Indicator PI.4.a Public health facilities within 1/2 mile of a regional transit stop

Primary care public health facilities in San Franicisco
Name
AddressZip code
Clinic/ facility type
within 1/2 mile of local transit
BREAST AND CERVICAL CANCER SERVICES 30 VAN NESS AVE. 94102 CHN YES
CURRY SENIOR CENTER 333 TURK ST. 94102 COMM YES
BAART TURK STREET CLINIC 433 TURK ST. 94102 COMM YES
GLIDE HEALTH CLINIC 330 ELLIS ST. 94102 COMM YES
HOUSING AND URBAN HEALTH CLINIC 234 EDDY ST. 94102 CHN YES
LYON-MARTIN WOMENS HEALTH SERVICES 1748 MARKET ST. 94102 COMM NO
ST. ANTHONY FREE MEDICAL CLINIC 105-107 GOLDEN GATE AVE. 94102 FREE YES
TOM WADDELL CLINIC 50 IVY ST. 94102 CHN NO
AHF HEALTHCARE CENTER - SAN FRANCISCO 1025 HOWARD ST. 94103 COMM YES
BAART MARKET CLINIC 1111 MARKET ST. 94103 COMM YES
SOUTH OF MARKET HEALTH CENTER 551 MINNA ST. 94103 COMM YES
HAIGHT ASHBURY INTEGRATED CARE CENTER 1735 MISSION ST. 94103 COMM YES
ST. JAMES INFIRMARY 1372 MISSION ST. 94103 COMM YES
POTRERO HILL HEALTH CENTER 1050 WISCONSIN ST. 94107 CHN YES
LARKIN ST. CLINIC (SPECIAL PROGRAMS FOR YOUTH) 1050 LARKIN ST. 94109 CHN NO
MERRIOUNS PSYCHOLOGICAL INSTITUTE 242 MYRTLE ST. 94109 COMM NO
ON LOK SENIOR HEALTH SERVICES - BUSH ST 1333 BUSH ST. 94109 COMM NO
PLANNED PARENTHOOD GOLDEN GATE 815 EDDY ST. 94109 COMM YES
ST. FRANCIS MEMORIAL HOSPITAL 900 HYDE ST. 94109 GAC NO
INSTITUTO FAMILIAR DE LA RAZA - OUTPATIENT 2919 MISSION ST. 94110 COMM YES
MISSION NEIGHBORHOOD HEALTH CENTER 240 SHOTWELL ST. 94110 COMM YES
NATIVE AMERICAN HEALTH CENTER 160 CAPP ST. 94110 COMM YES
SAN FRANCISCO GENERAL HOSPITAL 1001 POTRERO AVE. 94110 GAC NO
ST. LUKE'S HOSPITAL 3555 CESAR CHAVEZ ST. 94110 GAC YES
ST. LUKE'S NEIGHBORHOOD CLINIC 1580 VALENCIA ST. 94110 COMM YES
VALENCIA HEALTH SERVICES 1647 VALENCIA ST. 94110 COMM YES
BALBOA TEEN HEALTH CENTER (SPECIAL PROGRAMS FOR YOUTH) 1000 CAYUGA AVE 94112 CHN YES
EXCELSIOR HEALTH SERVICES (CHINESE HOSPITAL'S) 888 PARIS ST. 94112 COMM NO
MISSION NEIGHBORHOOD HEALTH CTR.-EXCELSIOR CLINIC 4434 MISSION ST. 94112 COMM YES
SAN FRANCISCO COMM COLLEGE DIST STUDENT HEALTH SRV 50 PHELAN AVE. B201 94112 COMM YES
CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS 45 CASTRO ST. 94114 GAC NO
