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Technology and Inequity in Health： The Geographical Distribution of Glucometers for the Control of Diabetes

Journal of Mathematics and System Science 2015年第12期5卷 523-536页

作者： Jane Mary Guimaraes erika santos de aragao Gervasio Ferreira santos Bethania de Araujo Almeida DanielSilva A. de Carvalho Sebastinio Antonio Loureiro de Souza e Silva Institute of Humanities Arts and Sciences Federal University of Southern Bahia Brazil. Institute of Collective Health Federal University of Bahia Brazil. Faculty of Economic Sciences Federal University of Bahia Brazil. Gonzalo Moniz Research Centre Salvador Bahia Brazil.

Technological innovation plays an important role in the dynamics of economic growth and in promoting the welfare of the general population. In support of this hypothesis, an empirical study was carried out to assess the spatial distribution of insulin and supplies （glucometers） for the control of diabetes in patients registered in the Public Healthcare System in Salvador, Bahia, from 1998 to 2012. In order to achieve this objective, we applied a combination of data collection strategies, including spatial analysis and discrete choice model estimation. The study proposed to answer the following question： What factors affect access to the supplies required to control diabetes in insulin-dependent patients？ To this end, we assessed the spatial distribution of diabetic patients in Salvador who had received glucometers. The hypothesis asserted that social, economic and geographical factors determine access to the supplies （glucometers） used to control diabetes. Exploratory Spatial Data Analysis （ESDA） was therefore performed using the Global Spatial Autocorrelation Index in order to analyze the spatial distribution of glucometers. We then performed econometric estimations and analyzed the results. The final results initially demonstrated that there were major inconsistencies in the distribution of glucometers; i.e. purely random factors largely determined the probability of obtaining this device. Individual characteristics were not decisive factors in the probability of obtaining a glucometer, which were insteadrelated to type of diabetes and recommended treatment.

关键词： Diabetes. Glucometer. Innovation. SUS.

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