UBC Faculty Research and Publications

On the road to renewal : mapping primary health care in British Columbia Watson, Diane E.; Mooney, Dawn; McKendry, Rachael; Martin, Daniel; McLeod, Chris; Regan, Sandra; Wong, Sabrina T. Sep 30, 2009

Your browser doesn't seem to have a PDF viewer, please download the PDF to view this item.

Item Metadata

Download

Media
52383-Watson_D_et_al_Road_renewal.pdf [ 9.04MB ]
Metadata
JSON: 52383-1.0048533.json
JSON-LD: 52383-1.0048533-ld.json
RDF/XML (Pretty): 52383-1.0048533-rdf.xml
RDF/JSON: 52383-1.0048533-rdf.json
Turtle: 52383-1.0048533-turtle.txt
N-Triples: 52383-1.0048533-rdf-ntriples.txt
Original Record: 52383-1.0048533-source.json
Full Text
52383-1.0048533-fulltext.txt
Citation
52383-1.0048533.ris

Full Text

52NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals classied as inactive by the total population for each geographic area. Individuals were classied based on an index of average daily leisure-time activity derived from their responses on the Canadian Community Health Survey. Individuals were questioned about the nature, frequency, and duration of their leisure-time physical activity. e prevalence for BC in 2005 was 41%.Percent of populationKEY TOCOLOURS35%40%45%50%55%Health service delivery area (HSDA)Health authority (HA)Percent of populationage 12+ who are physically inactive, by HSDA, 2005Percent of population age 12+ who are physically inactive, by HSDA, 2005Diane Watson, PhD MBADawn Mooney, BARachael McKendry, MADaniel Martin, BAChris McLeod, MASandra Regan, MSN MASabrina T. Wong, RN PhDOn the Road t  RenewalMapping Primary Health Care in British ColumbiaSeptember 2009On the Road to Renewal was produced by: The Centre for Health Services and Policy Research University of British Columbia #201 – 2206 East Mall (LPC)  Vancouver, BC   V6T 1Z3  Phone: 604-822-4969  Email: enquire@chspr.ubc.caYou can download this publication from our website, at www.chspr.ubc.caHow to cite this report: Watson DE, Mooney D, McKendry R, Martin D, McLeod C, Regan S, Wong ST. On the Road to Renewal: Mapping Primary Health Care in British Columbia. Vancouver (BC): Centre for Health Services and Policy Research; September 2009.Library and Archives Canada Cataloguing in Publication         On the road to renewal : mapping primary health care in BC / Diane Watson  ... [et al.]. Includes bibliographical references. ISBN 978-1-897085-18-9         1. Primary health care--British Columbia--Statistics.  2. Primary health care--BritishColumbia--Maps.  3. Medical geography--British Columbia.  4. British Columbia--Statistics,Medical.  I. Watson, Diane E. (Diane Elizabeth), 1963-  II. University of British Columbia. Centre for Health Services and Policy Research RA450.B7O6 2009                                       362.109711                                     C2009-904990-2 U B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h1Contents 2 About CHSPR 3 Acknowledgments 4 Introduction 5 Methods 6 How to read the maps The BC Population Demographic and health characteristics for health regions across BC. Demographics web Population distribution 8 Population growth  10 Population growth age 65+ web Population age and sex structure Health Profiles 12 Potential years of life lost 14  Activity limitation Chronic Conditions 16  Chronic conditions 18  Arthritis or rheumatism 20  Asthma 22  Diabetes 24  Heart disease 26  Hypertension 28  Mood disordersRisk Factors 30  Low fruit and vegetable consumption 32  Obesity 34  Physical inactivity 36  SmokingPrimary Health Care Resources Supply and distribution of primary health care professionals and spending on primary care health care services.Financial Resources web  Expenditure on PHC physician servicesHuman Resources: Physicians 38 PHC physicians 40 PHC physician full time equivalents web PHC physician group practices 42  Full service family doctorsHuman Resources: Nurses 44 PHC registered nurses 46 PHC nurse practitionersHuman Resources: Other 47 Integrated health networksPrimary Health Care ServicesPatients’ access to, patterns of use, and ratings of quality of primary health care services.Access 48  Regular family doctor  50  Contact with a full service family doctorUtilization of PHC Providers’ Services 52 Visits to a family doctor 54  Visits to a nurse 56  Visits to an allied health professionalEmergency Departments 58  Patient experiences in emergency    departments Technical Notes 60  Contact with a full service family doctor 61  Full service family doctors  64  PHC nurse practitioners 64  PHC physician full time equivalents 65  PHC registered nursesDownload all profiles at www.chspr.ubc.cao n  t h e  r o a d  t o  r e n e W a l2About CHSPRThe Centre for Health Services and Policy Research (CHSPR) is an independent research centre based at the University of British Columbia. Our mission is to stimulate scientific inquiry into ways in which health care services can best be organized, funded, and delivered to promote the health of populations.CHSPR aims to contribute to the health of populations by ensuring that our research is relevant to contemporary health policy concerns and by working closely with decision-makers to translate research findings into policy options. Our researchers are active participants in many policy-making forums and provide government and non-government organizations in British Columbia, Canada, and abroad with advice and assistance.CHSPR receives funding from the British Columbia Ministry of Health Services to support research with a direct role in informing policy. Our researchers are also funded by competitive external grants from provincial, national, and international funding agencies. For more information about CHSPR, please visit www.chspr.ubc.caU B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h3AcknowledgmentsOn the Road to Renewal: Mapping Primary Health Care in British Columbia was funded by the Ministry of Health Services and approved by an ethics committee at the University of British Columbia. It contains new analyses of the Canadian Community Health Survey for which our team received assistance from Rakel Kling at the University of Ottawa. It also contains analyses conducted by Ramsay Hamdi and overseen by Darcy Eyres at the Ministry of Health Services. On the Road to Renewal includes indicators derived from other projects at CHSPR that were approved under separate ethics applications. Charlyn Black, Kerry Kerluke, Kim McGrail, Sandra Peterson, Lisa Ronald and Ella Young contributed to those analyses. Alicia Priest and Chris Balma assisted with copy edit and web design, respectively. Appreciation is extended to organizations that contributed data to ensure a broad scope of relevant indicators.  o n  t h e  r o a d  t o  r e n e W a l4Primary health care renewal has been a policy priority in Canada for a long time. The current era of reform has its roots in the Health Transition Fund (1997-2001) when federal, provincial and territorial governments funded 140 demonstration projects to evaluate innova-tive ways of delivering health services. Primary Health Care Organizations in British Columbia are one of the legacies of that Fund. In 2000, 2003 and 2004 govern-ments re-established their reform commitments through the Primary Health Care Transition Fund (PHCTF), First Ministers’ Accord on Health Care Renewal and the 10-Year Plan to Strengthen Health Care. Integrated Health Networks in British Columbia represent one of many initiatives that align with the First Ministers objec-tives for renewal and have its origin in this era. Then, the Ministry of Health in British Columbia released its Primary Health Care Charter: A Collaborative Approach in 2007 to set “direction, targets and outcomes to support the creation of a strong, sustainable, accessible and effective primary health care system.”1 Across the nation and in British Columbia, in particular, we’re clearly “on the road to renewal”.In 2003, the British Columbia Ministry of Health initi-ated a series of investments to have CHSPR establish a population-based information system to describe the primary health care system from temporal, geographic, population and provider perspectives.2 In 2005, that information system was used to compile indicators relevant to planning and implementing primary health care renewal and we released Planning for Renewal: Mapping Primary Health Care in British Columbia in web-based, print and CD formats.3 It contained 21 indi-cators relative to primary health care contexts, resources 1 Ministry of Health. 2007. Primary Health Care Charter: A Collabora-tive Approach. Victoria: Author. Page i.2 Watson DE. 2009. Preface – The development of a primary health care information system to support performance measurement and research in British Columbia. Healthcare Policy, forthcoming.3 http://www.chspr.ubc.ca/research/phc/mappingand services across all regional health authorities, health service delivery areas and local health areas. A series of reports also emerged from that initiative between 2005 and 2007.4 A series of articles will also be published in a forthcoming special issue of the journal Healthcare Policy.In 2008, the Ministry of Health asked us to compile information to inform continuing efforts to improve primary health care. On the Road to Renewal: Mapping Primary Health Care in British Columbia was first released in a web-based format in early 2009. Over time, more profiles were added to expand the scope of information available to stakeholders. By July, the web-based collection contained 30 downloadable profiles to describe primary health care across regional health authorities and health service delivery areas. Some profiles include temporal analyses.5 In the future, more profiles may be added to ensure that health care policy makers, managers and clinical leaders receive relevant, valid and timely information that is useful to them in exercising their responsibilities in accountability and performance improvement.On the Road to Renewal: Mapping Primary Health Care in British Columbia describes the population, as well as primary health care resources and services. In terms of the population, profiles highlight geographic distribu-tion, demographic structure and historic growth and expected future growth. A number of profiles highlight geographic distribution in potential years of life lost, activity limitations, risk factors and select high impact/ high prevalent chronic conditions. In terms of primary health care resources, profiles highlight the supply and distribution of primary health care doctors and nurses as well as spending on physician services. Profiles include, for example, the demographic structure of the nursing 4 http://www.chspr.ubc.ca/research/phc5 http://www.chspr.ubc.ca/research/phc/mapping/2009IntroductionU B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h5Methodsworkforce and workloads among doctors and nurses. One profile features the number, type and geographic location of Integrated Health Networks.In terms of primary health care services, profiles high-light geographic variation in access to regular medical doctors as well as community-based visits with family doctors, nurses and other allied health professionals. One profile includes patient experiences in emergency departments, while another features utilization of home care services.        