![]() |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Health Indicators
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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 | ||
| Prince Edward Island | Health Regions | 4 | ||
| Nova Scotia1 | Health Regions (Zones) | 6 | ||
| New Brunswick | Health (Hospital) Regions | 7 | ||
| Quebec | Régions sociosanitaires (RSS) | 18 | ||
| Ontario2 | Public Health Units (PHU) District Health Councils (DHC) |
37 16 |
||
| Manitoba | Regional Health Authorities | 11 | ||
| Saskatchewan | Regional Health Authorities | 13 | ||
| Alberta | Regional Health Authorities | 9 | ||
| British Columbia |
Health Service Delivery Areas |
16 |
||
| Yukon Territory | Entire territory | 1 | ||
| Northwest Territories | Entire territory | 1 | ||
| Nunavut | Entire territory | 1 | ||
(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.
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:
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% |
|
| B | 14 | 26.5% |
|
| C | 23 | 11.4% |
|
| D | 10 | 1.7% |
|
| E | 25 | 13.4% |
|
| F | 5 | 0.4% |
|
| G | 3 | 16.2% |
|
| H | 13 | 2.7% |
|
| I | 10 | 2.4% |
|
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 |
© 1996-2004, Canadian Institute for Health Information (CIHI).
All rights reserved.