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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