On the Road to Renewal: Mapping Primary Health Care in British Columbia contains profiles that include the data source used and a short description of how the variable was calculated (e.g. numerator and denomina-tor). In general, demographic information and some of the health profiles were from BC Stats and the Census. Population morbidity information, as well as profiles regarding use of primary health care services, were from analyses of the Canadian Community Health Survey (Public Use Microdata File), a population-representative health survey conducted by Statistics Canada. Data were suppressed in accordance with Statistics Canada protocol. Some profiles rely on analyses conducted by staff at the Ministry of Health Services for the purposes of this project. Other profiles rely on information created for other projects at the Centre for Health Services and Policy Research that used linked health data. All analyses were approved by an ethics committee at the University of British Columbia. Technical notes provide specific information when new or complex methods were used. A measure of health status of a geographic population that measures mortality before the age of 75, the poten-tial years of life lost index (PYLL), is used as an ordering framework in all profiles. That is, regional health authorities  and health service delivery areas are rank ordered from top to bottom in all tables and graphics. That way, the reader can quickly interpret the degree to which population characteristics, primary health care resources or services are distributed to populations on the basis of relative need. For example, regions that have lower health status (higher PYLL) should have service utilization rates higher than regions with higher health status (lower PYLL). The next section, How to Read the Maps, describes other features imbedded in the profiles.o n  t h e  r o a d  t o  r e n e W a l6The majority of profiles are mapped using a two-page template that contains maps, graphs, tables, and text.The first page of each profile presents a choropleth map of BC’s 16 health service delivery areas (HSDA) (1), with an inset map of the Vancouver area (2). The five regional health authorities (HA) are indicated by thicker black lines. The map is coloured to illustrate geographic variation in the subject of the profile—in the example at right, the percentage of the population aged 12 and older who are considered physically inactive based on their responses on the Canadian Community Health Survey. The legend (3) divides the data into equal-interval categories and facilitates interpretation of the map and of the cartogram (4).The cartogram illustrates the same data as the main map, but instead of showing the HSDAs by their land area and location, it shows them sized by their relative population. The general shapes of BC and the HSDAs are retained, but regions with large populations are much more prominent.The text (5) indicates the data source and how the variable was calculated, as well as presenting the value for BC overall.The content of the second page varies by profile, but generally includes a distribution graph, a data table, cartograms, and bar graphs illustrating related variables or analyses.In the example at right, a distribution graph facilitates comparison of HSDA values within and across HAs (6). Each circle represents a HSDA value, and HSDAs are grouped by HA. The overall values for each HA and for BC are indicated.The data table (7) lists the values for each HSDA, HA, and for BC. For comparison, other values are included in the table: inactivity among the population aged 65 and older, and inactivity among the population aged 12 and older who have one or more selected chronic health conditions. These two complementary variables are mapped in the cartograms at far right (8).In the data table, the HSDAs and HAs are ordered from top to bottom on the basis of their rank on the potential years of life lost (PYLL) index, a measure of health status. Regions at the top of the list have lower health status (higher PYLL) than regions at the bottom of the list (lower PYLL). For further discussion of the index and its utility as an ordering framework, refer to the PYLL profile on page 12.Data sources are listed on the second page at the bottom right (9). Sometimes more information about the data source is included in the text on the first page. For some profiles, technical notes further explain the data and methods used to calculate the variable(s). These techni-cal notes are found at the end of this atlas.These profiles are all available online at www.chspr.ubc.ca/research/phc/mapping/2009. The online profiles are very useful for printing or copying into slide presenta-tions. A reference table of population figures for those aged 12 and older and those aged 65 and older by HSDA and HA is also available online.How to Read the MapsU B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h752NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals classied as inactive by the total population for each geographic area. Individuals were classied based on an index of average daily leisure-time activity derived from their responses on the Canadian Community Health Survey. Individuals were questioned about the nature, frequency, and duration of their leisure-time physical activity. e prevalence for BC in 2005 was 41%.Percent of populationKEY TOCOLOURS35%40%45%50%55%Health service delivery area (HSDA)Health authority (HA)Percent of populationage 12+ who are physically inactive, by HSDA, 2005Percent of population age 12+ who are physically inactive, by HSDA, 2005Physical Inactivity33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population32%34%38%36%40%42%44%46%48%VancouverIslandHAOverall HA valueFraserHA44%VancouverCoastalHA42%34%InteriorHA40%NorthernHA44%Individual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332232221Total12+42%44%43%35%36%34%43%46%34%44%32%45%42%35%45%44%40%34%44%42%41%Total65+48%59%59%41%40%44%54%55%45%40%40%50%51%39%44%59%50%40%51%40%47%12+ with1 or moreselect* chronicconditions45%58%52%40%44%39%49%52%48%45%35%44%49%40%52%55%46%39%48%44%45%14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+, 65+, or 12+ with select* chronic conditions who are physicallyinactive, by HSDA and HA, 2005Percent of population age 12+ who arephysically inactive, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who are physically inactive, by HSDA, 2005Percent of population age 65+ who arephysically inactive, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 200512345678952NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals classied as inactive by the total population for each geographic area. Individuals were classied based on an index of average daily leisure-time activity derived from their responses on the Canadian Community Health Survey. Individuals were questioned about the nature, frequency, and duration of their leisure-time physical activity. e prevalence for BC in 2005 was 41%.Percent of populationKEY TOCOLOURS35%40%45%50%55%Health service delivery area (HSDA)Health authority (HA)Percent of populationage 12+ who are physically inactive, by HSDA, 2005Percent of population age 12+ who are physically inactive, by HSDA, 2005Physical Inactivity33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population32%34%38%36%40%42%44%46%48%VancouverIslandHAOverall HA valueFraserHA44%VancouverCoastalHA42%34%InteriorHA40%NorthernHA44%Individual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332232221Total12+42%44%43%35%36%34%43%4634443245423545444034444241%Total65+48%59%59%41%40%44%54%5545404050513944595040514047%12+ with1 or moreselect* chronicconditions45%58%52%40%44%39%49%5248453544494052554639484445%14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East K otenay32  Vancouve1  S u  I l3  Fraser South22  Fraser North33  N. Shore - Coast G r.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouv r Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+, 65+, or 12+ with select* chronic conditions who are physicallyinactive, by HSDA and HA, 2005Percent of population age 12+ who arephysically inactive, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who are physically inactive, by HSDA, 2005Percent of population age 65+ who arephysically inactive, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005123456789852NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraserOn this population cartograman area the size of one square represents 8,000 people32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51Northwest41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay53Northeaste rate of population growth for a region is calculated by dividing the increase or decrease in population size over a period of years in an area by the population size in the earliest year. Between 1996 and 2006 the population of BC increased from 3,874,276 to 4,320,255, an increase of 11.5%. e growth rate from 2006 to 2016 is projected to be 14.2%.Health service delivery area (HSDA)Health authority (HA)Population growth rateKEY TOCOLOURS-7.5%0%+7.5%+15%+22.5%+30%Population growth rate, 1996 -2006, by HSDAPopulation growth rate,1996 -2006, by HSDAPopulation GrowthThe BC Population» Demographics33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51Northwest13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland53Northeast33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51Northwest13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland53NortheastOn this population cartograman area the size of one square represents 8,000 peopleOn this population cartograman area the size of one square represents 8,000 peopleInteriorHA+6.4%BC overallPopulation growth rateOverall HA value-15%-10%-5%+5%0%+10%+15%+20%+25%+30%FraserHA+19.1%VancouverCoastalHA+12.9%VancouverIslandHA+8.8%NorthernHA-6.5%Individual HSDA value. Numbers refer to HSDA codes.41424352515313111214313332232221HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HA Vancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53 Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond+2.7%-13.5%-6.9%+4.2%+2.1%+11.1%-3.5%+13.8%+16.8%-1.2%+13.7%+9.5%+22.0%+16.9%+7.9%+18.4%-6.5%+6.4%+8.8%+19.1%+12.9%+11.5%1996-2006(actual)2006-2016(projected)+6.4%-1.9%+0.6%+11.5%+10.8%+12.9%+2.6%+16.3%+17.8%+2.3%+12.6%+9.7%+21.0%+22.6%+10.5%+15.4%+2.5%+10.2%+11.0%+21.1%+12.5%+14.2%1991-2001(actual)+15.4%-1.6%+6.4%+5.7%+14.8%+20.5%+9.0%+26.1%+29.7%+10.1%+17.7%+10.5%+33.5%+30.4%+16.4%+31.9%+3.9%+18.5%+14.5%+31.6%+19.5%+20.9%Projected population growth rate,2006-2016, by HSDAHistoric population growth rate,1991-2001, by HSDAPopulation growth rates 1991-2001, 1996 -2006,and 2006-2016, by HSDA and HAPopulation growth rate, 1996 -2006, by HSDA and HASource: PEOPLE 33, BC Stats 91 052NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51Northwest41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay53NortheastTo facilitate comparison, the same categories have been used as for the overall population growth rate maps.On this population cartograman area the size of one square represents 8,000 peoplee rate of population growth for age 65+ for a region is calculated by dividing the increase or decrease in this population size over a period of years in an area by this population size in the earliest year. Between 1996 and 2006 the 65+ population of BC increased from 486,504 to 601,676, an increase of 23.7%. is is compared to the total population growth rate of 11.5%. e 65+ growth rate from 2006 to 2016 is projected to be 41.4%.Health service delivery area (HSDA)Health authority (HA)Population growth rateKEY TOCOLOURS-7.5%0%+7.5%+15%+22.5%+30%Population 65+ growth rate, 1996 -2006, by HSDA Population 65+ growth rate, 1996 -2006, by HSDA Population Growth Age 65+The BC Population» Demographics23Fraser South33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond22Fraser North51Northwest13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland53Northeast33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51Northwest13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland53NortheastOn this population cartograman area the size of one square represents 8,000 peopleOn this population cartograman area the size of one square represents 8,000 peopleInteriorHA+26.5%BC overallPopulation growth rateOverall HA value+10%+5%+15%+20%+30%+25%+35%+40%+45%+50%+55%FraserHA+26.8%VancouverCoastalHA+17.9%VancouverIslandHA+20.2%NorthernHA+40.3%Individual HSDA value. Numbers refer to HSDA codes.41424352515313111214313332232221HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53 Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond+38.8%+39.0%+43.5%+34.3%+49.3%+32.6%+13.8%+24.2%+20.9%+24.6%+12.1%+6.8%+33.7%+22.6%+22.0%+33.8%+40.3%+26.5%+20.2%+26.8%+17.9%+23.7%1996-2006(actual)2006-2016(projected)+45.7%+60.5%+58.0%+60.1%+51.8%+40.4%+36.6%+30.9%+32.7%+42.8%+25.2%+33.2%+56.1%+49.0%+37.5%+69.4%+59.1%+36.5%+38.4%+48.7%+35.8%+41.4%% of pop.65+ in 20065.1%9.4%9.8%7.9%14.7%18.5%17.1%20.1%13.9%15.5%12.4%17.4%12.0%11.3%14.7%12.1%9.3%17.7%17.3%12.1%12.9%14.2%1991-2001(actual)+46.5%+44.5%+54.1%+32.9%+47.4%+40.1%+16.3%+32.2%+27.6%+31.8%+5.4%+4.3%+42.4%+25.1%+24.5%+45.1%+46.7%+33.4%+19.6%+32.6%+15.2%+25.9%Projected population 65+ growth rate,2006-2016, by HSDAHistoric population 65+ growth rate,1991-2001, by HSDAPopulation 65+ growth rate 1991-2001, 1996 -2006,and 2006-2016, by HSDA and HAPopulation 65+ growth rate, 1996 -2006, by HSDA Source: PEOPLE 33, BC Stats 1 11 252NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraserOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay51Northwest53Northeaste potential years of life lost (PYLL) index is a measure of health status. e number of years of life ‘lost’ to early deaths (dened as deaths prior to age 75) were aggregated for 2002–2006. e PYLL index is expressed as a ratio of observed PYLL to expected PYLL (based on the provincial pattern of early deaths). e provincial PYLL index value for 2002-2006 is 1.00. A higher PYLL index value indicates lower