Newman Memorial Hospital Medical Service Area … Memorial Hospital Medical Service Area Survey...

Newman Memorial Hospital

Medical Service Area Survey Results

Oklahoma Office of Rural Health OSU Center for Rural Health

Oklahoma Cooperative Extension Service

Oklahoma State University

September 2013

AE-13166


Medical Service Area Survey Results

Community Health Needs Assessment documents available online at:

www.okruralhealthworks.org

Lara Brooks, Extension Associate, OSU, Stillwater

405-744-9827

Brian Whitacre, Associate Professor and Extension Economist, OSU, Stillwater

405-744-6083

Lynda Latta, Ellis County Extension Director, Arnett

580-885-7775

Corie Kaiser, Director, Oklahoma Office of Rural Health, Oklahoma City

405-840-6500

Oklahoma Office of Rural Health

OSU Center for Rural Health

Oklahoma Cooperative Extension Service

Oklahoma State University

September 2013

No. %

73848- Laverne 49 30.2%

73858- Shattuck 40 24.7%

79034- Follett, TX 16 9.9%

73843- Gage 15 9.3%

73832- Arnett 11 6.8%

73840- Fargo 7 4.3%

73844- Gate 7 4.3%

73801- Woodward 3 1.9%

79046- Higgins, TX 3 1.9%

73851- May 2 1.2%

73834- Buffalo 1 0.6%

73852- Mooreland 1 0.6%

73855- Rosston 1 0.6%

73932- Beaver 1 0.6%

79024- Darrouzett, TX 1 0.6%

79014- Canadian, TX 1 0.6%

No response 3 1.9%

162 100.0%

Zip Code of Residence

Response Category

30.2%

24.7%

9.9%

9.3%

6.8%

14.8%

Zip Code of Residence, Top 5 Responses

73848- Laverne

73858- Shattuck

79034- Follett, TX

73843- Gage

73832- Arnett

Other

Local Health Services Survey Results - Newman Memorial Hospital Medical Service Area - 2013 1

No. %

124 76.5%

No 35 21.6%

3 1.9%

162 100.0%

1. Has your household used the services of a hospital in the past 24 months?

Response Category

Yes

Don't know/No response

Total

76.5%

21.6%

1.9%

Hospital Usage

Yes

No



No. %

106 65.8%

11 6.8%

St. Anthony Hospital, Oklahoma City 6 3.7%

5 3.1%

St. Mary's Regional Medical Center, Enid 5 3.1%

INTEGRIS Bass Baptist Hospital, Enid 2 1.2%

Surgery Center of Enid 2 1.2%

McBride Orthopedic Hospital, Oklahoma City, OK 2 1.2%

OU Medical Center, Oklahoma City 1 0.6%

Mercy Hospital, Oklahoma City 1 0.6%

Buster Rural Health Clinic, Cheyenne 1 0.6%

Children's Hospital Colorado, Denver, CO 1 0.6%

Oklahoma Transplant Center (OU), Oklahoma City, OK 1 0.6%

Oklahoma Spine Hospital, Oklahoma City 1 0.6%

Amarillo VA Health Care System, Amarillo, TX 1 0.6%

Valir Health, Oklahoma City 1 0.6%

Oklahoma City, No Facility provided 1 0.6%

13 8.1%

161 100.0%

Response Category

Newman Memorial Hospital, Shattuck

Woodward Regional Hospital, Woodward

2. Where did you receive hospital services?

Harper County Community Hospital

Total*

No Location provided

*Some respondents answered more than once. Average hospitals visited per respondent = 1.30

65.8%

6.8%

3.7%

3.1% 20.5%

Location of Hospital Services

Newman Memorial Hospital,

Shattuck

Woodward Regional Hospital,

Woodward

St. Anthony Hospital, Oklahoma

City

Harper County Community

Hospital

Other


2.1. Hospital utilization comparison- Newman Memorial Hospital compared to previous

community surveys

Survey Area


Other Surveys Averages*

Other Surveys Low Range*

Other Surveys High Range*

75.0%

24.1%75.9%

Did not use local hospital

34.2%

Used local hospital

65.8%

59.6%

25.0%

40.4%

*Based on a total of 30 community surveys conducted since 2008.

