The Community Health Access Study sample includes 343 respondents across 39 states and Washington, D.C. Findings show where insurance, cost, navigation, trust, and follow-through create barriers to care.
A nationwide study on how people reach health information and care. The survey takes 15 to 20 minutes and is fully anonymous. Anyone 15 years or older living in the United States is invited to participate.
Even employer-insured adults reported being unable to get care they needed in the past year.
Cost shows up most often, but navigation, providers who do not listen, and long appointment waits land close behind.
The survey asks about navigation, trust, and follow-through, not insurance status alone.
Employer-sponsored, Medicaid, Medicare, Marketplace, uninsured, or mixed. Whether your coverage changed recently. Whether you carry coverage you cannot afford to use.
Cost, copay, navigation, appointment availability, distance, transportation, language, trust, follow-through. Multi-select; most respondents name two to four.
State, region, urban or rural, distance to your nearest hospital, provider network density. Used to identify patterns by place, not to track respondents.
All identity questions are optional. We ask because patterns of access often track with identity, and we cannot see those patterns without the data. We do not share personal details without permission.
Whether you got the care you needed, how long it took, whether you understood the next step, whether the visit changed anything, whether you would go back to the same provider.
Open-ended questions in your own words. We use these to surface what closed-ended data misses. Story is the first data.
The initial sample reflects where early responses are coming from. It should not be interpreted as population prevalence.
343 working-age adults across 39 states and Washington, D.C., recruited through community-based partners, social platforms, and snowball sampling.
Initial analysis from the 2025 to 2026 Community Health Access Study. Recruitment ran October 2025 to February 2026. Survey remains open. Next analysis cohort closes in late 2026.
Insurance type, recent access experiences, barriers to care, geography, identity, and follow-through. Includes open-ended questions in respondents' own words.
Non-random sample, voluntary participation, self-reported coverage. The sample should not be interpreted as population prevalence.
To identify patterns, guide listening sessions, shape partner conversations, and inform where the next Communities of Care take shape.
The survey is open. It takes 15 to 20 minutes and is fully anonymous and voluntary.
A nationwide study on how people reach health information and care. The survey takes 15 to 20 minutes and is fully anonymous and voluntary. Anyone 15 years or older living in the United States is invited to participate. You may skip any question after the first section.
We do not need your diagnosis to understand your access experience. Share only what you are comfortable sharing. JSPHI uses stories and survey responses to identify patterns, barriers, and opportunities for action. We do not sell your information. We do not share personal details without permission.
Four cuts of the same 343 respondents: insurance type, top barriers, race and ethnicity, and region.
The initial sample includes responses across 39 states and Washington, D.C., with selected pilot states supporting deeper place-based learning. The view below is a respondent-geography sketch, not a literal map of the country.
Respondent geography reflects the initial sample and should not be interpreted as population prevalence.
To identify patterns, guide listening sessions, shape partner conversations, and inform where the next Communities of Care take shape. The survey remains open; the next analysis cohort closes in late 2026.
Initial analysis from the 2025 to 2026 Community Health Access Study. Recruitment ran October 2025 to February 2026.
Explore the data visualizations →