health status.PYLL index scoreKEY TOCOLOURS1.101.300.700.90Health service delivery area (HSDA)Health authority (HA)Potential years of life lost index, 2002-2006,by HSDAPotential years of life lost index, 2002-2006,by HSDAPotential Years of Life LostThe BC Population» Health ProfilesPY L L  index  scoreNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53 Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond2002-20061.321.291.271.211.201.181.151.141.141.000.970.960.910.830.810.601.261.181.080.920.861.00VancouverIslandHAFraserHA0.92VancouverCoastalHA0.861.08InteriorHA1.18NorthernHA1.26Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.BC overall0.70.60.81.00.91.11.21.341424352535113111214313332232221A table of HA and HSDA population figures is available on our website.Potential years of life lost index, 2002-2006, by HSDA and HAPotential years of life lost index, 2002-2006,by HSDA and HAUsing the potential years of life lost index as a framework for interpretation of other profiles in this atlasSource: BC Vital Statistics AgencyA feature of this atlas is the use of potential years of life lost (PYLL) as an ordering framework for all relevant proles. In planning for primary health care renewal it is crucial to understand how well the current system serves the health care needs of the population. We chose PYLL as a measure of need for health care.As a measure of need, low population health status (high PYLL) suggests that health care services use should be higher, while high population health status (low PYLL) suggests that the use of primary health care services will be lower.For most proles in this atlas, the PYLL value is used to order the health service delivery areas and health authorities. For example, ompson - Cariboo Health Service Delivery Area is listed at the top of each table because it has the highest PYLL value of all health service delivery areas. Ranking by health status helps inform decisions about the responsiveness of the primary health care system to the need for health care. us, geographic areas with higher PYLL index values (lower levels of health) should be expected to have higher rates of use of primary health care services relative to areas with lower PYLL index values (lower levels of health).1 31 452NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they have a longstanding illness that prevents or limits their ability to engage in activities on a continuing basis by the total population for each geographic area. e prevalence for BC in 2005 was 25%.Percent of populationKEY TOCOLOURS20%25%30%35%40%45%50%55%Health service delivery area (HSDA)Health authority (HA)Percent of population age 12+ who have their activity limited due to a longstanding illness, by HSDA, 2005Percent of populationage 12+ who have theiractivity limited due to a longstanding illness, by HSDA, 2005Activity LimitationThe BC Population» Health Profiles33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population 18%20%22%26%24%28%30%32%34%36%VancouverIslandHAOverall HA valueIndividual HSDA value. Numbers refer to HSDA codes.FraserHA22%VancouverCoastalHA19%31%InteriorHA30%NorthernHA27%5251/5341424313111214313332Total12+Total65+23222112+ with 1 or more select* chronic conditions14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+, 65+, or 12+ with select* chronic conditions who have their activity limited due to a longstanding illness, by HSDA and HA, 2005Percent of population age 12+ who have theiractivity limited due to a longstanding illness, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who have their activity limited due to a longstanding illness, by HSDA, 2005Percent of population age 65+ who have theiractivity limited due to a longstanding illness, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 200527%30%25%34%30%31%30%23%34%19%31%23%21%22%17%27%30%31%22%19%25%45%44%38%44%42%44%44%38%40%33%41%43%40%36%27%40%44%42%41%33%40%48%53%45%54%53%50%51%42%55%38%50%47%43%44%38%49%51%52%45%40%46%1 51 652NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with one or more select chronic conditions (ie. arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders) by the total population for each geographic area. Individuals were considered to have a chronic condition if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 32%.Health service delivery area (HSDA)Health authority (HA)KEY TOCOLOURSPercent of population age 12+ with one or moreselect* chronic conditions, by HSDA, 2005Percent of population age 12+ with one or more select* chronic conditions, by HSDA, 2005Percent of population30%40%50%60%70%80%Chronic ConditionsThe BC Population» Chronic Conditions33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeBC overallPercent of population24%26%30%28%32%34%36%38%40%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore - Coast Gar.Richmond1451/5352434212132111324123223331BC overallPercent 65+ with one or more select* chronic conditionsPercent 12+ with one or more select* chronic conditionsTotal65+Total12+One select* chroniccondition onlyOne select* chroniccondition only72%84%83%81%71%68%78%71%68%70%78%73%77%70%66%83%74%76%74%69%74%34%33%33%38%37%39%39%32%33%27%37%29%29%30%24%33%37%37%30%28%32%VancouverIslandHA5251/5341424313111214232221313332FraserHA30%VancouverCoastalHA28%37%InteriorHA37%NorthernHA33%Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.Plus one or more other select* chronic conditionsPlus one or more other select* chronic conditionsHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HA20.715.922.325.924.323.423.621.218.624.021.020.222.222.521.218.712.28.410.712.012.815.911.78.812.78.28.78.211.110.636.235.733.039.041.341.542.537.333.838.338.937.137.115.313.335.633.4 50.536.5 46.434.9 45.635.745.230.536.231.834.333.040.437.335.232.036.523.024.420.319.121.515.013.810.39.213.032.3 35.426.9 43.933.8 33.930.4 35.435.1 48.2Percent of population age 65+ with one or more select* chronic conditions, by HSDA, 2005Percent of population age 12+ with one or moreselect* chronic conditions, by HSDA and HA, 2005Percent of population age 12+ and 65+ with one or more select* chronic conditions, by presence of other select* chronic conditions, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 1 71 852NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with arthritis or rheumatism by the total population for each geographic area. Individuals were considered to have arthritis or rheumatism if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 16%.15%20%25%30%35%40%45%50%Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)Percent of population age 12+ with arthritis or rheumatism, by HSDA, 2005Percent of population age 12+ with arthritis or rheumatism, by HSDA, 2005Arthritis or RheumatismThe BC Population» Chronic Conditions33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeBC overallPercent of population10%12%16%14%18%20%22%24%26%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore - Coast Gar.Richmond1451/5352434212132111324123223331BC overallPercent 65+ with arthritis or rheumatismPercent 12+ with arthritis or rheumatismTotal65+Total12+Arthritis orrheumatism onlyArthritis orrheumatism only50%54%50%53%44%43%48%42%44%33%40%41%43%45%33%52%48%44%42%36%42%19%18%18%23%19%23%20%18%19%10%18%14%13%15%10%18%20%20%14%11%16%VancouverIslandHAOverall HA value5251/5341424313111214232221313332FraserHA14%VancouverCoastalHA11%20%InteriorHA20%NorthernHA18%Individual HSDA value. Numbers refer to HSDA codes.9.04.811.413.99.612.09.310.14.410.18.67.68.810.08.38.08.85.36.99.29.710.98.85.48.35.45.76.38.77.319.614.814.915.916.918.518.618.116.716.116.815.716.410.79.929.829.533.317.123.322.024.426.530.927.424.920.526.0Plus one or more other select* chronic conditionsPlus one or more other select* chronic conditionsHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HA9.910.58.15.610.210.99.87.06.18.9Percent of population age 65+ with arthritis or rheumatism, by HSDA, 2005Percent of population age 12+ with arthritis or rheumatism, by HSDA and HA, 2005Percent of population age 12+ and 65+ with arthritis or rheumatism, by presence of other select* chronic conditions, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 1 92 052NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with asthma by the total population for each geographic area. Individuals were considered to have asthma if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 8%.Percent of population KEY TOCOLOURS5%6%7%8%9%10%11%12%Health service delivery area (HSDA)Health authority (HA)Interpret with caution: Estimates are less reliable due to small sample sizePercent of populationage 12+ with asthma,by HSDA, 2005Percent of populationage 12+ with asthma,by HSDA, 2005AsthmaThe BC Population» Chronic ConditionsBC overallPercent of population5%7%6%8%9%10%11%12%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore - Coast Gar.RichmondBC overallPercent 65+ with asthmaPercent 12+ with asthmaTotal65+Total12+AsthmaonlyPlus one or more other select* chronic conditionsVancouverIslandHAOverall HA value5251/5341424313111214232221313332FraserHA8%VancouverCoastalHA7%9%InteriorHA8%NorthernHA7%Individual HSDA value. Numbers refer to HSDA codes.7%7%7%9%11%8%9%8%8%7%9%7%10%10%6%7%8%9%8%7%8%13%    9%7%   5%9%7%9%8%1451/53524342121321113241232233314.14.54.65.15.64.96.05.74.34.04.85.45.24.34.54.93.22.82.82.03.94.94.23.34.12.43.73.93.12.84.93.22.83.3HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HAPercent of population age 12+ with asthma, by HSDA and HA, 2005Percent of population age 12+ and 65+ with asthma, by presence of other select* chronic conditions, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 2 12 252NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with diabetes by the total population for each geographic area. Individuals were considered to have diabetes if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 5%.Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)4%6%8%10%12%14%Interpret with caution: Estimates are less reliable due to small sample sizePercent of populationage 12+ with diabetes, by HSDA, 2005Percent of populationage 12+ with diabetes, by HSDA, 2005DiabetesThe BC Population» Chronic Conditions33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.BC overallThompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore - Coast Gar.RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallPercent 65+ with diabetesPercent 12+ with diabetesTotal65+Total12+VancouverIslandHAPercent of populationOverall HA value2%4%3%5%6%7%8%9%5251/53 41424313111214232221313332FraserHA5%VancouverCoastalHA3%5%InteriorHA5%NorthernHA5%HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, heart disease, high blood pressure, and mood disorders.Individual HSDA value. Numbers refer to HSDA codes.13%13%13%15%9%14%12%15%13%14%14%9%13%5%5%5%5%5%7%5%5%5%4%4%5%5%2%3%5%5%5%5%3%5%1451/53524342121321113241232233311.4 2.23.2 10.31.22.51.73.61.54.22.03.31.82.81.42.71.83.4DiabetesonlyDiabetes onlyPlus one or more other select* chronic conditionsPlus one or more other select* chronic conditionsPercent of population age 65+ with diabetes, by HSDA, 2005Percent of population age 12+ with diabetes,by HSDA and HA, 2005Percent of population age 12+ and 65+ with diabetes, by presence of other select* chronic conditions, by HSDA and HA, 2005Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 2 32 452NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with heart disease by the total population for each geographic area. Individuals were considered to have heart disease if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 4%.Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)4%8%12%16%20%24%Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedPercent of populationage 12+ with heartdisease, by HSDA, 2005Percent of populationage 12+ with heartdisease, by HSDA, 2005Heart DiseaseThe BC Population» Chronic Conditions33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population3%2%4%5%6%7%8%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore - Coast Gar.Richmond1451/5352434212132111324123223331BC overallPercent 65+ with heart diseasePercent 12+ with heart diseaseTotal65+Total12+Heart disease onlyHeartdisease only17%25%17%24%18%20%17%18%14%16%13%18%22%19%18%16%16%17%4%3%4%5%6%6%4%7%4%6%3%3%3%4%4%5%5%3%4%4%VancouverIslandHAOverall HA value5251/53414213111214232221313332FraserHA3%VancouverCoastalHA4%5%InteriorHA5%NorthernHA4%Individual HSDA value. Numbers refer to HSDA codes.1.03.1 3.0 14.1Plus one or more other select* chronic conditionsPlus one or more other select* chronic conditionsHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, high blood pressure, and mood disorders.