65.8%

59.6%

25.0%

75.9%

34.2%

40.4%

75.0%

24.1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%





Used local hospital Did not use local hospital


No. %

16 29.1%

18 32.7%

Closer, more convenient location 10 18.2%

Quality of Care/Lack of confidence 4 7.3%

1 1.8%

Family doctor 1 1.8%

Lower cost 1 1.8%

Emergency room visit/Auto accident 1 1.8%

Not getting in on the day needed 1 1.8%

No response 2 3.6%

55 70.9%

Insurance reasons

3. If you responded in question 2 that your household received care at a hospital other than

Newman Memorial Hospital, why did you or your family member choose that hospital?

Response Category

Total

Availability of specialty care

Physician referral

29.1%

32.7%

18.2%

7.3%

1.8%

0% 5% 10% 15% 20% 25% 30% 35%

Physician referral


Closer, more convenient location

Quality of Care/Lack of confidence

Insurance reasons

Reason for Choosing a Hospital Other Than Newman Memorial Hospital


No. %

Laboratory 62 25.5%

Emergency room 50 20.6%

Radiological imaging 48 19.8%

Physician services 46 18.9%

Inpatient services 14 5.8%

Other outpatient 12 4.9%

Immunizations 2 0.8%

Urgent care 2 0.8%

Physical therapy 1 0.4%

EKG 1 0.4%

Child birth 1 0.4%

Physical exam 1 0.4%

Cataract surgery 1 0.4%

Cardiological check up 1 0.4%

Other, not listed 1 0.4%

243 100.0%

*Some respondents selected more than one category. Average number of services used per respondent = 2.29

Total

4. What hospital service(s) were used at Newman Memorial Hospital?

Response Category

25.5%

20.6%

19.8%

18.9%

5.8%

0% 5% 10% 15% 20% 25% 30%

Laboratory

Emergency room

Radiological imaging

Physician services

Inpatient services

Services used at Newman Memorial Hospital


Satisfied Dissatisfied Don't know

73.6% 15.1% 11.3%

85.3% 12.2% 2.5%

63.8% 33.3% 2.9%

100.0% 0.0% 0.0%

Survey Area



5. How satisfied were you or someone in your household with the services you received at

Newman Memorial Hospital?

*Based on 61 community surveys conducted since 2002.



73.6%

85.3%

63.8%

100.0%

15.1%

12.2%

33.3%

0.0%

0% 20% 40% 60% 80% 100%





Satisfaction with Newman Memorial Hospital

Satisfied

Dissatisfied

Don't know


No. %

13 13.3%

Good treatment/Service 13 13.3%

11 11.2%

9 9.2%

9 9.2%

Problem solved 4 4.1%

Efficient services 4 4.1%

Quality of care 3 3.1%

Satisfied, but concerned about care 2 2.0%

Long time patient/Knows doctor staff well 2 2.0%

Thorough care 1 1.0%

Satisfied, but slow registration 1 1.0%

Satisfied, but expensive care 1 1.0%

Satisfied, but doctor had to stop treatment 1 1.0%

Satisfied, but did not like distance from admissions to lab window 1 1.0%

23 23.5%

98 100.0%

%

Unprofessional physician/staff 6 23.1%

Problem(s) not resolved 4 15.4%

Concerned about quality of care 4 15.4%

4 15.4%

Dissatisfied with physician 3 11.5%

Lack of follow up 1 3.8%

Problems with billing and registration 1 3.8%

Not enough time with physician 1 3.8%

No pricing for services available 1 3.8%

Insurance claim not handled properly 1 3.8%

26 100.0%

No response

Total

Response Category

Friendly staff

Quick treatment

Convenient location/Local service

Response Category

6a. Why were you satisfied?

Total


Long wait/Slow service

Satisfied with staff/Knowledgeable staff


6b. Why were you dissatisfied?


