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Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization
Background. The COVID-19 pandemic has caused an exponential increase in the demand for medical care worldwide. In Mexico, the COVID Medical Units (CMUs) conversion strategy was implemented. Objective. To evaluate the CMU coverage strategy in the Mexico City Metropolitan Area (MCMA) by territory. Mat...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776096/ https://www.ncbi.nlm.nih.gov/pubmed/35055486 http://dx.doi.org/10.3390/ijerph19020665 |
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author | Galindo-Pérez, Mateo Carlos Suárez, Manuel Rosales-Tapia, Ana Rosa Sifuentes-Osornio, José Angulo-Guerrero, Ofelia Benítez-Pérez, Héctor de Anda-Jauregui, Guillermo Díaz-de-León-Santiago, Juan Luis Hernández-Lemus, Enrique Alonso Herrera, Luis López-Arellano, Oliva Revuelta-Herrera, Arturo Ruiz-Gutiérrez, Rosaura Sheinbaum-Pardo, Claudia Kershenobich-Stalnikowitz, David |
author_facet | Galindo-Pérez, Mateo Carlos Suárez, Manuel Rosales-Tapia, Ana Rosa Sifuentes-Osornio, José Angulo-Guerrero, Ofelia Benítez-Pérez, Héctor de Anda-Jauregui, Guillermo Díaz-de-León-Santiago, Juan Luis Hernández-Lemus, Enrique Alonso Herrera, Luis López-Arellano, Oliva Revuelta-Herrera, Arturo Ruiz-Gutiérrez, Rosaura Sheinbaum-Pardo, Claudia Kershenobich-Stalnikowitz, David |
author_sort | Galindo-Pérez, Mateo Carlos |
collection | PubMed |
description | Background. The COVID-19 pandemic has caused an exponential increase in the demand for medical care worldwide. In Mexico, the COVID Medical Units (CMUs) conversion strategy was implemented. Objective. To evaluate the CMU coverage strategy in the Mexico City Metropolitan Area (MCMA) by territory. Materials. The CMU directory was used, as were COVID-19 infection and mobility statistics and Mexican 2020 census information at the urban geographic area scale. The degree of urban marginalization by geographic area was also considered. Method. Using descriptive statistics and the calculation of a CMU accessibility index, population aggregates were counted based on coverage radii. In addition, two regression models are proposed to explain (1) the territorial and temporal trend of COVID-19 infections in the MCMA and (2) the mobility of the COVID-infected population visiting medical units. Results. The findings of the evaluation of the CMU strategy were (1) in the MCMA, COVID-19 followed a pattern of contagion from the urban center to the periphery; (2) given the growth in the number of cases and the overload of medical units, the population traveled greater distances to seek medical care; (3) after the CMU strategy was evaluated at the territory level, it was found that 9 out of 10 inhabitants had a CMU located approximately 7 km away; and (4) at the metropolitan level, the lowest level of accessibility to the CMU was recorded for the population with the highest levels of marginalization, i.e., those residing in the urban periphery. |
format | Online Article Text |
id | pubmed-8776096 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87760962022-01-21 Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization Galindo-Pérez, Mateo Carlos Suárez, Manuel Rosales-Tapia, Ana Rosa Sifuentes-Osornio, José Angulo-Guerrero, Ofelia Benítez-Pérez, Héctor de Anda-Jauregui, Guillermo Díaz-de-León-Santiago, Juan Luis Hernández-Lemus, Enrique Alonso Herrera, Luis López-Arellano, Oliva Revuelta-Herrera, Arturo Ruiz-Gutiérrez, Rosaura Sheinbaum-Pardo, Claudia Kershenobich-Stalnikowitz, David Int J Environ Res Public Health Article Background. The COVID-19 pandemic has caused an exponential increase in the demand for medical care worldwide. In Mexico, the COVID Medical Units (CMUs) conversion strategy was implemented. Objective. To evaluate the CMU coverage strategy in the Mexico City Metropolitan Area (MCMA) by territory. Materials. The CMU directory was used, as were COVID-19 infection and mobility statistics and Mexican 2020 census information at the urban geographic area scale. The degree of urban marginalization by geographic area was also considered. Method. Using descriptive statistics and the calculation of a CMU accessibility index, population aggregates were counted based on coverage radii. In addition, two regression models are proposed to explain (1) the territorial and temporal trend of COVID-19 infections in the MCMA and (2) the mobility of the COVID-infected population visiting medical units. Results. The findings of the evaluation of the CMU strategy were (1) in the MCMA, COVID-19 followed a pattern of contagion from the urban center to the periphery; (2) given the growth in the number of cases and the overload of medical units, the population traveled greater distances to seek medical care; (3) after the CMU strategy was evaluated at the territory level, it was found that 9 out of 10 inhabitants had a CMU located approximately 7 km away; and (4) at the metropolitan level, the lowest level of accessibility to the CMU was recorded for the population with the highest levels of marginalization, i.e., those residing in the urban periphery. MDPI 2022-01-07 /pmc/articles/PMC8776096/ /pubmed/35055486 http://dx.doi.org/10.3390/ijerph19020665 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Galindo-Pérez, Mateo Carlos Suárez, Manuel Rosales-Tapia, Ana Rosa Sifuentes-Osornio, José Angulo-Guerrero, Ofelia Benítez-Pérez, Héctor de Anda-Jauregui, Guillermo Díaz-de-León-Santiago, Juan Luis Hernández-Lemus, Enrique Alonso Herrera, Luis López-Arellano, Oliva Revuelta-Herrera, Arturo Ruiz-Gutiérrez, Rosaura Sheinbaum-Pardo, Claudia Kershenobich-Stalnikowitz, David Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title | Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title_full | Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title_fullStr | Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title_full_unstemmed | Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title_short | Territorial Strategy of Medical Units for Addressing the First Wave of the COVID-19 Pandemic in the Metropolitan Area of Mexico City: Analysis of Mobility, Accessibility and Marginalization |
title_sort | territorial strategy of medical units for addressing the first wave of the covid-19 pandemic in the metropolitan area of mexico city: analysis of mobility, accessibility and marginalization |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776096/ https://www.ncbi.nlm.nih.gov/pubmed/35055486 http://dx.doi.org/10.3390/ijerph19020665 |
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