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HAOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedPercent of population age 65+ with heart disease, by HSDA, 2005Percent of population age 12+ with heart disease, by HSDA and HA, 2005Percent of population age 12+ and 65+ with heart disease, by presence of other select* chronic conditions, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 2 52 652NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with hypertension by the total population for each geographic area. Individuals were considered to have hypertension if they reported being diagnosed by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 13%.15%20%25%30%35%40%45%50%Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)Interpret with caution: Estimates are less reliable due to small sample sizePercent of populationage 12+ with hypertension,by HSDA, 2005Percent of populationage 12+ with hypertension, by HSDA, 2005HypertensionThe BC Population» Chronic Conditions33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population11%13%12%14%15%16%17%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore/Coast Gar.RichmondBC overallPercent 65+ with hypertensionPercent 12+ with hypertensionTotal65+Total12+HypertensiononlyHypertension onlyPlus one or more other select* chronic conditionsPlus one or more other select* chronic conditionsVancouverIslandHAOverall HA value5251/53 41424313111214313332FraserHA12%VancouverCoastalHA13%14%InteriorHA15%NorthernHA13%Individual HSDA value. Numbers refer to HSDA codes.23222114%15%12%12%14%14%17%14%11%14%14%12%12%12%12%13%15%14%12%13%13%34%54%46%43%36%32%43%46%30%42%44%37%44%38%40%50%38%41%41%41%41%1451/53524342121321113241232233315.66.44.45.46.23.76.03.67.46.16.05.76.05.35.26.05.76.85.05.95.09.05.77.96.97.910.57.06.88.25.56.06.28.39.57.96.26.48.47.310.68.510.816.716.915.117.012.115.39.914.615.115.213.712.032.225.426.621.426.525.925.128.126.025.725.526.833.4HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, and mood disorders.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HAPercent of population age 65+ with hypertension, by HSDA, 2005Percent of population age 12+ with hypertension, by HSDA and HA, 2005Percent of population age 12+ and 65+ with hypertension, by presence of other select* chronic conditions, by HSDA and HA, 2005On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 2 72 852NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of people with mood disorders by the total population for each geographic area. Individuals were considered to have a mood disorder if they reported being diagnosed with a condition such as depression or bipolar disorder by a health professional on the Canadian Community Health Survey. e prevalence for BC in 2005 was 7%.Percent of populationKEY TOCOLOURS4%5%6%7%8%9%Health service delivery area (HSDA)Health authority (HA)Interpret with caution: Estimates are less reliable due to small sample sizePercent of populationage 12+ with a mood disorder, by HSDA, 2005Percent of populationage 12+ with a mooddisorder, by HSDA, 2005Mood DisordersThe BC Population» Chronic ConditionsBC overallPercent of population4%6%5%7%8%9%10%Thompson - CaribooNorthwest/NortheastNorthern InteriorNorth IslandCentral IslandKootenay - BoundaryOkanaganFraser EastEast KootenayVancouverSouth IslandFraser SouthFraser NorthN. Shore/Coast Gar.RichmondBC overallPercent 65+ with a mood disorderPercent 12+ with a mood disorderTotal65+Total12+Mood disorderonlyPlus one or more otherselect* chronic conditionsVancouverIslandHAOverall HA value5251/5341424313111214232221313332FraserHA6%VancouverCoastalHA6%8%InteriorHA7%NorthernHA7%Individual HSDA value. Numbers refer to HSDA codes.5%6%7%6%7%9%9%8%8%7%6%8%5%6%7%4%7%7%8%6%6%7%1451/53524342121321113241232233314.41.94.84.34.33.94.04.72.93.45.14.34.34.63.43.94.43.94.42.92.04.34.52.92.12.92.12.12.02.03.03.42.32.02.22.53.33.2HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, and high blood pressure.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HAPercent of population age 12+ with a mood disorder, by HSDA and HA, 2005Percent of population age 12+ and 65+ with a mood disorder, by presence of other select* chronic conditions, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 2 93 052NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they usually eat fruits and vegetables less than ve times per day by the total population for each geographic area. e prevalence for BC in 2005 was 58%.Percent of populationKEY TOCOLOURS50%55%60%65%70%Health service delivery area (HSDA)Health authority (HA)Percent of population age 12+ who eat fruits and vegetables less than 5 timesper day, by HSDA, 2005Percent of population age 12+ who eat fruits and vegetables less than 5 timesper day, by HSDA, 2005Low Fruit and Vegetable ConsumptionThe BC Population» Risk Factors33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.BC overallPercent of population50%52%54%58%56%60%62%64%66%68%VancouverIslandHAOverall HA value414243FraserHA58%VancouverCoastalHA58%52%InteriorHA59%NorthernHA62%Individual HSDA value. Numbers refer to HSDA codes.5251/531311121431333223222114  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond58%60%64%53%52%55%62%61%49%59%52%60%55%55%61%62%59%52%58%58%58%Total12+Total65+48%59%72%45%50%53%52%52%51%56%48%59%59%50%57%66%51%48%58%54%54%12+ with1 or moreselect* chronicconditions56%62%66%53%53%61%56%57%55%54%53%56%56%51%67%64%57%53%56%55%56%Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+, 65+, or 12+with select* chronic conditions who eat fruits and vegetables less than 5 timesper day, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who eat fruits and vegetables less than 5 times per day, by HSDA, 2005Percent of population age 12+ who eat fruits and vegetables less than 5 times per day,by HSDA and HA, 2005Percent of population age 65+ who eat fruits and vegetables less than 5 times per day, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 3 13 252NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals with a body mass index (BMI) categorized as obese by the total population for each geographic area. BMI is calculated by dividing body weight (in kilograms) by height (in metres) squared. A BMI of 30 or higher is considered obese. Height and weight data are self-reported and from the Canadian Community Health Survey. Individuals who are pregnant, under 3’ tall, or over 6’11” tall are excluded. e prevalence for BC in 2005 was 14%.Percent of population KEY TOCOLOURS10%15%20%25%30%Health service delivery area (HSDA)Health authority (HA)Interpret with caution: Estimates are less reliable due to small sample sizePercent of populationage 18+ who are obese, by HSDAPercent of populationage 18+ who are obese, by HSDA, 2005ObesityThe BC Population» Risk Factors33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeBC overallPercent of population8%10%14%12%16%18%20%22%24%VancouverIslandHAFraserHA14%VancouverCoastalHA9%15%InteriorHA16%NorthernHA21%Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332232221Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallTotal18+17%22%21%14%18%14%15%19%19%8%13%13%12%9%11%21%16%15%14%9%14%Total65+23%21%14%15%9%10%10%11%11%19%15%16%11%10%13%18+ with1 or moreselect* chronicconditions26%35%24%17%29%22%18%26%23%15%17%23%20%15%15%29%22%21%22%15%21%14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Estimates are too unreliable to be publishedPercent of population age 18+, 65+, or 18+ with select* chronic conditions who are obese, by HSDA and HA, 2005Percent of population age 18+ whoare obese, by HSDA and HA, 2005Percent of population age 18+ with one or more select* chronic conditions who are obese, by HSDA, 2005Percent of population age 65+ who are obese, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 3 33 452NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals classied as inactive by the total population for each geographic area. Individuals were classied based on an index of average daily leisure-time activity derived from their responses on the Canadian Community Health Survey. Individuals were questioned about the nature, frequency, and duration of their leisure-time physical activity. e prevalence for BC in 2005 was 41%.Percent of populationKEY TOCOLOURS35%40%45%50%55%Health service delivery area (HSDA)Health authority (HA)Percent of populationage 12+ who are physically inactive, by HSDA, 2005Percent of population age 12+ who are physically inactive, by HSDA, 2005Physical InactivityThe BC Population» Risk Factors33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of population32%34%38%36%40%42%44%46%48%VancouverIslandHAOverall HA valueFraserHA44%VancouverCoastalHA42%34%InteriorHA40%NorthernHA44%Individual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332232221Total12+42%44%43%35%36%34%43%46%34%44%32%45%42%35%45%44%40%34%44%42%41%Total65+48%59%59%41%40%44%54%55%45%40%40%50%51%39%44%59%50%40%51%40%47%12+ with1 or moreselect* chronicconditions45%58%52%40%44%39%49%52%48%45%35%44%49%40%52%55%46%39%48%44%45%14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+, 65+, or 12+ with select* chronic conditions who are physicallyinactive, by HSDA and HA, 2005Percent of population age 12+ who arephysically inactive, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who are physically inactive, by HSDA, 2005Percent of population age 65+ who arephysically inactive, by HSDA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 3 53 652NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Prevalence was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they smoke cigarettes every day by the total population for each geographic area. e prevalence for BC in 2005 was 13%.Percent of populationKEY TOCOLOURS9%12%15%18%21%Health service delivery area (HSDA)Health authority (HA)Percent of populationage 12+ who are smokers, by HSDA, 2005Percent of populationage 12+ who are smokers, by HSDA. 2005Interpret with caution: Estimates are less reliable due to small sample sizeSmokingThe BC Population» Risk FactorsBC overallPercent of population8%10%14%12%16%18%20%22%24%VancouverIslandHAOverall HA valueFraserHA12%VancouverCoastalHA10%13%InteriorHA15%NorthernHA20%Individual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332Total12+16%19%21%17%15%15%14%13%17%10%11%13%10%11%7%20%15%13%12%10%13%23222114  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondTotal65+Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size. Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.12+ with1 or moreselect* chronicconditions14%21%22%19%17%17%15%15%17%13%12%16%13%9%21%15%15%15%11%14%7%8%9%8%8%On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedPercent of population age 12+, 65+, or 12+ with select* chronic conditions who are smokers, by HSDA and HA, 2005Percent of population age 12+ who aresmokers, by HSDA and HA, 2005Source: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 200533       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandPercent of population age 12+ with one or more select* chronic conditions who are smokers, by HSDA, 20053 73 852NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay51Northwest53NortheastOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e crude rate of primary health care (PHC) physicians per 100,000 population was calculated by dividing the number of these physicians in each health service delivery area by the total population in that area. PHC physicians includes medical doctors that work in a primary health care organization (PHCO) and/or have fee-for-service billing practices that suggest they have a general type of practice. PHC physicians include general practitioners (GPs) and registered specialists. In BC in 2004/05, the crude ratio of PHC physicians per 100,000 population was 106.Crude ratio per100,000 populationKEY TOCOLOURS12016014080100Health service delivery area (HSDA)Health authority (HA)Crude ratio of PHC physiciansper 100,000 population,by HSDA, 2004/05Crude ratio of PHC physicians per 100,000 population, by HSDA, 2004/05PHC PhysiciansPrimary Health Care Resources» Human Resources: PhysiciansBCoverallCrude ratio per 100,000 population807090110100120130140150VancouverIslandHAOverall HA value414243FraserHA76VancouverCoastalHA130129InteriorHA111NorthernHA102Individual HSDA value. Numbers refer to HSDA codes.52535113111214313332232221C rud e ratio per 1 0 , 0 0 0  population501501002000‘96/97‘00/01‘04/05NorthernHAInteriorHAVancouverIslandHAFraserHAVancouverCoastalHABCPercent of practicing  ph y s icians25%75%50%100%0%NorthernHAInteriorHAVancouverIslandHAFraserHAVancouverCoastalHABCCrude ratio of PHC physicians per 100,000population, by HSDA and HA, 2004/05HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53  Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNumber of PHC physicians‘96/97 ‘00/01 ‘04/05Crude ratio of PHC physicians‘96/97 ‘00/01 ‘04/05 193 99 134 46 126 221 92 271 184 77 1,027 421 387 420 289 142 279 633 768 991 1,458 4,129 196 98 134 45 117 236 94 301 179 94 945 460 409 411 297 134  277 685 813 999 1,376 4,152 198 91 150 51 141 243 107 335 206 107 908 523 454 447 305 139292 747 907 1,107 1,352 4,405901108671108951139280981881277186113929095113791531079111689721041011199973122165136697711378931011197313710394116104791251001411077914315215072811157810211112976130106Number and crude ratio per 100,000 population of PHC physicians, by HSDA and HA, 1996 / 9 7, 2000/01, and 2004/05Crude ratio of PHC physicians per 100,000 population, HA and BC, 1996 / 9 7, 2000/01, and 2004/05PHC physicians as a percent of all practicing physicians, HA and BC, 2004/05Source: Watson, DE. et al. Who are the Primary Health Care Physicians in British Columbia? 