi
  • Terri Davis
  • Jon Gaillard
  • Cheri Jean Garber
  • Greg Grenier
  • David V. Halbeisen
  • Kayla Hobson
  • Antwan Little
  • Judith Millman
  • Michelle Muhammad
  • Kori Pilkins
  • Janice Sabb
  • Martha Bonds Sayre

IGS 2011

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Thank You Providers!

AIRS (AIDS Interfaith Residential Services) Anne Arundel County Health Department Baltimore County Health Department Bon Secours Imani Center Carroll County Health Department Chase Brexton Health Services Family Health Centers of Baltimore HAVEN Harford County Health Department Healthcare for the Homeless Light Health and Wellness Comprehensive Services Johns Hopkins University- Care Plus Johns Hopkins University-Comprehensive Care Practice Johns Hopkins University- HALO Johns Hopkins University Moore Clinic Man Alive Moveable Feast New Vision House of Hope Park West Medical Center People’s Community Health Queen Anne’s County Health Department STAR (Sisters Together and Reaching) Total Health Care Tuerk House University of Maryland-Dental PLUS Program University of Maryland Evelyn Jordan Center University of Maryland Jacques Initiative University of Maryland-Maryland General Hospital WAR (Women Accepting Responsibility)

IGS 2011

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Bibliography

Akers: M. A. A. Akers. 2009. Counting Matters: Baltimore Homeless Point-In-Time Census Study (2009). School

  • f Architecture and Planning Morgan State University. Baltimore, Md.: Morgan State University.

DHHS 2009: U.S. Department of Health & Human Services, Assistant Secretary for Planning and Evaluations.

  • 2009. “The 2009 HHS Poverty Guidelines.” Internet site (http://aspe.hhs.gov/poverty/09poverty.shtml),

downloaded on February 16, 2011. DHMH 2010: State of Maryland, Department of Health and Mental Hygiene (DHMH), AIDS Administration. 2010 Maryland Baltimore Towson Metropolitan Area HIV/AIDS Epidemiological Profile: Fourth Quarter 2009 --- Data Reported Through December 31, 2009. Baltimore, Md.: DHMH. Internet site (http:// www.dhmh.state.md.us/AIDS/Baltimore-TowsonMSAHIVEpiProfile12-2009.pdf), downloaded on March 11, 2011. IGS 2005: InterGroup Services, Inc. (IGS). 2005. Greater Baltimore HIV Health Services Planning Council Consumer Survey, Baltimore EMA, 2004. Baltimore, Md.: IGS, March. IGS 2007: _____. 2007. Greater Baltimore HIV Health Services Planning Council Consumer Survey, Baltimore EMA, 2007. Baltimore, Md.: IGS, December. IGS 2011: _____. 2011. Greater Baltimore HIV Health Services Planning Council Consumer Survey, Baltimore EMA, 2010. Baltimore Md.: IGS, March.

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