Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas

Background: The accessibility to health centers is a limitation to the use of preventive and curative health centers. Aim: To assess geographic accessibility using a parameter that integrates information about the use ofpreventive services and travelling time froin home to the health center. Materia...

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Autores principales:	Garza-Elizondo,María Eugenia, Salinas-Martínez,Ana María, Núñez-Rocha,Georgina Mayela, Villarreal Ríos,Enrique, Vásquez-Treviño,María Guadalupe, Vásquez-Salazar,María Guadalupe
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Delivery of health care Health Services accessibility Preventive medicine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200011
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id	oai:scielo:S0034-98872008001200011
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spelling	oai:scielo:S0034-988720080012000112009-03-23Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativasGarza-Elizondo,María EugeniaSalinas-Martínez,Ana MaríaNúñez-Rocha,Georgina MayelaVillarreal Ríos,EnriqueVásquez-Treviño,María GuadalupeVásquez-Salazar,María Guadalupe Delivery of health care Health Services accessibility Preventive medicine Background: The accessibility to health centers is a limitation to the use of preventive and curative health centers. Aim: To assess geographic accessibility using a parameter that integrates information about the use ofpreventive services and travelling time froin home to the health center. Material and methods: We analyzed target geographical áreas of10 community centers located at the Northeast of México. A survey was conducted to collect information about the utilization of preventive services for detection of diabetes and hypertension within last year and in women, detection of cervical and breast cáncer. The time required to travel between the health center and the farthest location point at every neighborhood of each geographic área, using public or private transportation, was calculated. Health service use and transportation time were condensed in a single parameter, called geographic accessibility index. Data was normalized using z scores. Resulte: Three geographical areas denominated 7, 8 and 10 had the lowest detection rates of chronic diseases, with valúes rangingfrom 45% to 48%. By car, área number 3 had the longest travelling time, corresponding to 14 minutes. The longest travelling times by public transportation were detected in áreas 1 and 3, corresponding to 27 and 29 minutes, respectively The geographic accessibility index showed that the least favorable z scores travelling by car corresponded to areas 6 and 10 and, when travelling on public transportation, to áreas 8 and 10. Conclusions: The geographic accessibility index identified areas that required improvements in accessibility.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.12 20082008-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200011es10.4067/S0034-98872008001200011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Delivery of health care Health Services accessibility Preventive medicine
spellingShingle	Delivery of health care Health Services accessibility Preventive medicine Garza-Elizondo,María Eugenia Salinas-Martínez,Ana María Núñez-Rocha,Georgina Mayela Villarreal Ríos,Enrique Vásquez-Treviño,María Guadalupe Vásquez-Salazar,María Guadalupe Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
description	Background: The accessibility to health centers is a limitation to the use of preventive and curative health centers. Aim: To assess geographic accessibility using a parameter that integrates information about the use ofpreventive services and travelling time froin home to the health center. Material and methods: We analyzed target geographical áreas of10 community centers located at the Northeast of México. A survey was conducted to collect information about the utilization of preventive services for detection of diabetes and hypertension within last year and in women, detection of cervical and breast cáncer. The time required to travel between the health center and the farthest location point at every neighborhood of each geographic área, using public or private transportation, was calculated. Health service use and transportation time were condensed in a single parameter, called geographic accessibility index. Data was normalized using z scores. Resulte: Three geographical areas denominated 7, 8 and 10 had the lowest detection rates of chronic diseases, with valúes rangingfrom 45% to 48%. By car, área number 3 had the longest travelling time, corresponding to 14 minutes. The longest travelling times by public transportation were detected in áreas 1 and 3, corresponding to 27 and 29 minutes, respectively The geographic accessibility index showed that the least favorable z scores travelling by car corresponded to areas 6 and 10 and, when travelling on public transportation, to áreas 8 and 10. Conclusions: The geographic accessibility index identified areas that required improvements in accessibility.
author	Garza-Elizondo,María Eugenia Salinas-Martínez,Ana María Núñez-Rocha,Georgina Mayela Villarreal Ríos,Enrique Vásquez-Treviño,María Guadalupe Vásquez-Salazar,María Guadalupe
author_facet	Garza-Elizondo,María Eugenia Salinas-Martínez,Ana María Núñez-Rocha,Georgina Mayela Villarreal Ríos,Enrique Vásquez-Treviño,María Guadalupe Vásquez-Salazar,María Guadalupe
author_sort	Garza-Elizondo,María Eugenia
title	Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
title_short	Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
title_full	Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
title_fullStr	Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
title_full_unstemmed	Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
title_sort	accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200011
work_keys_str_mv	AT garzaelizondomariaeugenia accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas AT salinasmartinezanamaria accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas AT nunezrochageorginamayela accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas AT villarrealriosenrique accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas AT vasqueztrevinomariaguadalupe accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas AT vasquezsalazarmariaguadalupe accesibilidadgeograficaparadetecciontempranadeenfermedadescronicodegenerativas
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Accesibilidad geográfica para detección temprana de enfermedades crónico-degenerativas

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