Type of Specialist No. %

Cardiologist 24 15.2%

Urologist 15 9.5%

Orthopedist 14 8.9%

Dermatologist 12 7.6%

OB/GYN 10 6.3%

Rheumatologist 9 5.7%

Gastroenterologist 7 4.4%

Otolaryngologist 7 4.4%

Surgeon 6 3.8%

Ophthalmologist 5 3.2%

Oncologist 5 3.2%

Endocrinologist 4 2.5%

Pulmonologist 4 2.5%

Pain Management 4 2.5%

Internal/General 4 2.5%

Podiatrist 3 1.9%

Allergist 2 1.3%

Nephrologist 2 1.3%

Neurologist 2 1.3%

Pediatrician 2 1.3%

Hepatologist 2 1.3%

Cardiac Surgeon Oklahoma City (2) 2 1.3%

Retinologist 2 1.3%

Audiologist 1 0.6%

Respiratory Therapist 1 0.6%

Physical Therapist 1 0.6%

Neuropsychologist 1 0.6%

Perinatal Specialist Oklahoma City (1) 1 0.6%

Pediatric Trauma Denver, CO (1) 1 0.6%

Ped. Endocrinologist 1 0.6%

Transplant Oklahoma City (1) 1 0.6%

Emergency Room Woodward (1) 1 0.6%

Stroke Arnett (1) 1 0.6%

Dentist 1 0.6%

Total 158 100.0%

Enid (5); Shattuck (4); Oklahoma City (4); Elk City (1);

Norman (1)

Shattuck (3); Oklahoma City (3); Liberal, KS (3); Edmond

(2); Enid (1)

Woodward (2); Shattuck (1); Oklahoma City (1)

Oklahoma City (1); No Location (1)

No Location (1)

CityOklahoma City (7); Shattuck (6); No Location (3);

Woodward (3); Spokane, WA (2); Clinton (1); Perry (1);

Amarillo, TX (1)

Oklahoma City (9); Enid (2); Woodward (2); Edmond (1);

Oklahoma City (4); Enid (2); Shattuck (1); Woodward (1);

Liberal, KS (1); No Location (1)

Oklahoma City (4); Woodward (2); No Location (1)

Oklahoma City (5); Edmond (2); Norman (1); Amarillo,

TX (1)

Oklahoma City (3); Enid (2); Amarillo, TX (1); No

Location (1)

Oklahoma City (3); Enid (2)

Oklahoma City (3); Enid (1)

Enid (4)

Oklahoma City (2); Enid (1); Woodward (1)

Enid (2); Oklahoma City (1)

7. What type of specialist has your household been to and in which city did you receive that care?

Oklahoma City (3); Shattuck (1); Woodward (1)

Shattuck (4); Woodward (1); No Location (1)

Oklahoma City (1); Amarillo, TX (1)

Enid (1); Amarillo, TX (1)

Oklahoma City (1); Woodward (1)

Amarillo, TX (1)

Oklahoma City (1)

Shattuck (1)

Oklahoma City (1); Amarillo, TX (1)

Shattuck (1)

Edmond (1); Oklahoma City (1)

Oklahoma City (1)

*Some respondents answered more than once. 105 respondents had seen a specialist. Those 105 respondents reported

visiting an average of 1.5 specialists.


