2025 Children's of Alabmama Community Health Needs Assessment

HEALTHCARE ACCESS

Issue #1: Ability to pay for care Issue #2: Availability of quality healthcare service Issue #3: Parent education

Access questions focused on barriers to obtaining health services. Ability to pay and availability of care ranked first and second, respectively. Parent education ranked third. These three issues, plus transportation, were the top three (though perhaps in differing orders) for more than 60% of the population. See Table 10.

Table 10. Top Access Issues Rank Access Issues Ranked

Mean Top 3 Count Top 3 %

1 Ability to pay for care

2.7 2.9 2.9 3.1 3.6 5.8

535 476 484 460 315

69.8 62.1 63.2 60.1 41.1

2 Availability of quality healthcare services

3 Parent education

4 Lack of reliable and affordable transportation

5 Scheduling difficulty

6 Other

28

3.6

n=766

ACCESS ISSUES BY DEMOGRAPHICS

Ability to pay is the top issue for six of the eight age bands, with parent education the top issue for those 45 to 54 and availability of care the top for those aged 65 to 74. See Table 11.

Table 11. Access Issues by Age Age Band n

Top Issue

Mean

Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 to 84

12 20

Ability to pay for care Ability to pay for care Ability to pay for care Ability to pay for care

2.3 1.9 2.3 2.7 2.8 2.8 2.4

101 207 148 145

Parent education

Ability to pay for care

79 26

Availability of quality healthcare services

Ability to pay for care

2

As table 12 indicates, the ability to pay for quality care is the top issue for each race/ethnic group.

Table 12. Access Issues by Ethnicity/Race Race/Ethnicity n

Top Issue

Mean

White

586 Ability to pay for care 127 Ability to pay for care

2.7 2.7 2.2 1.8 2.0 2.3

Black or African American

Hispanic/Latino/Latina:

10

Ability to pay for care Ability to pay for care Ability to pay for care Ability to pay for care

Asian

8

American Indian or Alaska Native 14

Other

14

Children’s of Alabama, 2025 CHNA

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