Public health facilities with “good” and “very good” transit resource scores
Geographic Unit of Analysis:
|Clinics and hospitals with "good" or "very good" transit resource scores*, 2012|
|Total facilities||# in "good" or "very good" transit resource areas||% in "good" or "very good" transit resource areas|
|Clinic (free and community)||43||36||84%|
|Facility||Transit Resource Score||Address||Type|
|CHINESE HOSPITAL||Very Good||845 JACKSON ST.||Hospital|
|KAISER FND HOSP - SAN FRANCISCO||Very Good||2425 GEARY BLVD.||Hospital|
|ST. FRANCIS MEMORIAL HOSPITAL||Very Good||900 HYDE ST.||Hospital|
|UCSF MEDICAL CENTER AT MOUNT ZION||Very Good||1600 DIVISADERO ST.||Hospital|
|CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS||Very Good||CASTRO AND DUBOCE ST.||Hospital|
|CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS||Very Good||2333 BUCHANAN ST.||Hospital|
|ST. MARY'S MEDICAL CENTER, SAN FRANCISCO||Very Good||450 STANYAN ST.||Hospital|
|CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS||Good||3555 CESAR CHAVEZ ST.||Hospital|
|SAN FRANCISCO GENERAL HOSPITAL||Good||1001 POTRERO AVE.||Hospital|
|UCSF MEDICAL CENTER||Good||505 PARNASSUS AVE.||Hospital|
|CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST||Good||3698 SACRAMENTO ST.||Hospital|
|CALIFORNIA PACIFIC MED CTR-CALIFORNIA WEST||Good||3700 CALIFORNIA ST.||Hospital|
|LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER||Average||375 LAGUNA HONDA BLVD.||Hospital|
|INSTITUTO FAMILIAR DE LA RAZA - OUTPATIENT||Very Good||2919 MISSION ST.||Clinic|
|MISSION NEIGHBORHOOD HEALTH CENTER||Very Good||240 SHOTWELL ST.||Clinic|
|MISSION NEIGHBORHOOD RESOURCE CENTER||Very Good||165 CAPP ST||Clinic|
|NATIVE AMERICAN HEALTH CENTER||Very Good||160 CAPP ST.||Clinic|
|NORTH EAST MEDICAL SERVICES||Very Good||1520 STOCKTON ST.||Clinic|
|ASIAN & PACIFIC ISLANDER WELLNESS CENTER||Very Good||730 POLK ST.||Clinic|
|BAART MARKET CLINIC||Very Good||1111 MARKET ST., 1ST FLOOR||Clinic|
|BAART TURK STREET CLINIC||Very Good||433 TURK ST.||Clinic|
|PLANNED PARENTHOOD GOLDEN GATE||Very Good||815 EDDY ST.||Clinic|
|HAIGHT ASHBURY INTEGRATED CARE CENTER||Very Good||1735 MISSION ST||Clinic|
|GLIDE HEALTH SERVICES||Very Good||330 ELLIS ST.||Clinic|
|SOUTH OF MARKET HEALTH CENTER||Very Good||229 7TH ST.||Clinic|
|MERRIOUNS PSYCHOLOGICAL INSTITUTE||Very Good||242 MYRTLE ST.||Clinic|
|CURRY SENIOR CENTER||Very Good||333 TURK ST.||Clinic|
|ON LOK SENIOR HEALTH SERVICES - BUSH ST||Very Good||1333 BUSH ST.||Clinic|
|ON LOK SENIOR HEALTH SERVICES - POWELL||Very Good||1441 POWELL ST.||Clinic|
|ON LOK SENIOR HEALTH SERVICES||Very Good||1000 MONTGOMERY ST.||Clinic|
|AHF HEALTHCARE CENTER - SAN FRANCISCO||Very Good||1025 HOWARD ST.||Clinic|
|ST. JAMES INFIRMARY||Very Good||1372 MISSION ST.||Clinic|
|FIRST RESORT||Very Good||450 SUTTER ST., STE. 1740||Clinic|
|WOMAN'S COMMUNITY CLINIC/TIDES CENTER||Very Good||1833 FILLMORE ST.||Clinic|
|LYON-MARTIN WOMENS HEALTH SERVICES||Very Good||1748 MARKET ST.||Clinic|
|ST. ANTHONY MEDICAL CLINIC||Very Good||150 GOLDEN GATE AVE.||Clinic|
|MISSION NEIGHBORHOOD HEALTH CTR.-EXCELSIOR CLINIC||Good||4434 MISSION ST.||Clinic|
|MISSION NEIGHBORHOOD HEALTH CENTER - VALENCIA CLINIC||Good||1647 VALENCIA ST.||Clinic|
