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Transcript: Donna Galbreath

Alaska's medical services are delivered through a hub and spoke system


[Galbreath:]
Alaska is 13 regions, and each region has a hub, and so there's a hospital in there but they're not big hospitals. You know, you say there's a hospital, but it might just be a few beds. It varies quite a bit depending on the region and how many people are there, and then out of the main regions where the hospitals are there's other sub-regions where there is a clinic that is usually a little larger, and you might have a nurse practitioner or a PA, and then out from that community to the really tiny communities, the village communities is where you have the health aides, and they have clinics there, too, so it's like this spoke and wheel system and so there's different levels all the way up to Anchorage, which has Alaska Native Medical Center which is a tertiary hospital for the state for Alaska Native people.