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Table 1 Types of services available

From: Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities

Type of Facility N communities Community characteristics N individuals (2010) Primary healthcare dimension included
Primary prevention Secondary prevention Tertiary prevention Primary care
Nursing Station 10 Population: Over 500
Isolation: Remote/ isolated: Over 350 km to service centre
Health Services: Nearest hospital more than 2 h away, limited ambulance and first response services
Transportation: No year round road access to other health care facilities
Infrastructure: Limited community services
Facility Capacity: local access to screening, prevention, emergency care and treatment services on a 24/7 basis. PHC delivered by primary care nurses with an expanded scope of practice, community health nurses, and paramedical staff.
3425 X X X X
Health Centre 44 Population: Over 500
Isolation: Non-isolated/ semi isolated: between 50 and 350 km from service centre
Health Services: Nearest hospital by road in less than 2 h; occasional unavailability of ambulance and first response services
Transportation: All weather road/ air access; poor road conditions
Infrastructure: Limited community services
Facility Capacity: Emergency, screening and prevention available 5 days/week. There is no or limited funding to ensure off-hours coverage
8509 X X X  
Health Station 42 Population: 0–1000
Isolation: Remote/ isolated or semi-isolated: over 350 km from service centre but within 50 km of health centre
Health Services: Nearest hospital more than 2 h away; limited ambulance and first response services
Transportation: Accessible by air or road from FNIHB facility; poor road conditions
Infrastructure: Limited community services
Facility Capacity: Part-time, often non-resident screening and prevention services only
17,742 X X   
No Facility 103 No on-reserve facility: access to PHC is through a provincial point of care located close to the community, and accessible through year-round roads. 13,742 X X   
  1. Definitions
  2. Remote Isolated: No scheduled flights, minimal telephone or radio services, no road access
  3. Isolated: Scheduled flights, good telephone services, no year-round road access
  4. Semi-Isolated: Road access greater than 90 km to physician