|PLANNED PARENTHOOD SAN FRANCISCO CENTER||Good||1650 VALENCIA ST.||Clinic|
|CHINESE HOSPITAL'S EXCELSIOR HEALTH SERVICES||Good||888 PARIS ST.||Clinic|
|LIFEWAYS PACE AT THE CORONET||Good||3575 GEARY BLVD||Clinic|
|ST. LUKE'S HEALTH CARE CENTER - ADULT CLINIC||Good||1580 VALENCIA ST.||Clinic|
|ON LOK 30TH STREET COMMUNITY CENTER||Good||225 30TH ST.||Clinic|
|ON LOK SENIOR HEALTH SERVICES-MISSION CENTER||Good||4430 MISSION ST.||Clinic|
|INSTITUTE ON AGING||Good||2700 GEARY BLVD.||Clinic|
|ST. LUKE'S HEALTH CARE CENTER - WOMEN'S CLINIC||Good||1580 VALENCIA ST.||Clinic|
|ST. LUKE'S HEALTH CARE CENTER - PEDIATRIC CLINIC||Good||1580 VALENCIA ST||Clinic|
|DRUG DETOXIFICATION, REHAB AND AFTER CARE SVS. PROG.||Good||529 CLAYTON ST.||Clinic|
|HAIGHT ASHBURY FREE MEDICAL CLINIC||Good||558 CLAYTON ST.||Clinic|
|NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE||Average||2574 SAN BRUNO AVE.||Clinic|
|NORTH EAST MEDICAL SERVICES - NORIEGA||Average||1450 NORIEGA ST.||Clinic|
|RICHMOND MAXI-CENTER||Average||3626 BALBOA ST.||Clinic|
|SAN FRANCISCO FREE CLINIC||Average||4900 CALIFORNIA ST.||Clinic|
|NORTH EAST MEDICAL SERVICES-LELAND AVENUE||Poor||82 LELAND AVE.||Clinic|
|NORTH EAST MEDICAL SERVICES - TARAVAL||Poor||2308 TARAVAL ST.||Clinic|
|CHINESE COMMUNITY HEALTH SERVICES||Poor||1800 31ST AVE.||Clinic|
|Castro-Mission Health Center||Very Good||3850 17th St.||CHN|
|Chinatown Health Center||Very Good||1490 Mason St.||CHN|
|Maxine Hall Health Center||Very Good||1301 Pierce St.||CHN|
|Adult Immunization & Travel Clinic||Very Good||101 Grove St.||CHN|
|Breast & Cervical Cancer Services||Very Good||30 Van Ness Ave.||CHN|
|Housing and Urban Health Clinic||Very Good||234 Eddy St.||CHN|
|Tom Waddell Health Center||Very Good||50 Lech Walesa||CHN|
|Larkin Street Medical Clinic||Very Good||1138 Sutter St.||CHN|
|Mission Neighborhood Health Centers-LPC||Very Good||1663 Mission St.||CHN|
|San Francisco City Clinic||Very Good||356 7th St.||CHN|
|Children's Health Center at SFGH||Good||1001 Potrero Ave.||CHN|
|Family Health Center at SFGH||Good||995 Potrero Ave.||CHN|
|General Medical Clinic at SFGH||Good||1001 Potrero Ave.||CHN|
|Women's Health Center||Good||1001 Potrero Ave.||CHN|
|Balboa Teen Health Center||Good||1000 Cayuga Ave.||CHN|
|Cole Street Clinic||Good||555 Cole St.||CHN|
|Ocean Park Health Center||Average||1351 24th Ave.||CHN|
|Silver Avenue Family Health Center||Average||1525 Silver Ave.||CHN|
|3rd Street Youth Center & Clinic||Average||5190 3rd St.||CHN|
|Potrero Hill Health Center||Average||1050 Wisconsin St.||CHN|
|Southeast Health Center||Average||2401 Keith St.||CHN|
|Special Programs for Youth||Poor||375 Woodside Ave.||CHN|
The availability of public transportation to community health facilities is one factor among many that affect access to good quality, affordable, reliable health care. Studies in the Bay Area have shown that a quarter of patients who missed medical appointments cited lack of transportation as the cause.a While Medi-Cal requires managed care programs to be no more than a 30 minutes travel time or 10 miles from a member’s home, a distance of more than 7 miles in San Francisco can often take over an hour to travel by transit.
