%0 Journal Article
%T Accesibilidad geogr¨¢fica para detecci¨®n temprana de enfermedades cr¨®nico-degenerativas
%A Garza-Elizondo
%A Mar¨ªa Eugenia
%A Salinas-Mart¨ªnez
%A Ana Mar¨ªa
%A N¨²£¿ez-Rocha
%A Georgina Mayela
%A Villarreal R¨ªos
%A Enrique
%A V¨¢squez-Trevi£¿o
%A Mar¨ªa Guadalupe
%A V¨¢squez-Salazar
%A Mar¨ªa Guadalupe
%J Revista m¨¦dica de Chile
%D 2008
%I Sociedad M¨¦dica de Santiago
%R 10.4067/S0034-98872008001200011
%X 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 ¨¢reas of10 community centers located at the northeast of m¨¦xico. 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 c¨¢ncer. the time required to travel between the health center and the farthest location point at every neighborhood of each geographic ¨¢rea, 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 val¨²es rangingfrom 45% to 48%. by car, ¨¢rea number 3 had the longest travelling time, corresponding to 14 minutes. the longest travelling times by public transportation were detected in ¨¢reas 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 ¨¢reas 8 and 10. conclusions: the geographic accessibility index identified areas that required improvements in accessibility.
%K delivery of health care
%K health services accessibility
%K preventive medicine.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0034-98872008001200011&lng=en&nrm=iso&tlng=en