1996/97-2004/05. Vancouver: UBC Centre for Health Services and Policy Research, 2006. Available at www.chspr.ubc.ca. 3 94 052NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay51Northwest53NortheastOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e crude ratio of full-time equivalent (FTE) primary health care (PHC) physicians per 100,000 population was calculated by dividing the number of FTE PHC physicians in each health service delivery area by the total population in that area. FTE is a value that estimates each providers’ workload relative to their peers. See technical notes for more information on methods used to identify PHC physicians and calculate FTE. In BC in 2006, the crude ratio of FTE PHC physicians per 100,000 population was 90.Crude ratioper 100,000 pop.KEY TOCOLOURS9010011080Health service delivery area (HSDA)Health authority (HA)Crude ratio of FTE PHC physicians per 100,000 population, by HSDA, 2004/05Crude ratio of FTE PHC physicians per 100,000 population, by HSDA, 2004/05PHC Physician Full-time EquivalentsPrimary Health Care Resources» Human Resources: PhysiciansBCoverallCrude ratio per 100,000 population708090100110Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53  Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNumberof PHCphysicians 198 91 150 51 141 243 107 335 206 107 908 523 454 447 305 139292 747 907 1,107 1,352 4,405Numberof PHCFTEs184861324911421176311210786583664644182511272676496911,0911,0363,733Crude ratioof PHCphysicians94116104791251001411077914315215072811157810211112976130106Cruderatio ofPHC FTEs 87 109 91 76 101 87 100 99 81 104 110 105 73 75 95 71 93 96 98 75 99 90VancouverIslandHAOverall HA value414243FraserHA75VancouverCoastalHA9998InteriorHA96NorthernHA93Individual HSDA value. Numbers refer to HSDA codes.52535113111214313332232221HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.C rud e ratio per 1 0 , 0 0 0  population3090601201500NorthernHAInteriorHAVancouverIslandHAFraserHAVancouverCoastalHABCPHC physiciansPHC FTEsNumber and crude ratio per 100,000 population of PHC physicians and FTE PHC physicians, by HSDA and HA, 2004/05Crude ratio of FTE PHC physicians per 100,000 population, by HSDA, 2004/05Crude ratios of PHC physicians and FTE PHC physicians per 100,000 population, HA and BC, 2004/05Source: See technical notes 4 14 252NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser51Northwest53Northeast32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.e crude ratio of full service family doctors (FSFD) per 100,000 population was calculated by dividing the number of these doctors by the total population for each geographic area. FSFDs are dened as any medical doctors who have received incentive payments to provide a full range of primary health care services to patients that have chronic conditions, are hospitalized, or are pregnant. See technical notes for more information. In BC in 2007/08, there were 80 FSFDs per 100,000 population.Health service delivery area (HSDA)Health authority (HA)Crude ratio per100,000 populationKEY TOCOLOURS6080100Crude ratio of full servicefamily doctors per 100,000 population, by HSDA, 2007/08Crude ratio of full servicefamily doctors per 100,000 population, by HSDA, 2007/08Full Service Family DoctorsPrimary Health Care Resources» Human Resources: PhysiciansInteriorHA92VancouverCoastalHA87BCoverallC rud e ratio per 1 0 0 , 0 0 0  population5060807090100110120FraserHA59VancouverIslandHA94NorthernHA96Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.41424352535113111214313332232221HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53  Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondCounts of FSFP‘05/06 ‘06/07 ‘07/08FSFP per 100,000 pop.‘05/06 ‘06/07 ‘07/081517012945921817323915274445308309286209902445375817477442,855183791465111121983303178865563723413202631052766557028399243,396189791465410822489307181845743713733542711052796697039089503,5107089886879719373579673864851775084778051706783101101769385106906611090103525696579592955686798510310179898511189661069210155619856969294598780C rud e ratio per 1 0 0 , 0 0 0  population‘05/06GP per 10,000 pop.‘06/07 ‘07/089.811.89.210.412.010.913.710.98.014.114.615.97.38.112.27.910.511.213.57.712.810.810.012.18.511.411.611.613.610.78.314.914.515.67.18.112.57.810.911.313.67.712.810.810.112.68.311.011.611.214.410.88.014.014.815.07.28.112.78.210.811.313.17.713.110.8For  comparison purposes, we report the ratio of general type of practice physicians per 100,000 population. On the basis of their billing patterns, full service family doctors are considered by the BC Ministry of Health Services to oer a more comprehensive range of primary health care services than general type of practice physicians. (See technical notes for denitions.) In 2007/08, the ratio of full service family doctors per 100,000 population was three-quarters (74%) of the ratio of general type of practice physicians per population. is compares to two-thirds (62%) in 2005/06.Counts and crude ratios of full service family doctorsby HSDA and HA, 2005/06, 2006/07, and 2007/08Crude ratio of full service family doctors per 100,000 population, by HSDA, 2007/08Crude ratio of full service family doctors per 100,000 population compared to crude ratio of general practice physicians per 100,000 population, BC, 2005/06, 2006/07, 2007/08Source: BC Ministry of Health Services; PEOPLE 33, BC Stats. ese data were created by the Ministry of Health Services using their inclusion criteria. See technical notes.408020601001200General type of practice physicians‘07 / 0 8‘ 0 6 / 0 7‘ 0 5 / 0 6Full servicefamily doctors‘0 7 / 0 8‘ 0 6 / 0 7‘ 0 5 / 0 64 34 452NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenay51Northwest53Northeaste crude ratio of primary health care (PHC) registered nurses (RNs) per 100,000 population was calculated by dividing the number of these nurses by the total population for each geographic area. RNs were considered to be PHC RNs if they were practicing in BC, reported working a minimum number of hours, and reported a PHC or PHC- related place of work, area of responsibility and position. See technical notes for more information. In BC in 2006, the crude ratio of PHC RNs per 100,000 population was 95.708090100110120130Health service delivery area (HSDA)Health authority (HA)Crude ratio per100,000 populationKEY TOCOLOURSCrude ratio of PHC RNs per 100,000 population, by HSDA, 2006Crude ratio of PHC RNs per 100,000 population, by HSDA, 2006On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.PHC Registered NursesPrimary Health Care Resources» Human Resources: NursesSlightly different methodology was used to identify PHC RNs in 2000 and 2006.HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53 Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond84102757886841198466579810656666859838595618378Crude rate2000Crude rate200612610913786112109132111799510610866877469118116109779295# PHC RNs200018386115509820096259162455643583293501801002515836568418453,176# PHC RNs200627785198581332831043722127465739143849920412634182780711499874,111Number and crude ratio per 100,000 populationof PHC RNs, by HSDA and HA, 2000 and 2006PHC RNs as a proportion of all RNs: Numbers and crude ratios per 100,000 population, 2000 and 2006, BCCrude ratio of PHC RNs per 100,000 population, by HA, 2000 and 2006Source: College of Registered Nurses of BC; PEOPLE 33, BC Stats. See technical notes.Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.2000 200605,00010,00015,00020,00025,00030,000N um b er of R N sNumbers of: Crude ratios of:Non-PHC RNsPHC RNs2000 20060200400600800C rud e ratio 1 0 0 , 0 0 0  pop.Non-PHC RNsPHC RNs020406080100120140BCVancouverCoastalHAFraserHAVancouverIslandHAInteriorHANorthernHAC rud e ratio per 1 0 0 , 0 0 0  population20062000Ye a rInteriorHA116VancouverCoastalHA92BC overallC rud e ratio per 1 0 , 0 0 0  population708010090110120130FraserHA77VancouverIslandHA109NorthernHA118414243525351131112313332232221Crude ratio of PHC RNs per 100,000 population, by HSDA, 2006144 54 6Nurse practitioners (NPs) provide diagnostic and treatment services, including prescription medications, for people who have acute and chronic illnesses. ey are registered nurses with post-graduate education and training and must be registered with the College of Registered Nurses of British Columbia. NPs have been regulated in BC since 2005. NPs employed by health authorities to provide primary health care services work in a variety of settings, including primary health care centres, residential care environments, and acute care facilities. See technical notes for more infomation. In BC in 2009, there were 140 NPs working in primary health care.Numbers of nurse practitioners working in primary health care settings, by health authority, 2009Source: College of Registered Nurses of BC. See technical notes.N um b er of nurs e practitioners01020151229274314304050ProvincialHealthServicesAuthorityVancouverCoastalHAFraserHAVancouverIslandHAInteriorHANorthernHAPHC Nurse PractitionersPrimary Health Care Resources» Human Resources: NursesNorthernInteriorVancouverIslandVancouverCoastalSee insetFraserpart ofVancouverCoastalVancouverCoastalFraserPrince GeorgeFort St. JohnValemountEast KootenayNelsonCastlegarN. OkanaganC. OkanaganKelownaCranbrookKimberleyArmstrongVernonWest KelownaCortes I.Campbell RiverAlberniSookeVictoriaSouth IslandNanaimoOceansideKamloopsDowntown VernonNorthern HealthTrailQuesnelMackenzieFraser LakeSurreyRichmondRichmondDowntownEastsideVancouverWestVancouver NorthVancouverNew WestminsterCDM CareConnec-tivityWhite Rock/South SurreyPrince RupertS. OkanaganOsoyoosOliverGabriola I.TofinoUcluelet # of IHNsProjected# of patients*2009/10Projected# of GPs*2009/10Complex chronic health conditionsVulnerableSeniors at risk / Frail elderlyMental health careTotalPatients or physicians who are part of more thanone network may be counted more than once.