San Francisco’s hospitals are among the largest employers in the city. By locating health facilities near transit and encouraging employees to use public transportation rather than personal vehicles to get to work, thereby reducing vehicle congestion around the facilities, there would be benefits to air quality, community noise, and injuries.
The majority of San Francisco’s hospitals and clinics are within areas that have “good” or “very good” transit resources, as defined by the Transit Resource Score (see: indicator TR.1.f ). 73% of Department of Public Health Managed clinics fell within area with good or very good transit resources. Only one facility, Special Programs for Youth, which operates out of the San Francisco Youth Guidance Center, was deemed to be in an area with “poor” transit access. 84% of free and community primary care clinics were near good or very good transit access, with only North East Medical Services (Leland Ave. and Taraval) and Chinese Community Health Services being in areas with poor transit resources. All hospitals except for Laguna Honda have good or very good transit resources.
While it is useful to site large health care facilities in areas with rich transit resources, clinics in areas with less robust transit resources are important assets for nearby residents.
To calculate the Transit Resource Scores, the distance from each residential intersection (intersections within 100 meters of residential lots) to each transit route stop (multiple route stops can be found at one location when multiple transit routes share stop or station) within 1 mile of the intersection was calculated. A distance of < 0.25 miles was given a score of 1, while distances between 0.25-0.49 miles were given a score of 0.9 and distances between 0.5-1.0 miles were given a score of 0.75.
Route stops were gathered by using General Transit Feed Specification (GTFS) data from Muni, Bart, Caltrain, the Bay Ferries, and AC Transit. The frequency that each route ran through each stop during a seven day week was attached to each route stop. Route and stop data for samTrans and Golden Gate Transit was taken from the Metropolitan Transportation Commission Transit Geodatabase (2008) and seven day route frequency was manually attached.
For each intersection the distance scores were multiplied by the seven day frequency for each route stop within 1 mile of the intersection. All of the products of the seven day route frequency and of the distance score were then summed for all of the route stops within 1 mile of the intersection. This number was normalized to a score of 100 to derive the final intersection Transit Resource Score. Intersection scores were then interpolated over the surface of San Francisco using inverse distance weighting to create a raster file.
This list of facilities includes all known public health facilities that 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). OSHPD criteria exclude 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.
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. In some cases, multiple clinics may be located at the same address.
Scores for facilities were assessed by using the “extract values to point” tool in ArcGIS. Scores were classified as “very good,” “good,” “average,” “poor,” and “very poor” based on the quintile distribution of the pixel values in the original Transit Resource Score raster file.
This analysis does not capture other factors that impact on transit access and use, including cost, time and distance and number of transfers to destination, accessibility for people of different abilities and ages, perceived and actual safety, weather, availability of bicycle racks, hours of operation, and availability of travel stipends/incentives/discounts provided by work or to low income families. Individuals may live far from their health facility of choice and direct transit routes may not exist from a person’s residence to the facility, resulting in long transit travel times.
CA Office of Statewide Health Planning and Development, Healthcare Facilities Listings. Accessed on June 2012: http://www.oshpd.ca.gov/HID/Products/Listings.html#PC
San Francisco Department of Public Health, Community Health Network Centers. Accessed on June 2012: http://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/default.asp
Routes, stops, and route frequencies for Muni, BART, Caltrain, and all SF Bay ferry operators (2012) gathered through GTFS feeds: http://code.google.com/p/googletransitdatafeed/wiki/PublicFeeds; stops and routes for Golden Gate Transit, WestCat, and samTrans retrieved from MTC Bay Area Transit Geodatabase (2008) and route frequencies retrieved through transit operator websites (2012).
Map and table prepared by City and County of San Francisco, Department of Public Health, Environmental Health Section using ArcGIS 10.0 software, February 2012.
Detailed information regarding census data, geographic units of analysis, their definitions, and their boundaries can be found in the Indicator Project at the following links:
Hobson J, Quiroz-Martinez J. Roadblocks to Health: Transportation Barriers to Healthy Communities. Transportation and Land Use Coalition (TALC). 2002.