7. What type of specialist has your household been to and in which city did you receive that care?

0

5

10

15

20

25

Card

iolo

gist

Uro

log

ist

Derm

atolo

gist

Orth

op

edist

OB

/GY

N

Oto

laryng

olo

gist

Rheu

mato

log

ist

Gastro

entero

log

ist

Op

hth

almo

log

ist

On

colo

gist

Type of Specialist

39.9%

13.9% 13.9%

9.5%

6.3%

3.8%

3.8%

2.5%

6.3%

Location of Specialist Oklahoma City Enid

Shattuck Woodward

No Location Edmond

Amarillo, TX Liberal, KS

All others


No. %

73 69.5%

28 26.7%

4 3.8%

105 100.0%

8. Did the specialist request further testing, laboratory work and/or x-rays?

Response Category

Yes


Total

No

69.5%

26.7%

3.8%

Specialists Requiring Laboratory Work and/or X-Rays

Yes

No



No. %

28 33.7%

18 21.7%

Woodward 13 15.7%

Enid 11 13.3%

Laverne 5 6.0%

No Location 3 3.6%

Amarillo, TX 2 2.4%

Weatherford 1 1.2%

2 2.4%

83 100.0%

Edmond

9. If yes, in which city were the tests or laboratory work performed?

*Some respondents answered more than once. Average responses equal 1.14

Shattuck

Total

Response Category

Oklahoma City

33.7%

21.7%

15.7%

13.3%

6.0%

3.6%

2.4%

1.2%

2.4%

Oklahoma City

Shattuck

Woodward

Enid

Laverne

No Location

Amarillo, TX

Weatherford

Edmond

0% 5% 10% 15% 20% 25% 30% 35% 40%

Location of Laboratory Work


No. %

129 79.6%

19 11.7%

14 8.6%

162 100.0%

No. %

Mid-Level Clinic 5 25.0%

Rural Health Clinic 3 15.0%

Specialist 4 20.0%

Emergency Room 1 5.0%

Health Department 1 5.0%

No type of provider 1 5.0%

Urgent care 1 5.0%

Homeopathic provider 1 5.0%

No response 3 15.0%

20 100.0%

Total

Response Category

10. Do you use a family doctor for most of your routine health care?

11. If no, then what kind of medical provider do you use for routine care?

Response Category

Yes


Total

No


79.6%

11.7%

8.6%

Use Family Doctor for Routine Health Care

Yes

No



No. %

113 69.8%

No 34 21.0%

15 9.3%

162 100.0%

Yes


12. Has your household been to a primary care doctor in the Shattuck service area?

Total

Response Category

69.8%

21.0%

9.3%

Has your household been to a primary care doctor in the Shattuck

service area?

Yes

No




84.1% 8.8% 7.1%

90.0% 6.6% 4.4%

80.0% 20.0% 0.0%

100.0% 0.0% 0.0%

13. How satisfied were you or someone in your household with the quality of care received from a

primary care doctor in the Shattuck service area?


Shattuck Service Area

Response Category

*Based on a total of 17 community surveys conducted since 2012.



84.1%

90.0%

80.0%

100.0%

8.8%

6.6%

20.0%

0.0%

0% 25% 50% 75% 100%

Shattuck Service Area




Satisfaction with Shattuck Service Area

Primary Care Doctor

Satisfied

Dissatisfied

Don't know


No. %

Satisfied with doctor (communication, care, thorough) 11 11.0%

8 8.0%

Problem solved/Needs met 6 6.0%

Satisfied with doctor, but no longer practicing in Shattuck 6 6.0%

5 5.0%

5 5.0%

Long time patient/Knows doctor well 4 4.0%

3 3.0%

Timely care/Quick treatment 3 3.0%

Satisfied, but difficult to get an appointment 2 2.0%

Satisfied, but concerned about care 1 1.0%

Satisfied, but care seemed expensive 1 1.0%

Satisfied, but concerned about insurance coverage 1 1.0%

Satisfied with availability of urgent care 1 1.0%

Nice facility 1 1.0%

42 42.0%

100 100.0%

No. %

Cannot get an appointment when needed/Not enough providers 3 27.3%

Concerned about quality of care/Meeting patient needs 2 18.2%

Rushed through appointment 1 9.1%

Dissatisfied with doctor 1 9.1%

Problem not solved 1 9.1%

Dissatisfied with business office handling insurance claims 1 9.1%

Dissatisfied, clinic closed 1 9.1%

Lack of natural remedies rather than prescriptions 1 9.1%

11 100.0%


14b. Why were you dissatisfied with the primary care doctor?

Response Category

Total

Friendly/Caring staff/providers

Good treatment/Care/Services

Convenient Location/Local service

Ease of getting an appointment

Response Category

No response


Total

14a. Why were you satisfied with the primary care doctor?


No. %

9 5.6%

111 68.5%

42 25.9%

162 100.0%Total

No

Response Category

Yes


15. Do you think there are enough primary care (family) doctors practicing in the Shattuck

service area?

5.6%

68.5%

25.9%

Do you think there are enough primary care doctors practicing in

the Shattuck service area?

Yes

No



No. %

110 67.9%

18 11.1%

34 21.0%

162 100.0%Total

Yes

16. Would you consider seeing a midlevel provider (nurse practitioner or physician assistant) for

your routine healthcare needs?

Response Category

No


67.9%

11.1%

21.0%

Would you see a midlevel provider for routine healthcare needs?

Yes

No



No. %

107 66.0%

26 16.0%

29 17.9%

162 100.0%


Total

Response Category

No

17. Are you able to get an appointment with your primary care (family) doctor when you need

one?

Yes

66.0%

16.0%

17.9%

Are you able to get an appointment with your primary care

doctor when needed?