CASTRO/MISSION HEALTH CENTER 3850 17TH ST. 94114 CHN NO
CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS 2333 BUCHANAN ST. 94115 GAC NO
FIRST RESORT 2300 SUTTER ST. 94115 COMM NO
KAISER FND HOSP - GEARY S F 2425 GEARY BLVD. 94115 GAC NO
MAXINE HALL HEALTH CENTER 1301 PIERCE ST. 94115 CHN NO
ON LOK SENIOR HEALTH BY IOA 1426 FILLMORE ST. 94115 COMM NO
UCSF MEDICAL CENTER AT MOUNT ZION 1600 DIVISADERO ST. 94115 GAC NO
LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER 375 LAGUNA HONDA BLVD. 94116 GAC NO
NORTH EAST MEDICAL SERVICES - TARAVAL 2308 TARAVAL ST. 94116 COMM NO
COLE ST. CLINIC (SPECIAL PROGRAMS FOR YOUTH) 555 COLE ST. 94117 CHN NO
DRUG DETOXIFICATION, REHAB AND AFTER CARE SVS. PROG. 529 CLAYTON ST. 94117 FREE NO
HAIGHT ASHBURY FREE MEDICAL CLINIC 558 CLAYTON ST. 94117 FREE NO
ST. MARY'S MEDICAL CENTER, SAN FRANCISCO 450 STANYAN ST. 94117 GAC NO
WOMEN'S COMMUNITY CLINIC/TIDES CENTER 2166 HAYES ST. 94117 COMM NO
CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST 3773 SACRAMENTO ST. 94118 GAC NO
CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST 3700 CALIFORNIA ST. 94118 GAC NO
GOLDMAN INSTITUTE ON AGING, PRIMARY CARE CLINIC 3600 GEARY ST. 94118 COMM NO
INSTITUTE ON AGING 2700 GEARY BLVD 94118 COMM NO
SAN FRANCISCO FREE CLINIC 4900 CALIFORNIA ST. 94118 FREE NO
RICHMOND MAXI-CENTER 3626 BALBOA ST. 94121 COMM NO
CHINESE COMMUNITY HEALTH SERVICES (AKA SUNSET HEALTH SERVICES) 1800 31ST AVE. 94122 COMM NO
OCEAN PARK HEALTH CENTER 1351 24TH ST. 94122 CHN NO
UCSF MEDICAL CENTER 505 PARNASSUS AVE. 94122 GAC NO
BAYVIEW HUNTERS POINT FOUNDATION THIRD ST. CLINIC 4301 THIRD ST. 94124 COMM NO
SOUTHEAST HEALTH CENTER 2401 KEITH ST. 94124 CHN NO
YGC CLINIC (SPECIAL PROGRAMS FOR YOUTH) 375 WOODSIDE AVE. 94127 CHN NO
30TH ST. COMMUNITY CLINIC 225 30TH ST. 94131 COMM NO
CHINATOWN PUBLIC HEALTH CENTER 1490 MASON ST. 94133 CHN NO
CHINESE HOSPITAL 845 JACKSON ST. 94133 GAC NO
NORTH EAST MEDICAL SERVICES 1520 STOCKTON ST. 94133 COMM NO
ON LOK SENIOR HEALTH SERVICES 1441 POWELL ST. 94133 COMM NO
ON LOK SENIOR HEALTH SERVICES - MONTGOMERY 1000 MONTGOMERY ST. 94133 COMM NO
NORTH EAST MEDICAL SERVICES-LELAND AVE. 82 LELAND AVE. 94134 COMM YES
SILVER AVE. FAMILY HEALTH CENTER 1525 SILVER AVE. 94134 CHN NO