*1753134,0034,0003,10085063551903126 41,953 807IHNs by target population, as of March 2009Integrated Health Networks (IHNs) are groups of family physician/general practitioner practices that coordinate and collaborate to serve a patient population. IHNs are a new way of caring for people with complex, chronic health conditions. Patients become part of the network and are an important member of their health care team, along with doctors and other health care providers.Health service delivery area (HSDA)Health authority (HA)Colour indicates the IHN target populationComplex chronichealth conditionsSeniors at risk/Frail elderly Vulnerable Mental health careKEYOne circle represents one IHN.Circles are labelled with the IHN location.LocationSome IHNs serve or provide outreach to multiple locations. For example, the South Okanagan complex chronic health conditions IHN serves Oliver and Osoyoos.S. OkanaganOsoyoosOliverSource: BC Ministry of Health Services, March 2009Integrated Health NetworksPrimary Health Care Resources» Human Resources: Other4 74 852NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e percentage of the population who have a regular family doctor was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they have a regular family doctor by the total population for each geographic area. e percentage for BC in 2005 was 89%.KEY TOCOLOURS92%96%84%88%Health service delivery area (HSDA)Health authority (HA)Percent of populationPercent of population age 12+ who report havinga regular family doctor,by HSDA, 2005Percent of population age 12+ who report having aregular family doctor,by HSDA, 2005Regular Family DoctorPrimary Health Care Services» AccessBC overall84%88%86%90%92%94%96%98%Individual HSDA value. Numbers refer to HSDA codes.Percent of populationVancouverIslandHAOverall HA value414243FraserHA89%VancouverCoastalHA89%91%InteriorHA88%NorthernHA89%5251/531311121431333223222114  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  Richmond86%88%90%89%93%84%92%92%84%86%90%87%89%91%94%89%88%91%89%89%89%Total12+Total65+96%93%96%100%99%93%98%97%93%98%99%98%97%98%98%95%96%99%97%98%98%12+ with1 or moreselect*chronicconditions95%93%96%96%98%94%96%97%94%93%98%95%92%97%97%95%96%98%94%95%95%Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Percent of population age 12+, 65+, or 12+ with select* chronic conditions who report having aregular family doctor, by HSDA and HA, 200533       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Percent of population age 12+ with one or more select* chronic  conditions who report having a regular family doctor, by HSDA, 2005Percent of population age 12+ who report having a regular family doctor, by HSDA, 200533       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Percent of population age 65+ who report having a regular family doctor, by HSDA, 20050%2%4%6%8%10%12+ 65+ 12+ with 1 or moreselect* chronic conditionsNone availableHave not lookedPercent of population age 12+, 65+, or 12+ with select* chronic conditions who report not having a regular family doctor, by whether they have looked for one, BC, 2005Interpret with caution: Estimates are less reliable due to small sample sizeSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 4 95 052NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53Northeast51NorthwestNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.51Northwest53Northeaste crude ratio of patients with contact with a full service family doctor (FSFD) per 1,000 population was calculated by dividing the number of patients who saw a doctor that billed for an FSFD designated service for their care in each health service delivery area by the population in the area. FSFD designated services are primary health care services provided to patients that have chronic conditions, are hospitalized, or are pregnant, for which a medical doctor received an incentive. See technical notes for more information. In BC in 2007/08, the crude ratio was 115 per 1,000 population. Health service delivery area (HSDA)Health authority (HA)Crude ratio per1,000 populationKEY TOCOLOURS251007550125Crude ratio of patients with contact with a full service family doctor, per 1,000 population, by HSDA, 2007/08Crude ratio of patients with contact with a full service family doctor, per 1,000 population, by HSDA, 2007/08Contact with a Full Service Family DoctorPrimary Health Care Services» AccessInteriorHA131VancouverCoastalHA105BC overallC rud e ratio per 1 , 0 0 0  population9080100120110130140150160FraserHA109VancouverIslandHA135NorthernHA94Overall HA valueIndividual HSDA value. Numbers refer to HSDA codes.41424352535113111214313332232221HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.A table of HA and HSDA population figures is available on our website.Northern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overall14  Thompson - Cariboo51  Northwest52  Northern Interior53  Northeast43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondCounts of patients Patients per 1,000 pop.‘05/065,4702,0704,2341,6562,7075,9322,39010,7577,5321,47912,77011,31515,85914,0846,0375,1097,96020,09619,95437,47523,916109,824‘06/0715,8954,5009,6813,5798,49818,7036,31436,32520,5363,38539,58631,80844,24541,43418,24316,45617,76061,91959,009106,21574,285320,201‘07/0824,5806,37614,4336,43413,57636,8199,93653,21932,3267,45162,27550,63869,79163,83929,83622,29327,24395,186101,033165,956114,404505,571‘05/0625262925232330332819213224252228272927252326‘06/07735867537272801087643648867736690618780716974‘07/081118399941121401241541189410013810411010812094131135109105115C rud e ratio per 1 , 0 0 0  population6012030901500‘05/06‘06/07‘07/08NorthernHAInteriorHAVancouverIslandHAFraserHAVancouverCoastalHABCCounts and crude ratios of patients with contact with a full service family doctor by HSDA and HA, 2005/06, 2006/07, and 2007/08Crude ratio of patients with contact with a full service family doctor, per 1,000 population, by HSDA, 2007/08Crude ratio of patients with contact with a full service family doctor, per 1,000 population, HA and BC, 2005/06, 2006/07, 2007/08Source: BC Ministry of Health Services; PEOPLE 33, BC Stats. ese data were created by the Ministry of Health Services using their inclusion criteria. See technical notes. 5 15 252NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e visit rate was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they  consulted a family doctor three or more times in the past year by the total population for each geographic area. e percentage for BC in 2005 was 46%.Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)45%50%55%60%65%70%75%Percent of population age 12+ who consulted a family doctor 3+ times in the past year, by HSDA, 2005Percent of population age 12+ who consulted a family doctor 3+ times in the past year, by HSDA, 2005Visits to a Family DoctorPrimary Health Care Services» Utilization of PHC Providers’ ServicesBC overall40%44%42%46%48%50%52%54%Percent of populationVancouverIslandHAOverall HA value414243FraserHA47%VancouverCoastalHA47%47%InteriorHA43%NorthernHA41%Individual HSDA value. Numbers refer to HSDA codes.5251/5313111214313332232221Total12+42%41%41%46%47%41%45%46%42%47%47%45%50%46%51%41%43%47%47%47%46%Total65+60%73%57%73%64%56%62%66%55%73%66%64%71%56%72%64%60%66%67%68%66%12+ with1 or moreselect* chronicconditions68%70%61%70%73%56%66%70%69%68%67%64%70%69%76%65%66%70%68%70%68%14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Percent of population age 12+, 65+, or 12+ with select* chronic conditions who consulted a family doctor 3+ times in the past year, by HSDA and HA, 2005Percent of population age 12+ who consulted a family doctor 3+ times in the past year, by HSDA and HA, 200533       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Percent of population age 12+ with one or more select* chronic conditions who consulted a family doctor 3+ times in the past year, by HSDA, 200533       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Percent of population age 65+ who consulted a family doctor 3+ times in the past year, by HSDA, 2005Interpret with caution: Estimates are less reliable due to small sample sizeSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005Percent of population age 12+ who consulted a family doctor 0, 1-2, or 3+ times in the past year, by HA, 20050%20%40%60%80%100%NorthernHAInteriorHAVancouverIslandHAFraserHAVancouverCoastalHA1-2 visits0 visits 3+ visits5 35 452NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e visit rate was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they consulted a nurse one or more times in the past year by the total population for each geographic area. is refers to consultations with a nurse in the community, not during a hospital admission. e percentage for BC in 2005 was 9%.Percent of populationKEY TOCOLOURSHealth service delivery area (HSDA)Health authority (HA)15%20%25%10%5%Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+ who consulted a nurse in the past year, by HSDA, 2005Percent of populationage 12+ who consulted a nurse in the past year, by HSDA, 2005Visits to a NursePrimary Health Care Services» Utilization of PHC Providers’ Services33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIsland33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overall4%8%6%10%12%14%16%18%Percent of populationVancouverIslandHAOverall HA valueFraserHA7%VancouverCoastalHA8%12%InteriorHA11%NorthernHA11%Individual HSDA value. Numbers refer to HSDA codes.4142435251/5313111214313332232221Total12+12%13%10%14%11%10%10%9%16%9%12%7%7%10%4%11%11%12%7%8%9%15%15%11%20%16%13%16%14%26%10%16%8%13%16%8%13%16%17%11%11%13%10%12%11%28%8%10%11%10%13%11%9%8%10%Total65+12+ with1 or moreselect* chronicconditions14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallHAs and HSDAs are ordered by potential years of life lost, from highest t.o lowest.Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.On this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.Percent of population age 12+,  65+, or 12+ with select* chronic conditions who consulted a nurse in the past year, by HSDA and HA, 2005Percent of population age 12+ whoconsulted a nurse in the past year, by HSDA and HA, 2005Percent of population age 12+ with one or more select* chronic conditions who consulted a nurse in the past year, by HSDA, 2005Percent of population age 65+ who consulted a nurse in the past year, by HSDA, 2005Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 5 55 652NorthernInterior14Thompson - Cariboo11EastKootenay12Kootenay -Boundary13OkanaganPart of33North Shore -Coast Garibaldi43NorthIsland42Central Island33N. Shore -Coast Gar.21Fraser East41SouthIsland53/51Northeast/Northwest51/53Northwest/NortheastNorthernInteriorVancouverIslandVancouverCoastalFraserpart ofVancouverCoastal33North Shore -Coast Garibaldi22Fraser North23Fraser South31Richmond32VancouverVancouverCoastalFraser32Vancouver33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast41South Island42CentralIsland43NorthIsland13Okanagan21Fraser East12KootenayBoundary11EastKootenayOn this population cartograman area the size of one square represents 8,000 peopleNumbers refer to HSDA codes.e visit rate was calculated by dividing the number of individuals who reported on the Canadian Community Health Survey that they consulted with a social worker, counsellor, psychologist, speech audiologist, or occupational therapist in the past year by the total population for each geographic area.  is refers to consultations in the community, not during a hospital admission.e percentage for BC in 2005 was 9%.Percent of population KEY TOCOLOURS12%14%16%10%8%Health service delivery area (HSDA)Health authority (HA)Interpret with caution: Estimates are less reliable due to small sample sizePercent of population age 12+ who consulted an allied health care professional in the past year, by HSDA, 2005Percent of population age 12+ who consulted an allied health care professional in the past year, by HSDA, 2005Visits to an Allied Health ProfessionalPrimary Health Care Services» Utilization of PHC Providers’ Services33       N. Shore/Coast Garibaldi52NorthernInterior14ThompsonCariboo31Richmond 23Fraser South22Fraser North51/53Northwest/Northeast13Okanagan21Fraser East12KootenayBoundary11EastKootenay32Vancouver41South Island42CentralIsland43NorthIslandBC overallPercent of populationVancouverIslandHAOverall HA value7%8%10%9%11%12%13%14%15%414243FraserHA10%VancouverCoastalHA9%11%InteriorHA9%NorthernHA7%Individual HSDA value. Numbers refer to HSDA codes.5251/5313111214313332232221Total12+10%7%8%8%9%11%9%8%6%8%13%8%14%9%8%7%9%11%10%9%9%14%10%8%12%16%9%16%10%13%17%11%18%12%9%9%11%14%14%12%13%10%11%7%6%6%Total65+12+ with1 or moreselect* chronicconditions14  Thompson - Cariboo51/53  Northwest/Northeast52  Northern Interior43  North Island42  Central Island12  Kootenay - Boundary13  Okanagan21  Fraser East11  East Kootenay32  Vancouver41  South Island23  Fraser South22  Fraser North33  N. Shore - Coast Gar.31  RichmondNorthern HAInterior HAVancouver Island HAFraser HAVancouver Coastal HABC overallOn this population cartograman area the size of one square represents 8,000 people.Numbers refer to HSDA codes.HAs and HSDAs are ordered by potential years of life lost, from highest to lowest.Dashed lines indicate that estimates should be interpreted with caution due to small sample size.Where values are missing, estimates are too unreliable to be published.A table of HA and HSDA population figures is available on our website.