Yes

No



No. %

Lack of doctors/Need more doctors 56 32.2%

7 4.0%

Lack of specialists 7 4.0%

7 4.0%

Keeping hospital/healthcare/Sustainability of services 5 2.9%

Quality of care 4 2.3%

Lack of services 3 1.7%

Business office/Billing department 3 1.7%

Distance to services 2 1.1%

Quality doctors 2 1.1%

Not having doctors in the clinics 2 1.1%

ER care/Doctors (shortage) 2 1.1%

Insurance coverage 2 1.1%

Pain management availability 2 1.1%

Wait time- efficiency 1 0.6%

Not familiar with services 1 0.6%

Not enough health care staff 1 0.6%

1 0.6%

Advanced care in Shattuck 1 0.6%

Acceptance of insurance through Insure OK 1 0.6%

Lack of cooperation among providers 1 0.6%

Building upgrades 1 0.6%

Male primary care doctors 1 0.6%

Patients do not want to see NP or PA 1 0.6%

Quality of care from midlevel providers 1 0.6%

Arthritis 1 0.6%

Having care when needed 1 0.6%

Organization 1 0.6%

Transparency of costs/services 1 0.6%

Hospital administration 1 0.6%

Lack of concern 1 0.6%

Trauma care 1 0.6%

52 29.9%

174 100.0%Total

Response Category

No response

No Concerns/ Don't Know

Difficult to get an appointment

18. What concerns you the most about healthcare in the Shattuck service area?

Lack of natural remedies before prescriptions



No. %

76 35.8%

No additional services/Don't know 11 5.2%

Primary care (more) 3 1.4%

Diabetic nutrition/education/clinic 3 1.4%

Quality physicians 2 0.9%

Improved scheduling of appointments 2 0.9%

Mental health 1 0.5%

1 0.5%

A health clinic 1 0.5%

Chemical stress test 1 0.5%

More testing 1 0.5%

Home health and Hospice 1 0.5%

Expanded rehab 1 0.5%

Mammography 1 0.5%

Ultrasounds 1 0.5%

Prenatal care 1 0.5%

Nutrition education 1 0.5%

More doctors 1 0.5%

MRI 1 0.5%

Thyroid care clinic 1 0.5%

Improved services 1 0.5%

HIDA scans 1 0.5%

More male doctors 1 0.5%

Surgical center 1 0.5%

Increased level of care 1 0.5%

Improved laboratory 1 0.5%

More providers working at hospital 1 0.5%

Personal care 1 0.5%

Continue current services 1 0.5%

Improved billing 1 0.5%

1 0.5%

90 42.5%

212 100.0%

No response

Total

Maternity/Birthing services

More like Oklahoma City

19. What additional services would you like to see offered at Newman Memorial Hospital?

Response Category

More specialists: Specialists in general (12); Orthopedist (8);

Otolaryngologist (6); Dermatologist (6); Rheumatologist (5); Pain

Management (5); OB/GYN (4); Pediatrician (4); Wound Care (4);

Podiatrist (3); Allergy Clinic (3); Diabetes (3); Cardiologist (3);

Oncologist (2); Endocrinologist (2); Surgeons (1); Neuropathology (1);

Neurologist (1); Pulmonologist (1); Perinatal (1); Hormone (1)

*Some respondents answered more than once. Average number of responses equal 1.31


No. %

44 27.3%

No 102 63.4%

15 9.3%

161 100.0%


Total

Response Category

20. Over the past 12 months, has your household received immunizations, WIC, or any public

health related services through Newman Memorial Hospital?

Yes

27.3%

63.4%

9.3%

Public Health Related Services from Newman Memorial Hospital

Yes

No



No. %

104 36.5%

Radio48 16.8%

39 13.7%

38 13.3%

19 6.7%

Other:

37 13.0%

285 100.0%Total

21. How are you currently informed of community events?

Outlet

Newspaper


website (1); Facebook (1)

Email

Website

Social Media (Facebook and Twitter)

Laverne Leader Tribune (10);

NW Oklahoman (9);

Woodward News (6); Ellis

County Capital (2); weekly

paper (1); local paper (1)

Word of mouth (9);

Community Coffees (2);

Coffee shops (1); Rotary (1);

