Indicator PI.4.b Distribution of public health facilities relative to population density
| Primary Care Public Health Facilities in San Francisco | |||
|---|---|---|---|
| Name | Address | Zip code | Clinic/facility type |
| BREAST AND CERVICAL CANCER SERVICES | 30 VAN NESS AVE. | 94102 | CHN |
| CURRY SENIOR CENTER | 333 TURK ST. | 94102 | COMM |
| BAART TURK STREET CLINIC | 433 TURK ST. | 94102 | COMM |
| GLIDE HEALTH CLINIC | 330 ELLIS ST. | 94102 | COMM |
| HOUSING AND URBAN HEALTH CLINIC | 234 EDDY ST. | 94102 | CHN |
| LYON-MARTIN WOMENS HEALTH SERVICES | 1748 MARKET ST. | 94102 | COMM |
| ST. ANTHONY FREE MEDICAL CLINIC | 105-107 GOLDEN GATE AVE. | 94102 | FREE |
| TOM WADDELL CLINIC | 50 IVY ST. | 94102 | CHN |
| AHF HEALTHCARE CENTER - SAN FRANCISCO | 1025 HOWARD ST. | 94103 | COMM |
| BAART MARKET CLINIC | 1111 MARKET ST. | 94103 | COMM |
| SOUTH OF MARKET HEALTH CENTER | 551 MINNA ST. | 94103 | COMM |
| HAIGHT ASHBURY INTEGRATED CARE CENTER | 1753 MISSION ST. | 94103 | COMM |
| ST. JAMES INFIRMARY | 1372 MISSION ST. | 94103 | COMM |
| PORTRERO HILL HEALTH CENTER | 1050 WISCONSIN ST. | 94107 | CHN |
| LARKIN ST. CLINIC (SPECIAL PROGRAMS FOR YOUTH) | 1050 LARKIN ST. | 94109 | CHN |
| MERRIOUNS PSYCHOLOGICAL INSTITUTE | 242 MYRTLE ST. | 94109 | COMM |
| ON LOK SENIOR HEALTH SERVICES - BUSH ST | 1333 BUSH ST. | 94109 | COMM |
| PLANNED PARENTHOOD GOLDEN GATE | 815 EDDY ST. | 94109 | COMM |
| ST. FRANCIS MEMORIAL HOSPITAL | 900 HYDE ST. | 94109 | GAC |
| INSTITUTO FAMILIAR DE LA RAZA - OUTPATIENT | 2919 MISSION ST. | 94110 | COMM |
| MISSION NEIGHBORHOOD HEALTH CENTER | 240 SHOTWELL ST. | 94110 | COMM |
| NATIVE AMERICAN HEALTH CENTER | 160 CAPP ST. | 94110 | COMM |
| SAN FRANCISCO GENERAL HOSPITAL | 1001 POTRERO AVE. | 94110 | GAC |
| ST. LUKE'S HOSPITAL | 3555 CESAR CHAVEZ ST. | 94110 | GAC |
| ST. LUKE'S NEIGHBORHOOD CLINIC | 1580 VALENCIA ST. | 94110 | COMM |
| VALENCIA HEALTH SERVICES | 1647 VALENCIA ST. | 94110 | COMM |
| BALBOA TEEN HEALTH CENTER (SPECIAL PROGRAMS FOR YOUTH) | 1000 CAYUGA AVE | 94112 | CHN |
| EXCELSIOR HEALTH SERVICES (CHINESE HOSPITAL'S) | 888 PARIS ST. | 94112 | COMM |
| MISSION NEIGHBORHOOD HEALTH CTR.-EXCELSIOR CLINIC | 4434 MISSION ST. | 94112 | COMM |
| SAN FRANCISCO COMM COLLEGE DIST STUDENT HEALTH SRV | 50 PHELAN AVE. B201 | 94112 | COMM |
| CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS | 45 CASTRO ST. | 94114 | GAC |
| CASTRO/MISSION HEALTH CENTER | 3850 17TH ST. | 94114 | CHN |
| CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS | 2333 BUCHANAN ST. | 94115 | GAC |
| FIRST RESORT | 2300 SUTTER ST. | 94115 | COMM |
| KAISER FND HOSP - GEARY S F | 2425 GEARY BLVD. | 94115 | GAC |
| MAXINE HALL HEALTH CENTER | 1301 PIERCE ST. | 94115 | CHN |
| ON LOK SENIOR HEALTH BY IOA | 1426 FILLMORE ST. | 94115 | COMM |
| UCSF MEDICAL CENTER AT MOUNT ZION | 1600 DIVISADERO ST. | 94115 | GAC |
| LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER | 375 LAGUNA HONDA BLVD. | 94116 | GAC |
| NORTH EAST MEDICAL SERVICES - TARAVAL | 2308 TARAVAL ST. | 94116 | COMM |
| COLE ST. CLINIC (SPECIAL PROGRAMS FOR YOUTH) | 555 COLE ST. | 94117 | CHN |
| DRUG DETOXIFICATION, REHAB AND AFTER CARE SVS. PROG. | 529 CLAYTON ST. | 94117 | FREE |
