Rockbridge Area Community Health Needs Assessment 2012

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LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT The Local Public Health System Assessment determines the capacity of the local public health system and identifies gaps in care. The following data collection was completed for this assessment:   

Sources of care, barriers to care, and gaps in services as reported by focus group participants and survey respondents Top Emergency Room diagnoses for Carilion Stonewall Jackson Hospital and Augusta Health Available resources as evidenced by telephone surveys of local practices, websites of local agencies and key informant interviews.

Please see the appendices for a full report of survey and focus group methods and results. The Focus Group report is found in Appendix C and the Survey Report is found in Appendix D. PRIMARY CARE Sources of Primary Care (Family Medicine and OB/GYN) Rockbridge Area MAPP Focus Group participants report use of a range of local and regional resources including:93        

Buena Vista and Lexington Health Departments Private providers Emergency Rooms (Carilion Stonewall Jackson Hospital and Augusta Health) Lewis-Gale (Labor and Delivery) Augusta Health Care for Women (OB/GYN) Rockbridge Area Free Clinic Local Pharmacies Remote Area Medical (RAM)

Barriers to Accessing Local Primary Care Services Focus Group participants report:94   

93 94

Use of ER as Primary Care Convenience of Hours (no weekend or evening hours available except at ER) Lack of Culturally Appropriate Services (Spanish-speaking, Complementary &Alternative Therapies)

Rockbridge Area MAPP Focus Group Report, 2012 Rockbridge Area MAPP Focus Group Report, 2012

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