2026 Community Health Needs Assessment | Page 46

Access to Health Services
Improve access to affordable, timely, high-quality healthcare.

14.6 % Of adults cannot afford to see a doctor.

70.3 % Of adults had a routine checkup in the last year.

Access to health services represents a systemic and pervasive barrier to health for Washoe County residents. It is the second highest Significant Health Need, with very high convergent evidence strength and broad-based community urgency.
Secondary Data Findings
The topic of Healthcare Access & Quality received a secondary data score of 1.33 out of 3, ranking 13th most concerning by secondary data scoring. However, primary data convergence across all methods significantly elevates this as a priority need.
Key indicators of concern include:
• Adults who have had a routine checkup in the last year: 70.3 %( score: 2.12), among the lowest county rates nationally
• Adults unable to afford to see a doctor: 14.6 %( vs. U. S.: 10.6 %)( score: 1.82)
• Children with health insurance: 92.7 %( vs. U. S.: 94.6 %)( score: 1.76)
• Adults with health insurance: 88.6 %( score: 1.59)
The Conduent HCI Community Health Index( CHI) identifies ZIP codes 89433( CHI = 89.8), 89431( 85.6), 89442( 85.3), and 89424( 85.0) as areas with the greatest concentration of general health risk factors in the county.
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