| HAIGHT ASHBURY FREE MEDICAL CLINIC | 558 CLAYTON ST. | 94117 | FREE |
| ST. MARY'S MEDICAL CENTER, SAN FRANCISCO | 450 STANYAN ST. | 94117 | GAC |
| WOMEN'S COMMUNITY CLINIC/TIDES CENTER | 2166 HAYES ST. | 94117 | COMM |
| CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST | 3773 SACRAMENTO ST. | 94118 | GAC |
| CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST | 3700 CALIFORNIA ST. | 94118 | GAC |
| GOLDMAN INSTITUTE ON AGING, PRIMARY CARE CLINIC | 3600 GEARY ST. | 94118 | COMM |
| INSTITUTE ON AGING | 2700 GEARY BLVD | 94118 | COMM |
| SAN FRANCISCO FREE CLINIC | 4900 CALIFORNIA ST. | 94118 | FREE |
| RICHMOND MAXI-CENTER | 3626 BALBOA ST. | 94121 | COMM |
| CHINESE COMMUNITY HEALTH SERVICES (AKA SUNSET HEALTH SERVICES) | 1800 31ST AVE. | 94122 | COMM |
| OCEAN PARK HEALTH CENTER | 1351 24TH ST. | 94122 | CHN |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE. | 94122 | GAC |
| BAYVIEW HUNTERS POINT FOUNDATION THIRD ST. CLINIC | 4301 THIRD ST. | 94124 | COMM |
| SOUTHEAST HEALTH CENTER | 2401 KEITH ST. | 94124 | CHN |
| YGC CLINIC (SPECIAL PROGRAMS FOR YOUTH) | 375 WOODSIDE AVE. | 94127 | CHN |
| 30TH ST. COMMUNITY CLINIC | 225 30TH ST. | 94131 | COMM |
| CHINATOWN PUBLIC HEALTH CENTER | 1490 MASON ST. | 94133 | CHN |
| CHINESE HOSPITAL | 845 JACKSON ST. | 94133 | GAC |
| NORTH EAST MEDICAL SERVICES | 1520 STOCKTON ST. | 94133 | COMM |
| ON LOK SENIOR HEALTH SERVICES | 1441 POWELL ST. | 94133 | COMM |
| ON LOK SENIOR HEALTH SERVICES - MONTGOMERY | 1000 MONTGOMERY ST. | 94133 | COMM |
| NORTH EAST MEDICAL SERVICES-LELAND AVE. | 82 LELAND AVE. | 94134 | COMM |
| SILVER AVE. FAMILY HEALTH CENTER | 1525 SILVER AVE. | 94134 | CHN |
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
Population data from Applied Geographic Solutions, Inc. Spring 2007 Update: Current Year Estimates. Methodology available at: http://www.appliedgeographic.com/library.html.
Map and table created by San Francisco Department of Public Health, Environmental Health Section using ArcGIS software.
Map data is presented at the level of the planning neighborhood. While planning neighborhoods are larger geographic areas than census tracts, census tracts do not always lie completely within a planning neighborhood. SFDPH used ArcGIS software and a 'centroids within' methodology to convert census blocks to geographic mean center points. We then assigned census blocks to planning neighborhoods based on the spatial location of those geographic mean center points and calculated the planning neighborhood totals for the table.
http://www.thehdmt.org/etc/Geographic_Units_of_Analysis.pdf
Explanation and Limitations
Population density is one proximal but not comprehensive indicator for health care demand. See HDMT Demographic indicator D.1 for neighborhod population density calculations: http://www.thehdmt.org/indicators/view/183
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:
- GAC -- General Acute Care Hospital
- CHN -- Primary Care Clinic in the SF Community Health Network
- COMM -- OSHPD Licensed, Community-Based Primary Care Clinic
- FREE -- OSHPD Licensed, Free Primary Care Clinic
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.