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 . This paper presents an overview of availability and accessibility based on clinic hours and physician fulltime equivalents (FTE) on the island of Trinidad devoted to diabetes and wound care. The project integrates a Geographic Information System (GIS) with epidemiologic and bio-statistical data to provide a necessary spatial analysis not otherwise possible. It examines the island’s ability to effectively deliver treatment to residents with diabetes by providing a geographic perspective to data published on the internet by the Trinidad-Tobago Ministry of Health and the Central Statistical Office. Results indicate a significant regional variability in both numbers of physicians and office hours devoted to diabetes treatment.
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.
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.