¿Es importante la frontera en el debate sobre cobertura de salud? Un análisis de la localización de los proveedores de servicios médicos en el lado mexicano de la frontera


Does the border matter for health care? A study of medical services provider’s location at cities in the Mexican side of the border

https://doi.org/10.21670/ref.2017.36.a07

Autores/as

Palabras clave:

cuidado de la salud, frontera México-EE.UU., demanda transfronteriza, pobreza.



Resumen

En este trabajo se examinan los patrones de localización de los proveedores de servicios médicos en las ciudades fronterizas en el lado mexicano. La metodología se basa en análisis estadístico de microdatos en ambos lados de la frontera, empleando el Directorio Estadístico de Unidades Económicas (denue) como fuente primaria. Los resultados permiten identificar las siguientes actividades específicas con alta concentración relativa en las ciudades fronterizas: consultorios dentales del sector privado (naics código 621211) ci = 1.32, consultorios de medicina general del sector privado (naics  código 621111) ci = 1.16, laboratorios médicos y de diagnóstico del sector privado (naics código 621511) ci = 1.02, otros consultorios del sector privado (naics código 621398) ci = 1.03. Adicionalmente para la ciudad de mayor tamaño en la muestra estudiada, se determinó la existencia de un cluster alrededor de los cruces fronterizos. Los resultados sugieren que las necesidades de servicios médicos transfronterizas  en la región representan mecanismos de integración binacional con oportunidades sociales para la población local. 

Abstract

This work examines medical services providers’ spatial location patterns at the Mexican cities in the us Mexico border as a case study. Formal statistical methods are applied using data sources for each side of the border with the primary source being the National Statistic Directory of Economic Units (denue) published by the Mexican Census Bureau. Results identify the following specific medical services activities with particular relative concentrations at the border city scale: private dental offices (naics code 621211) ci= 1.32, general medicine private offices (naics code 621111) ci = 1.16, private medical diagnostics labs (naics code 621511) ci = 1.02, and private general hospitals (naics code 621398) ci = 1.03. In addition a cluster pattern around border Crossings was found for the largest city included in the study. Results suggest that trans-border health care needs in the region represent a binational integration mechanism with social opportunities for the local populations. 

Citas

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2017-05-23

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Biografía del autor/a

José Luis Manzanares Rivera,

Mexicano. Doctor en Economía, egresado de UAM, UACJ, UABC. Investigador en el Colegio de la Frontera Norte, en el Departamento de Estudios Urbanos y del Medio Ambiente. Líneas de investigación: análisis cuantitativo aplicado a la relación: economía, medio ambiente, salud. Publicaciones recientes: Manzanares, J. l. (2016). Calidad de los recursos hídricos en el contexto de la actividad económica y patrones de salud en Sonora, México.  Salud colectiva, 12(3), 397-414.