Data Source

CA Office of Statewide Health Planning and Development, Healthcare Facilities Listings. Accessed on July 24, 2009: http://www.oshpd.ca.gov/HID/Products/Listings.html#PC

San Francisco Department of Public Health, Community Health Network Centers. Accessed on July 24, 2009: http://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/default.asp

Map and table prepared by City and County of San Francisco, Department of Public Health, Environmental Health Section using ArcGIS software.

Explanation and Limitations

Population density is one proximal but not comprehensive indicator for health care demand. By default, in communities with more people, there will be more demand for health care services. However, the type of services needed and the associated length and depth of care, is determined by numerous factors including the demographics of the community residents and their access to preventative health services.

Demographic shifts brought on by changing housing and economic contexts will also result in patient demographic shifts in clinics and hospitals and the associated health care utilization. Older populations tend to have longer, in patient care than younger populations. Populations without access to health insurance tend to arrive at health facilities in a more advanced stage of disease or illness progression, thus necessitating inpatient visits, than persons with health insurance. Younger populations tend to utilize obstetric and emergency room services more frequently, whereas older populations tend to utilize internal medicine, surgical and geriatric services more frequently. Thus, in addition to examining population density, it may be helpful to analyze the age, gender, racial/ethnic, and socio-economic profiles of neighborhoods relative to the neighboring health facilities.

Additionally, quantitative and qualitative studies could be conducted to analyze where people go for their health care. Physical proximity to health facilities is just one aspect of access to health care. Other factors such as health insurance coverage, transportation to and from the health facility, cultural competency or cultural humility of health care providers, hours of operation, length of reimbursement period, cultural and linguistic competency of administrative and intake staff, availability of child care, availability of prevention programs, and employer requirements are among many factors impeding reliable, continuous access to affordable, quality health care.

This list of facilities includes all known public health facilities who provide primary care in San Francisco. This list was created by combining health care clinics and hospitals included in San Francisco's Community Health Network (CHN) and the list of facilities licensed by the California Department of Health Services, Office of Statewide Health Planning and Development (OSHPD). Consolidated hospital licenses (i.e., CA Pacific Medical Center) are listed as separate locations (i.e., East Campus, Davies Campus, Pacific Campus and West Campus) when there are distinct facilities.

The types of facilities include:

Clinics included on the OSHPD list include facilities that are licensed under Section 1204 of the Health and Safety Code (indicating that they are a 501c3 non profit organization and operate as a primary care clinic). These clinics are ones that operate for more than 20 hours per week and are considered to be an independent facility. Under this criteria, small school clinics and clinics within a larger hospital setting are excluded. Additionally OSHPD criteria excludes tribal facilities located on tribal land (not applicable in San Francisco), county facilities and non 501c3 (or for-profit) health facilities. Although county facilities are excluded on the OSHPD lists, San Francisco County public health facilities were included on our list of facilities providing primary health care.

Facilities included on the list may be on both the OSHPD and CHN lists and may offer a variety of services. For example, the two public hospitals - Laguna Hospital and San Francisco General Hospital offer various clinics geared towards particular populations (i.e., for women, children, rehabilitation, dialysis, etc). However, these facilities are listed only once, according to the primary purpose of the health facility (generally primary/acute care).        

The following facilities were not included on the list: home health agencies, hospices, private doctors'offices, specialty clinics, intermediate care facilities for the developmentally disabled, referral agencies, skilled nursing facilities, chemical dependency recovery hospitals, alternative birthing centers, psychiatric health facilities, and certified but not licensed facilities. Additionally the American College of Traditional Chinese Medicine and other traditional Chinese and alternative medicine providers are not included. Some of the listed primary care facilities and clinics may offer services provided by specialty clinics on the facility grounds.  

Using this exclusion criteria, the following clinics are not included in the list above: the SFGH women's health center, SFGH general medical clinic,SFGH children's health center, SFGH Family Health Center, SFGH Ernest Gallo Clinic and Research Center, St. Luke's Breast Clinic, St. Luke's Orthopedic Clinic, St. Luke's Women's Center, St. Luke's Pediatric Clinic, the Transgender Clinic (at Tom Waddell Clinic), Adult Immunization and Travel Clinic at SFDPH/101 Grove Street and the STD Clinic at 356 7th Street.  The Hawkins Village Teen Health Center and Hip Hop to Health Clinic which serve teenagers were also not included because they are open less than 20 hours per week.

Why is this a Community Health Indicator?

The availability of public transportation to community health facilities is only one factor among many that affect access to good quality, affordable, reliable health care. Because they employ a significant number of people, locating health facilities near transit can also reduce vehicle trips and driving with benefits to air quality, community noise, and injuries.