Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
_version_ 1784636748216664064
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
work_keys_str_mv AT galindoperezmateocarlos territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT suarezmanuel territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT rosalestapiaanarosa territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT sifuentesosorniojose territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT anguloguerreroofelia territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT benitezperezhector territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT deandajaureguiguillermo territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT diazdeleonsantiagojuanluis territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT hernandezlemusenrique territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT alonsoherreraluis territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT lopezarellanooliva territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT revueltaherreraarturo territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT ruizgutierrezrosaura territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT sheinbaumpardoclaudia territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization
AT kershenobichstalnikowitzdavid territorialstrategyofmedicalunitsforaddressingthefirstwaveofthecovid19pandemicinthemetropolitanareaofmexicocityanalysisofmobilityaccessibilityandmarginalization