Flyers (1); Coworkers (1);

Family (1); Notes from school

(1); Signs (1); Bulletin boards

(1); Television (1); Hospital

Post (1)

Source:

Facebook (7)

K101 (7); 102.3 (1); KJIL (1);

KHYM (1); local stations (1)

36.5%

16.8%

13.7%

13.3%

6.7%

13.0%

Outlets Used for Information about Community Events

Newspaper

Radio

Social Media (Facebook

and Twitter)

Email

Website

Other:


Newspaper 1.54

Email 2.31

Social Media (Facebook and Twitter) 2.57

Radio 2.78

Website 3.36

No response

*Many selected more multiple #1 rankings

Outlet

Total

22. How would you prefer to be notified of community events? (Rank 1= most preferred and

5=least preferred)

#1 Ranks

38

9

73

13

27

31

191

Overall Rank (average)

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Newspaper

Email


Radio

Website

#1 #2 #3 #4 #5


Appendix A- Survey Form

Local Health Services SurveyNewman Memorial HospitalPlease reutrn your completed survey to the hospital by September 13, 2013

1.

Yes (Go to Q2) No (Skip to Q7) Don't know (Skip to Q7)

2.

Other (Please specify Hospital and City, then go to Q3)

3.

Quality of care/Lack of confidence


Other (Please list below)

4.

Emergency room (ER) Inpatient services

Laboratory Physician services

Other outpatient services


5.


6.

7.

8.

Yes No Don't know

9.

Has your household used the services of a hospital in the past 24 months?

The zip code of my residence is:______________________________

Physician referral

Insurance reasons

If you responded in Q2 that your household received care at a hospital other than Newman Memorial

Hospital, why did you or your family member choose that hospital? (Please answer then skip to Q7)

At which hospital(s) were services received?

If you responded in Q2 that your household received care at Newman Memorial Hospital, what hospital

service(s) was used?

Radiological imaging (X-ray, MRI, CT,

Ultrasound, Mammogram)

What type of specialist have you or someone in your household been to in the past 24 months and in which

city did you receive that care?

Why were you satisfied/dissatisfied?

How satisfied was your household with the services you received at Newman Memorial Hospital?

Type of Specialist City

If yes, in which city were the tests or laboratory work performed?

Did the specialist request further testing, laboratory work and/or x-rays?

Closer, more convenient location

Newman Memorial Hospital (Skip to Q4)

Shattuck Medical Service Area Local Health Services Survey - 2013 Page 1 of 2

10.

Yes (Skip to Q12) No (Go to Q11) Don't know (Skip to Q12)

11.

Rural Health Clinic

Specialist

Tribal Health Center


12.

Yes (Go to Q13) No (Skip to Q15) Don't know (Skip to Q15)

13.


14.

15.

Yes No Don't know

16.

Yes No Don't know

17.

Yes No Don't know

18.

19.

20.

Yes No Don't know

21. How are you currently informed of community events? (Please check all that apply with the outlet)Outlet Source

Newspaper Radio

Email

Website


Other

22.

Newspaper Email Social Media

Radio Website

Over the past 12 months, has your household received immunizations, WIC, or any public health related

services through Newman Memorial Hospital?

Would you consider seeing a midlevel provider (nurse practitioner or PA) for your routine healthcare needs?

If no, then what kind of medical provider do you use for routine care?

Income Based Health Center

Mid-Level Clinic (Nurse Practitioner or PA)

(Please rank your choices with 1=most preferred and 5=least preferred)

How would you prefer to be notified of community events?

Why were you satisfied/dissatisfied?

Health Department

Emergency Room/Hospital

What concerns you most about health care in the Shattuck service area?

Are you able to get an appointment with your primary care (family) doctor when you need one?

Has your household been to a primary care (family) doctor in the Shattuck service area?

How satisfied was your household with the quality of care received in the Shattuck service area?

Do you use a primary care (family) doctor in a private practice for most of your routine health care?

What other services would you like to see offered at Newman Memorial Hospital?

Do you think there are enough primary care (family) doctors practicing in the Shattuck service area?

Please return survey to:


905 S Main

Shattuck, OK 73858

(Return by mail, or drop off

in Administration)

Shattuck Medical Service Area Local Health Services Survey - 2013 Page 2 of 2

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