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Health Indicators
November 2003
Catalogue no. 82-221-XIE, Volume 2003, No. 2

Health regions

Health region peer groups
Recent changes in health region boundaries and names

‘Health region’ refers to a geographic unit defined by the provincial ministries of health. They are legislated administrative areas in all provinces except Nova Scotia. For complete Canadian coverage, each of the northern territories also represents a health region.

List of health regions, in effect as of June 2003 (PDF)

The following table presents an overview of health regions in Canada, by province and territory and links to maps (jpeg or pdf) for viewing current boundaries.

Health regions (2003) in Canada

Province

Health regions

Units

Maps

Newfoundland and Labrador Community Health Regions 6

jpeg

pdf

Prince Edward Island Health Regions 4

jpeg

pdf

Nova Scotia1 Health Regions (Zones) 6

jpeg

pdf

New Brunswick Health (Hospital) Regions 7

jpeg

pdf

Quebec Régions sociosanitaires (RSS) 18

jpeg

pdf

Ontario2 Public Health Units (PHU)
District Health Councils (DHC)

37

16

jpeg  jpeg

jpeg

pdf  pdf

pdf

Manitoba Regional Health Authorities 11

jpeg

pdf

Saskatchewan Regional Health Authorities 13

jpeg

pdf

Alberta Regional Health Authorities 9
 jpeg

pdf

British Columbia

Health Service Delivery Areas

16

pdf

Yukon Territory Entire territory 1
  jpeg

pdf

Northwest Territories Entire territory 1
  jpeg

pdf

Nunavut Entire territory 1
  jpeg

pdf

(1) In Nova Scotia, health zones are aggregations of the nine district health authorities.

(2) Public health units (PHU) administer health promotion and disease prevention programs. District health councils (DHC) are advisory, health planning organizations that make recommendations on resource distribution and provide advice on integration of health services in their community.

Health region peer groups

In order to effectively compare health regions with similar socio-economic characteristics, health regions have been grouped into ‘peer groups’. Statistics Canada used a statistical method to achieve maximum statistical differentiation between health regions. Twenty-four variables were chosen to cover as many of the social and economic determinants of health as possible, using data collected at the health region level mostly from the Census of Canada. Concepts covered include:

  • basic demographics (i.e., population change and demographic structure),
  • living conditions (i.e., socio-economic characteristics, housing, and income inequality), and
  • working conditions (i.e., labour market conditions)

A more detailed discussion on the rationale and methods involved in the development of peer groups is available in the Health Region (2000) Peer Groups Working Paper (PDF).

Peer groups based on the latest health region boundaries and 2001 Census data are now available. There are currently nine peer groups identified by letters A through I.

List of health regions by peer group (PDF)

Map of latest peer groups (PDF)

The following summary table provides an overview of the principle variables used to establish the groups.

Peer Group

Number of Health Regions

% Canadian Population

Principal characteristics

A 24 25.3%
  • Urban-rural mix from coast to coast
  • Average percentage of Aboriginal population
  • Low male population
  • Slow population growth from 1996-2001
B 14 26.5%
  • Mainly urban centres with moderately high population density
  • Low percentage of government transfer income
  • Rapid population growth from 1996 to 2001
C 23 11.4%
  • Sparsely populated urban-rural mix from coast to coast
  • Average percentage of Aboriginal population
  • Negative population growth
D 10 1.7%
  • Rural regions mainly in the central Prairies
  • Moderate Aboriginal population
  • Moderately high percentage of government transfer income
  • Almost equal numbers of men and women
  • Negative population growth
E 25 13.4%
  • Mainly rural regions in Quebec, Ontario and the Prairies
  • High proportion of people recently moved to or within these regions since 1996
  • Average percentage of Aboriginal population
  • Moderate population growth
F 5 0.4%
  • Northern and remote regions
  • Very high Aboriginal population
  • Moderately high percentage of government transfer income
  • Slightly higher male population
  • Moderate population growth
G 3 16.2%
  • Largest metro centres with an average population density of 3,934 people per square kilometre
  • Low Aboriginal population
  • Moderate percentage of government transfer income
  • High female population
H 13 2.7%
  • Rural northern regions
  • High Aboriginal population
  • High male population
  • Negative population growth
I 10 2.4%
  • Mainly rural Eastern regions
  • Very high percentage of government transfer income
  • Negative population growth
  • Low percentage of people having moved to or within these regions since 1996

Recent changes in health region boundaries and names

There have been a number of changes affecting the health region geography in recent years. To ensure comparability across data tables in Health Indicators, the boundaries established in 2000 were set as a fixed reference for the first three years of the project. The health region geography and data coding tools have recently been revised to reflect the most current boundaries. The following table provides a summary of the changes since 2000. For more detailed information about health regions and health region changes, see Health regions: boundaries and correspondence with census geography, Cat. no 82-402-XIE.

Summary of changes to health regions, 2000 and 2003

Prov

Health regions 2000

Units

Health Regions 2003

Units

Comments

10 NL Community Health Regions 6 Community Health Regions 6 - no change
11 PE Urban and rural regions 2 Health Regions 4 - now recognizing the four administrative areas
12 NS Zones 6 Zones 6 - no change
13 NB Health Regions 7 Health Regions 7 - no change
24 QC Régions sociosanitaires 18 Régions sociosanitaires 18 - changes caused by municipal adjustments affecting regional limits only
35 ON Public health units (PHUs) 37 PHUs 37 - some name changes only
  District health councils 16 DHCs 16 - some name changes only
46 MB Health Regions 12 Regional Health Authorities 11 - RHAs Marquette and South Westman to be combined into one (Assiniboine), plus other minor boundary changes
47 SK Service Areas 11 Regional Health Authorities 13 - new RHAs are similar to many service area boundaries – exceptions in 4711 which is now split into three regions.
48 AB Health Authorities 17 Regional Health Authorities 9

- total boundary revision – effective on April 1, 2003

- new Alberta health region names final as of July 2003

59 BC Health Regions 20 Health Service Delivery Areas (HSDA) 16

- total boundary revision - new BC regions became final in June 2002

- in June 2003, the BC Ministry of Health approved subsequent boundary changes within Vancouver Island Health Authority affecting three HSDAs

60 YT Territory 1 Territory 1 - no change
61 NT Territory 1 Territory 1 - no change
62 NU Territory 1 Territory 1 - no change

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