Every city above a certain size has health services that are located, to a large extent, close to their patients. This study analyzes the spatial distribution of dental office and the change in the number of dental of...Every city above a certain size has health services that are located, to a large extent, close to their patients. This study analyzes the spatial distribution of dental office and the change in the number of dental offices in Ciudad Juárez, Chihuahua, Mexico over a 15-year time period. Research was conducted in 1996 and 2011. Maps showing the location of dental offices for these two years indicate a clustering of dental offices within one and one-half miles of the city’s two principal border-crossing points between the United States and Mexico. Provider-based surveys were also used to determine the mix of patients (US or Mexican citizens) at the dental offices found throughout the city. By 2011, nearly all of the dental offices clustered within one and one-half miles of the two principal US-Mexico border crossings had 100% of their patients from the United States.展开更多
US pharmacies tend to be located at intersections of major cross streets throughout a city, while in the case of Mexican border cities pharmacies are clustered close to US-Mexico border crossings. Presumably this is d...US pharmacies tend to be located at intersections of major cross streets throughout a city, while in the case of Mexican border cities pharmacies are clustered close to US-Mexico border crossings. Presumably this is due to the volume of US clients who frequent the pharmacies. Although the precise number of border crossings to purchase medications is unclear, it is thought to be significant. In the past, patient-based surveys were the primary source for information regarding US residents crossing the border into Mexico for prescription medications. The current study examines the distribution of pharmacies throughout Ciudad Juárez, Chihuahua, Mexico, recording the change in the number of pharmacies over a 15-year period and suggesting the scale of US residents who use Mexican pharmacies. Field research was conducted in 1996 and 2011. Maps showing the location of pharmacies for these two years indicate a clustering of pharmacies within one and one-half miles of the city’s two principal border-crossings between the United States and Mexico. Provider-based surveys revealed that the majority of patients who use pharmacies closest to the border were US residents.展开更多
Chronic illnesses, or non-communicable diseases (NCDs), account for a growing number of deaths worldwide. The English-speaking Caribbean has the highest per capita burden of NCDs in the region of the Americas [1]. Thi...Chronic illnesses, or non-communicable diseases (NCDs), account for a growing number of deaths worldwide. The English-speaking Caribbean has the highest per capita burden of NCDs in the region of the Americas [1]. This paper presents an overview of hospital availability on the island of Trinidad in the West Indies and examines rates of NCDs as reported in hospital discharge summaries. The project integrates a Geographic Information System (GIS) with epidemiologic and bio-statistical data to provide essential spatial analysis not otherwise possible. It examines the island’s ability to effectively deliver treatment to residents with NCDs by providing a geographic perspective to public data published on the internet by the Trinidad-Tobago Ministry of Health and the Central Statistical Office. The study reveals a significant variability in several dimensions of access to health care.展开更多
文摘Every city above a certain size has health services that are located, to a large extent, close to their patients. This study analyzes the spatial distribution of dental office and the change in the number of dental offices in Ciudad Juárez, Chihuahua, Mexico over a 15-year time period. Research was conducted in 1996 and 2011. Maps showing the location of dental offices for these two years indicate a clustering of dental offices within one and one-half miles of the city’s two principal border-crossing points between the United States and Mexico. Provider-based surveys were also used to determine the mix of patients (US or Mexican citizens) at the dental offices found throughout the city. By 2011, nearly all of the dental offices clustered within one and one-half miles of the two principal US-Mexico border crossings had 100% of their patients from the United States.
文摘US pharmacies tend to be located at intersections of major cross streets throughout a city, while in the case of Mexican border cities pharmacies are clustered close to US-Mexico border crossings. Presumably this is due to the volume of US clients who frequent the pharmacies. Although the precise number of border crossings to purchase medications is unclear, it is thought to be significant. In the past, patient-based surveys were the primary source for information regarding US residents crossing the border into Mexico for prescription medications. The current study examines the distribution of pharmacies throughout Ciudad Juárez, Chihuahua, Mexico, recording the change in the number of pharmacies over a 15-year period and suggesting the scale of US residents who use Mexican pharmacies. Field research was conducted in 1996 and 2011. Maps showing the location of pharmacies for these two years indicate a clustering of pharmacies within one and one-half miles of the city’s two principal border-crossings between the United States and Mexico. Provider-based surveys revealed that the majority of patients who use pharmacies closest to the border were US residents.
文摘Chronic illnesses, or non-communicable diseases (NCDs), account for a growing number of deaths worldwide. The English-speaking Caribbean has the highest per capita burden of NCDs in the region of the Americas [1]. This paper presents an overview of hospital availability on the island of Trinidad in the West Indies and examines rates of NCDs as reported in hospital discharge summaries. The project integrates a Geographic Information System (GIS) with epidemiologic and bio-statistical data to provide essential spatial analysis not otherwise possible. It examines the island’s ability to effectively deliver treatment to residents with NCDs by providing a geographic perspective to public data published on the internet by the Trinidad-Tobago Ministry of Health and the Central Statistical Office. The study reveals a significant variability in several dimensions of access to health care.
