Background:
For several months, NHC staff and volunteers asked patients to fill
out a survey to better inform the clinic of their needs. NHC gathered a
holistic look at patients and asked about a variety of topics, from
healthcare needs to food insecurity to transportation capabilities.
The survey gathered 157 responses, which resulted in a 90%
confidence interval and 5% margin of error. This means that for any
given result, the reader can be 90% confident the truth lies within +5%
and -5% of the given result.
Results:
What are patient demographics of NHC?
What are financial situations of NHC patients?
Insurance Status: 89% of NHC patients are
uninsured. Of those who have insurance, most are on Medicaid or
Medicare. Very few (1.3%) are on employer-provided insurance.

Employment Status: Less than half of NHC patients
are working (48%), 24% are unemployed and looking for work, and
18% are unemployed but not looking for work.

Employment Status: Most women seen at NHC are
unemployed, while most men are employed.

Financial Assistance Programs: Most patients (81%)
are not using financial assistance programs (data not shown).
Of those who are, 73% are using SNAP. This suggests there is some need
for food assistance in the NHC patient population and an
accessible way to receive it. See the next section for more details on
the challenges and resources our patients have.
What are the holistic needs of NHC patients?
(Self-reported.)
Healthcare: 36% of NHC patients reported they did
not have access to healthcare in the past 12 months. When asked why they
could not access healthcare, the two most popular responses were
cost of care and not having insurance (data not
shown).
Housing: 59% of NHC patients are living in rented
houses or apartments. 70% of patients have not experienced
housing insecurity in the past 12 months. This distribution was equal
across demographics such as gender, ethnicity, household size, and
marital status.

Food: 37% of NHC patients worry about having enough
food either “sometimes” or “often.” These patients are consistently
worrying about food, and always more often than those not on food
assistance programs.

Mental Health: 24% of NHC patients experience poor
mental health half or more days in a month. There were varied
distributions in both gender, ethnicity, and employment status.
By gender, men were more likely to have either extreme response and
women were more equally spread across the spectrum (data not
shown).
By ethnicity, English-speakers experience more poor mental health
days and are more likely to say they cannot access mental health
resources when they need it.

By employment status, the group that experiences the most poor
mental health days in a month are those who are unemployed but looking
for work. Those who are only working part time or who are not working
are more likely to feel they cannot access mental health resources when
they need it (data not shown).
Challenge: Besides finding healthcare resources,
the greatest challenge NHC patients face is paying for utilities.
(39% of patients did not answer this question.)

Summary:
- Demographics: NHC sees twice as many females than
males but an even split between Spanish and English patients. Their
median age is 50 years old.
- Financial Situation: The median federal poverty
level of NHC patients is 100%. Most (89%) NHC patients are uninsured.
Less than half of NHC patients are working. Most NHC patients are not on
financial assistance programs, but of those who are, SNAP is the most
common.
- Holistic Needs: 30% of NHC patients are
housing-insecure. 37% of NHC patients worry about food. 24% of NHC
patients report having poor mental health. Besides access to healthcare,
the greatest challenge NHC patients face is paying for utilites.
These results are likely impacted by NHC’s location and
hours.
Though very few patients reported having transportation
difficulties, those who do have transportation hardships would not have
been able to come to the clinic and take the survey. Moving the clinic
to where the patients live or within walking distance of a bus stop
could increase opportunities for the underserved population to be
seen.
Since less than half of NHC patients work, this could be because NHC
is only open during work hours. Changing the times NHC is open could
also increase opportunities for the underserved to be seen. This is
likely also why NHC sees twice as many women than men, since women are
more likely to be stay-at-home wives and can be seen during clinic
hours.
Action Items:
- Begin/continue discussion of changing NHC location and hours.