Title: Community Access Monitoring Survey (CAMS) Reports
Authors: Dennis Andrulis and Lisa Duchon, SUNY Downstate Medical Center; Carol Pryor, The Access Project; Nanette Goodman, Cornell Center for Policy Research
Description: The Access Project collaborated with community-based organizations to survey the uninsured about their experiences getting care at local, mainly safety-net, health care institutions. Called the Community Access Monitoring Survey (CAMS), the survey gathered data from over 10,000 uninsured people in 18 states.
Two reports were written to present the national findings from the Community Access Monitoring Survey. The first report, "What a Difference an Interpreter Can Make" was based on responses of 4,161 uninsured respondents who received care at one of the 23 urban hospitals included in the study. It compares the perceptions and experiences of adults who needed and had ready access to an interpreter with both those of adults who needed and did not have an interpreter readily available and those who did not need an interpreter. The findings show that uninsured respondents with limited English proficiency (LEP) who have access to an interpreter have strikingly better experiences in a wide range of areas, including ability to understand medication instructions, ability to get financial assistance to pay for care, and overall satisfaction with their health care encounter, compared to those who did not have an interpreter.
The second report, "Paying for Health Care When You're Uninsured: How Much Support Does the Safety Net Offer?" was based on the experiences of uninsured individuals in trying to pay for their medical care and prescription medications at primarily safety-net hospitals and health canters. The sample included 6,448 respondents who received outpatient health care at local facilities in the previous year, while uninsured. The findings indicate that uninsured people face serious financial barriers to obtaining care, and are often burdened with debts as a result of obtaining care. Moreover, these debts may deter them from seeking future care.
There are also local reports for each participating community that presents the findings for that specific location. All the CAMS related reports "Getting Health Care When You're Uninsured..." are available for download below.