*Select chronic conditions include arthritis, cancer, chronic obstructive pulmonary disease, diabetes, heart disease, high blood pressure, and mood disorders.Percent of population age 12+,  65+, or 12+ with select* chronic conditions who consulted an allied health care professional in the past year, by HSDA and HA, 2005Percent of population age 12+ who  consulted an allied health care professional in the past year, by HSDA and HA, 2005Percent of population age 12+ with one or more select*chronic condition who  consulted an allied health care professional in the past year, by HSDA, 2005Interpret with caution: Estimates are less reliable due to small sample sizeEstimates are too unreliable to be publishedSource: Canadian Community Health Survey, Cycle 3.1, Statistics Canada, 2005 5 75 8In 2007, 16,800 patients who visited a BC emergency department (ED) completed a survey about their experiences. e data presented here identies factors that drive positive or negative ratings of their overall quality of care. Details of the analysis and ndings are available in a full report: In Pursuit of Quality: Opportunities to improve patient experiences in British Columbian emergency departments. e report is available at www.chspr.ubc.ca.Yes, definitely Yes, somewhat NoPati ent rati ngs ofoverall quality of carePoor Good Very good ExcellentFair Poor Good Very good ExcellentFairPoor Good Very good ExcellentFair>2 hrs ½-1 hr < ½ hr No wait1-2 hrs >2 hrs ½-1 hr < ½ hr No wait1-2 hrsPoor Good Very good ExcellentFairNo Yes, somewhat Yes, completelyYes, definitely Yes, somewhat NoNo Yes, somewhat Yes, completelyPoor Fair Good Very good ExcellentRatings ofstaff courtesy 17% 45% 28% 7% 2 8% 91%Ratings ofstaff teamwork 16% 36% 34% 6% 2 2 20% 77%Waiting timeto see doctor 15% 226%22%29% 53% 18%17%7%3Ratings of waiting toolong to see a doctor 58% 31% 10% 3 13% 82%Ratings of receipt ofall needed services 9%51%39% 93%5%15% 11% 24% 32% 27%Among the 16%who reported poor orfair overall quality of careAmong the 27%who reported excellentoverall quality of careFactors that underlie patient ratings of overall quality of care in emergency departments in BC, 2007Emergency department counts do not add to 110 because the emergency department administered by the Provincial Health Services Authority is not included in a region. Patient ratings from that facility are included in the BC overall (n=110) ratings. The distribution of patient ratings have not been standardized, but letters indicate significant differences between regions (p<.005) after standardizing for differences in the predisposition of patients and their presentation at EDs: I = different from Interior; F = Fraser; VC = Vancouver Coastal; VI = Vancouver Island; N = Northern.A table of HA population figures is available on our website.Vancouver Island (20 EDs)Northern (27 EDs)Interior (37 EDs)Fraser (12 EDs)Vancouver Coastal (13 EDs)3% 9% 22% 34% 30%6% 15% 27% 30% 20%5% 10% 24% 32% 28%5% 10% 22% 33% 30%4% 11% 23% 32% 29%Poor Fair Good Very good Excellent0% 20% 40% 60% 80% 100%Bars indicate the percent of patients who rated care as:BC overall (110 EDs) 5% 11% 24% 32% 27%Patient ratings of overall quality of care in emergency departments, for BC and by health authority (HA), 2007F VI NI VC VI NFI FI FPatient Experiences in Emergency DepartmentsPrimary Health Care Services» Emergency DepartmentsSource: Watson, DE. et al.  In Pursuit of Quality: Opportunities to improve patient experiences in British Columbian emergency departments. Vancouver: UBC Centre for Health Services and Policy Research, 2009. Available at www.chspr.ubc.ca.Emergency department counts do not add to 110 because the emergency department administered by the Provincial Health Services Authority is not included in a region. Patient ratings from that facility are included in the BC overall (n=110) ratings. The distribution of patient ratings have not been standardized, but letters indicate significant differences between regions (p<.005) after standardizing for differences in the predisposition of patients and their presentation at EDs: I = different from Interior; F = Fraser; VC = Vancouver Coastal; VI = Vancouver Island; N = Northern.A table of HA population figures is available on our website.Patient ratings of staff courtesy in emergency departments, for BC and by HA, 2007Vancouver Island (20 EDs)Northern (27 EDs)Interior (37 EDs)Fraser (12 EDs)Vancouver Coastal (13 EDs)2 8% 21% 34% 35%4% 13% 26% 33% 23%2 9% 23% 33% 31%3% 8% 20% 33% 33%4% 9% 22% 33% 31%0% 20% 40% 60% 80% 100%BC overall (110 EDs) 3% 9% 23% 33% 31%F VI NI VC VI NFI FI FBars indicate the percentage of patients who rated staff courtesy as:Poor Fair Good Very good ExcellentPatient ratings of receipt of all needed services in emergency departments, for BC and by HA, 2007Vancouver Island (20 EDs)Northern (27 EDs)Interior (37 EDs)Fraser (12 EDs)Vancouver Coastal (13 EDs)8% 28% 64%12% 34% 53%8% 31% 59%9% 29% 60%7% 29% 62%0% 20% 40% 60% 80% 100%BC overall (110 EDs) 9% 30% 60%F VII VC VI NFI FFBars indicate the percentage of patients who received all needed services:Yes, somewhatNo Yes, completelyPatient ratings of waiting too long to see a doctor in emergency departments, for BC and by HA, 20070% 20% 40% 60% 80% 100%BC overall (110 EDs)Vancouver Island (20 EDs)Northern (27 EDs)Interior (37 EDs)Fraser (12 EDs)Vancouver Coastal (13 EDs)14% 27% 57%26% 30% 43%15% 28% 55%17% 27% 54%14% 27% 56%18% 28% 52%F VI NI VC VI NF VII F VCI FBars indicate the percentage of patients who felt they waited too long to see a doctor:Yes, somewhatYes, definitely NoPatient ratings of staff teamwork in emergency departments, for BC and by HA, 2007Vancouver Island (20 EDs)Northern (27 EDs)Interior (37 EDs)Fraser (12 EDs)Vancouver Coastal (13 EDs)2 7% 22% 36% 30%4% 11% 29% 33% 21%2 9% 23% 35% 28%3% 7% 23% 35% 29%2 9% 24% 34% 29%0% 20% 40% 60% 80% 100%BC overall (110 EDs) 3% 8% 25% 35% 27%FI VC VI NFFFBars indicate the percentage of patients who rated staff teamwork as:Poor Fair Good Very good Excellent5 9o n  t h e  r o a d  t o  r e n e W a l6 0Technical NotesContact with a full service family doctorThe count, ratio and distribution of patients who receive services from full service family doctors are provided. The cohort definition was developed by the MOH and all counts profiled were calculated by its staff.The important role GPs play in helping to ensure the sustainability of the BC health care system was recognized in the 2002 Working Agreement between the MOH and the BCMA in which $20 million was allocated to better support the care that occurs in the community by GPs. Through this Agreement, the GPSC was formed and tasked with the responsibility of working with GPs to develop financial incentives aimed at helping address the challenges facing full service family practice in BC.The GPSC was established under the MOH/BCMA Subsidiary Agreement for General Practitioners, November 2002 with the mandate of finding solutions to support and sustain full service family practice in BC. This mandate was renewed under the 2004 MOH/BCMA Working Agreement, and most recently under the MOH/BCMA 2006 Agreement.Full Service Family Practice Condition Based Payments were aimed at supporting high quality management of congestive heart failure and diabetes. Physicians were eligible to receive an annual incentive payment for each patient with diabetes and/or congestive heart failure or maternity whose clinical management was consistent with recommendations in the BC Clinical Practice Guidelines developed through the Ministry of Health/BC Medical Association Guidelines and Protocols Committee.Patients with contact with a full service family doctor are any patient who receives a service from any type of physician, regardless of specialty, who bills the fee-for-service system for any of the following special fee items:•  13050 – Incentive for full service GP – annual chronic care bonusi) Applicable only for patients with confirmed diagnosis of diabetes mellitus or congestive heart failureii) Claim must include relevant ICD-9 code (for diabetes or congestive heart failure)iii) No more than one incentive payment per patient in a consecutive 12-month period for each diseaseiv) BC patient flow sheet must be completed and care must be consistent with the BC clinical guideline recommendations for diabetes mellitus and congestive heart failure.v) Not applicable to direct patient care that is considered part of the management of patients with chronic conditionsvi) Physician must also be responsible for managing the patient’s diabetes mellitus and/or congestive heart failure and have been respon-sible for providing the patient’s longitudinal general/family medical care.•  13228 – Full service family medicine (hospital) visit•  13229 – Full service family medicine (hospital) visit 1st•  14000 – Incentive for full service GP-obstetrical delivery bonusi) Payable to family physician performing the first delivery of the day, at 50% of primary delivery listing (14104, 14109)ii) Physician must also be responsible (or share responsibility) for providing patient’s general family practice medical careiii) Payable only when fee item 14104 or 14109 billed in conjunctionU B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h6 1v) Only one obstetrical bonus payable per day, under either fee item 14004 or 14009•  14010 – Maternity care network initiative payment•  14050 – Incentive for full service GP – annual chronic care•  14051 – Incentive for full service GP – annual chronic care•  14052 – Incentive for full service GP – annual chronic care  Full service family doctors are not a subset of general type of practice physicians.Note: Location for patients was identified by usual residence in the Client Registry. Year of care received is based on a fiscal year (April 1 to March 31) and can include services for which payment was received up until September 30th of that year.Full service family doctorsThe count, ratio and distribution of Full Service Family Doctors are provided and compared to the cohort of physicians deemed to have a general type of practice. Both cohort definitions have been developed by the Ministry of Health Services and all counts profiled were calculated by its staff.Full Service Family Doctors are not a sub-population of physicians deemed to have a general type of practice and neither cohort is a sub-population of physicians regis-tered as GPs. The cohort definitions have been created in an attempt to describe and monitor the size and distribution of the workforce of physicians who offer a comprehensive array of services deemed to be generalist in nature. BackgroundThe important role GPs play in helping to ensure the sustainability of the health care system was recognized iv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar year (updated 04-26-2005)•  14004 – Incentive for full service GP – obstetric delivery bonus associated with vaginal delivery and postnatal carei) Payable to family physician performing the first delivery of the dayii) Physician must also be responsible for (or share responsibility) for providing patient’s general family practice medical careiii) Payable only when fee item 14104 billed in conjunctioniv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar yearv) Only one obstetrical bonus payable per day, under either fee item 14004 or 14009•  14005 – Full service GP -bonus with transfer higher care•  14008 – Full service GP -bonus with post-natal care•  14009 – Incentive for full service GP – obstetric delivery bonus related to attendance at delivery and postnatal care associated with emergency caesarean sectioni) Payable to family physician performing the first delivery of the dayii) Physician must also be responsible for (or share responsibility) for providing patient’s general family practice medical careiii) Payable only when fee item 14109 billed in conjunctioniv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar yearo n  t h e  r o a d  t o  r e n e W a l6 2Technical Notesin the 2002 Working Agreement between the MOH and an the BC Medical Association (BCMA) in which $20 million was allocated to better support the care provided in the community. Through this Agreement, the General Practice Services Committee (GPSC) was formed and tasked with the responsibility of working with GPs to develop financial incentives aimed at helping address the challenges facing full service family doctors in BC.The GPSC was established under the MOH/BCMA Sub-sidiary Agreement for General Practitioners, November 2002 with the mandate of finding solutions to support and sustain full service family practice in BC. This mandate was renewed under the 2004 MOH/BCMA Working Agreement and most recently under the 2006 MOH/BCMA Agreement.Full Service Family Practice Condition Based Payments were aimed at supporting high quality management of congestive heart failure and diabetes. Physicians were eligible to receive an annual incentive payment for each patient with diabetes and/or congestive heart failure or maternity whose clinical management was consistent with recommendations in the BC Clinical Practice Guidelines developed through the MOH/BCMA Guidelines and Protocols Committee.Full service family doctorsThe following cohort definition was developed by the MOH in order to count the number of physicians deemed to be Full Service Family Doctors in BC. Full Service Family Doctors are any type of physician, regardless of registered specialty, who bill on a fee-for-service basis for any of the following special fee items:•  13050 – Incentive for full service physician – annual chronic care bonusi)  Applicable only for patients with confirmed diagnosis of diabetes mellitus or congestive heart failure.ii)  Claim must include relevant ICD-9 code for diabetes or congestive heart failure.iii) No more than one incentive payment per patient in a consecutive 12-month period for each disease.iv) BC patient flow sheet must be completed and care must be consistent with the BC clinical guideline recommendations for diabetes mellitus and congestive heart failure.v)  Not applicable to direct patient care that is considered part of the management of patients with chronic conditions.vi) The physician must also be responsible for managing the patient’s diabetes mellitus and/or congestive heart failure and have been respon-sible for providing the patient’s longitudinal general/family medical care.•  13228 – Full service family medicine (hospital) visit•  13229 – Full service family medicine (hospital) visit (first)•  14000 – Incentive for full service GP – obstetrical delivery bonusi)  Payable to family physician performing the first delivery of the day, at 50% of primary delivery listing (14104, 14109).ii) Physician must also be responsible (or share responsibility) for providing patient’s general family practice medical care.iii) Payable only when fee item 14104 or 14109 billed in conjunction.iv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar year (updated 04-26-2005).•  14004 – Incentive for full service GP – obstetric delivery bonus associated with vaginal delivery and postnatal careU B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h6 3•  14051 – Incentive for full service GP – annual chronic care•  14052 – Incentive for full service GP – annual chronic careGeneral type of practice physicians  The following cohort definition was developed by the MOH in order to count the number of physicians deemed to have a generalist type of practice.General Type of Practice Physicians are identified by how they bill for their services rather than their regis-tered specialty. The billing patterns of these physicians are considered, by the MOH, to be of a generalist type. For example, a general type of practice physician may have a registered specialty of pediatrician but their Medical Services Plan fee-for-service billing patterns suggest that the comprehensive nature of their services is most closely associated with general practice. General type of practice physicians are those assigned the follow-ing practice codes:00 General practice 55   GP (miscellaneous) 56   GP (90%+) 58   Methadone program at 10% + 59   GP – surgical assist at 35%+ 60   GP – obstetrics & gynaecology at 35% 61  GP – alternative payments at 50%+ 63  GP – primary care demonstration project 65  Gerontology – GP at 45% (incl. 00,22,27,52)i)  Payable to family physician performing the first delivery of the day.ii) Physician must also be responsible for (or share responsibility) for providing patient’s general family practice medical care.iii) Payable only when fee item 14104 billed in conjunction.iv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar year.v)  Only one obstetrical bonus payable per day, under either fee item 14004 or 14009.•  14005 – Full service GP – bonus with transfer higher care•  14008 – Full service GP – bonus with post-natal care•  14009 – Incentive for full service GP – obstetric delivery bonus related to attendance at delivery and postnatal care associated with emergency caesarean sectioni)  Payable to physician performing the first delivery of the day.ii) Physician must also be responsible for (or share responsibility) for providing patient’s general family practice medical care.iii) Payable only when fee item 14109 billed in conjunction.iv) Maximum of one bonus per patient delivered, up to a maximum of 25 bonuses per calendar yearv)  Only one obstetrical bonus payable per day, under  either fee item 14004 or 14009•  14010 – Maternity care network initiative payment•  14050 – Incentive for full service GP – annual chronic careo n  t h e  r o a d  t o  r e n e W a l6 4Technical NotesPHC nurse practitionersData from the College of Registered Nurses of British Columbia (CRNBC) database were used for the period ending May 15, 2009. A three-step algorithm developed to classify primary health care (PHC) registered nurses was applied to identify PHC nurse practitioners (NPs) from the total population if NPs in BC in 2009 (n=273). A brief summary of these steps is provided here, with more detail found in Wong et al (2006):Step 1NPs were excluded if their records were incomplete, they were employed outside BC, not employed as an NP by their primary employer, or not practicing as an NP (n=55 records excluded).Step 2NPs were considered to be working in a PHC related area if their primary place of work AND their area of responsibility AND their position were related to PHC.PHC NPs were first classified and included by their place of work. NPs with the following places of work were included: home care agency, community health or health centre, public health, occupational health, physi-cian’s office/family practice unit, self-employed/private practice, nursing stations/outpost/nurse clinic, mental health centre, and hospital emergency room (n=165).PHC NPs were then included only if they worked in the following areas of responsibility: rehabilitation, emergency care, community health, psychiatric/mental health and occupational health (n=146).Next, PHC NPs were only included if they had the following positions: consultant, staff nurse/homecare/community nurse, office/occupational/industrial nurse and manager/assistant manager/supervisor (n=140).Step 3Finally, PHC NPs were only included after meeting the first four criteria (employed in BC, place of work, area of responsibility, position) and according to their employ-ment status. Those reporting employment status as full-time regular, part-time regular, full-time casual and part-time casual as their primary employment as an NP were included (n=140). ReferencesWong S, Watson D, Young E, Mooney D, MacLeod M. Who are the Primary Health Care Registered Nurses in British Columbia? Vancouver, BC: Centre for Health Services and Policy Research; 2006.PHC physician full-time equivalentsPHC physicians includes medical doctors that work in a PHCO and/or have fee-for-service billing practices that suggest they have a general type of practice. PHC physi-cians, therefore, include GPs and registered specialists.A full-time equivalent (FTE) is an estimate of a physician’s workload relative to their peers. When FTEs are summed across all physicians they can be used to estimate workforce participation. Physicians are assigned one FTE if their income falls between the 40th and 60th percentile of physicians’ incomes. Part time physicians are assigned FTEs lower than one and full time physicians are assigned FTEs higher than one on the basis of their relative income.Each physician’s income was estimated using fee-for-service billings, as well as salary and sessional payments. FTEs were calculated and these workload values were summed for each region. Total payments from Service Agreement and PHCO payments were then calculated for each region and divided by the provincial average earnings for those PHC physicians who fell in the 40th to 60th percentile in order to assign additional FTEs to each region.U B C  C e n t r e  f o r  h e a lt h  s e r v i C e s  a n d  p o l i C y  r e s e a r C h6 5PHC-RNs were then included only if they worked in the following areas of responsibility: rehabilitation, emer-gency care, community health, home care, psychiatric/mental health and occupational health (n=5,425). Next, PHC-RNs were only included if they had the following positions: consultant, staff nurse/homecare/community nurse, office/occupational/industrial nurse and manager/assistant manager/supervisor (n=4,829).Step 3Finally, PHC NPs were only included after meeting the first four criteria (employed in BC, place of work, area of responsibility, position) and according to their employment status. Those reporting employment status as full-time regular, part-time regular, full-time casual or part-time casual and working at least 850 hours in 2006 were included (n=4,111).InterpretationThe crude ratio of PHC-RNs to population remained relatively stable from 2000 to 2006. The population in BC has grown and  there has been an increase in the number of PHC-RNs during this time period. A number of factors may explain the increase in PHC RNs including:1. Real growth—There was a 9.2% increase in total RNs from 2000 to 2006 (27,750 to 30,046). The total number of PHC-RNs increased 7.7% for the same time period. 2. Change in what data were reported—Between 2000 and 2006, the data holder (CRNBC) made changes to their database and data collection methods. For example, employment status was reported in 2006 as: full-time regular, part-time regular, full-time casual, and part-time casual. In addition, each prac-ticing RN was asked to give an accurate accounting of the number of hours worked.3. Methodology refined—As a result of the changes in data collection, there were less missing data related ReferencesWatson, DE et al. Developing an information system to identify and describe physicians in clinical practice in British Columbia (1996/97-2004/05). Vancouver: UBC Centre for Health Services and Policy Research, 2006. Available at www.chspr.ubc.ca.Canadian Institute for Health Information. Physicians in Canada: Average Gross Fee-for-Service Payments, 2005–2006. Ottawa: CIHI, 2007.PHC registered nursesWe used all data from the College of Registered Nurses of British Columbia (CRNBC) database for the calendar year ending December 31, 2006 (n = 34,992). A three-step algorithm was used to classify primary health care (PHC) registered nurses (RNs) from the total population of RNs in BC in 2006. A brief summary of these steps is provided here, with more detail found in Wong et al (2006): Step 1RNs were excluded if their records were incomplete, they were employed outside of BC, not employed, or not practicing (n=4,946 records excluded). Step 2RNs were considered working in a primary health care related area if their place of work was related to delivery of these services AND their designated area of responsi-bility AND position designation was considered related to primary health care.  PHC-RNs were first classified and included by their place of work. RNs with the following places of work were included: home care agency, community health or health centre, occupational health, physician’s office/family practice unit, self-employed/private practice, nursing stations/outpost/nurse clinic, mental health centre, and hospital emergency room (n=6,945).o n  t h e  r o a d  t o  r e n e W a l6 6to the nurses’ employer in 2006 (3.5%) compared to 2000 (15%). In addition, changes to how the employment status data are now collected resulted in a modification of the methods. 4. Healthcare system changes—Restructuring of health authorities occurred in 2002 resulting in some boundary changes and regionalization of some services.  As a result, nurses may report their employer in one HSDA (e.g. where the main office for the health authority is located) and be delivering services in another HSDA.  ReferencesWong S, Watson D, Young E, Mooney D, MacLeod M. Who are the Primary Health Care Registered Nurses in British Columbia? Vancouver, BC: Centre for Health Services and Policy Research; 2006.UBC Centre for Health Services and Policy Researchthe University of British Columbia201-2206 east Mallvancouver, B.C. Canada  v6t 1Z3tel:  604.822.4969fax:  604.822.5690email: enquire@chspr.ubc.cawww.chspr.ubc.caAdvancing world-class health services and policy research, training and data resources on issues that matter to Canadians

Cite

Citation Scheme:

        

Citations by CSL (citeproc-js)

Usage Statistics

Share

Embed

Customize your widget with the following options, then copy and paste the code below into the HTML of your page to embed this item in your website.
                        
                            <div id="ubcOpenCollectionsWidgetDisplay">
                            <script id="ubcOpenCollectionsWidget"
                            src="{[{embed.src}]}"
                            data-item="{[{embed.item}]}"
                            data-collection="{[{embed.collection}]}"
                            data-metadata="{[{embed.showMetadata}]}"
                            data-width="{[{embed.width}]}"
                            async >
                            </script>
                            </div>
                        
                    
IIIF logo Our image viewer uses the IIIF 2.0 standard. To load this item in other compatible viewers, use this url:
http://iiif.library.ubc.ca/presentation/dsp.52383.1-0048533/manifest

Comment

Related Items