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Such barriers in geographic access may impact medication procurement by the patients[ 2 ]. Even a brief review of salient literature on both topics reveals that that issues of equity Escort girl Livonia city large in the spatial distribution of health services[ 16 — 18 ] and contextual factors that influence health outcomes such as access to healthy foods[ 19 — 21 ].

Building on this earlier work, we consider the existence of pharmacy deserts.

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It is reasonable to assume that as with other health services, the reasons behind pharmacy siting decisions are rooted Gay clubs in st Columbia in market forces and are not based on the need of the community. If we approach the problem from an equity perspective, the key question would be where is the best place to locate a pharmacy to maximize service to specific populations at highest need?

Several studies have examined the policies and economic forces thought to affect procurement of medications at the local pharmacies[ 7Free chihuahuas in Buffalo — 25 ]. However, several key concerns can be raised about this earlier research.

Firstly, these studies focused almost exclusively Gay sauna near Montgomery station economic access and did not include geographic access in the analysis. Yet, geographic access has already been shown to be an important factor affecting access to medications and to other health services[ 2226 — 29 ].

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Secondly, these studies were at the national level, and thus they did not examine the effects of socio-economic factors on geographic access at the community level. In addition to Massage parlour in Bethesda IA prescribed medications, the community pharmacies provide a range of important health information and services to the local residents[ 12 ].

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In many areas, pharmacists also administer immunizations and deliver preventative services. For example, in the Sex in ras Moreno Valley khaimah pharmacists routinely administer influenza and pneumococcal vaccinations and some pharmacies participate in the Expanded Syringe Access Program ESAP providing non-prescription syringes to help prevent transmission of HIV and of other blood-borne diseases[ 130 ].

These activities highlight the importance of the community pharmacy as a key source of medications, health services and information.

Because of this role, Sex girls of Gardena are uniquely positioned to improve health outcomes in underserved communities and access to them is especially critical in disadvantaged communities, where access to other health resources is poor[ 3 ]. A of national-level studies have examined access to medication[ 722 — 25 ]. These studies, however, focused almost exclusively on economic barriers and did not examine geographic barriers in the analysis, an important factor affecting access to medications[ 2226 — 29 ].

These studies were also at the national level, and thus they did not examine the effects of socio-economic factors on geographic barriers at the community level. If such community differences in Massage in canary wharf Fargo types of access do indeed exist, they would suggest inequality in access to medications and to the range of other health services provided at the community pharmacy in different areas and thus should be carefully examined.

Economic conditions in the community and the geographic access to medications by the local residents may be related through a of pathways.

In particular, it is plausible to assume that the local economic conditions in the neighborhood may influence the prevalent type of pharmacies located there small independent stores vs chain outletsdensity of pharmacies and which medications are in kept in stock. The need to develop a Free classifieds billings Kendall methodology to examine relationships of the local socio-economic conditions on geographic access to the common prescription medications by the residents and to analyze them served as the impetus for the Dream ladies Wayne reviews study to characterize medication access at the community level.

We hypothesized that a high poverty in a community may be inversely related to prescription medication access and that such effect on the quality of local pharmacy service may affect all local Massage webster Atlanta utilizing the pharmacy, regardless of their poverty status. Figure 1 Full size image Community pharmacy mapping We acquired a list of all active walk-in pharmacies d to practice Turkish escorts in Davie New York City from the New York State, which registers all pharmacies d to operate in the state.

Since we were interested in both geographic access to pharmacies and availability of commonly prescribed medications within them, we excluded pharmacies not readily accessible to the local residents, such as those located within hospitals and pharmacies that do not serve walk-in Modeling Odessa e. After these ineligible pharmacies were removed, we geocoded the remaining pharmacies to their street addresses.

This represents a ificant departure from the national Massage point pleasant Rochester of the independent vs chain-owned pharmacies. According to the data, in the 48 contiguous US states, independently-owned pharmacies represented Community demographic socio-economic indicators The task of defining the appropriate community boundaries was important to this study.

While in the US the Census Block Group is the smallest US Census tabulation area to which aggregated socio-economic data is available, many block groups have relatively small populations, and these block groups and are small in area.

Therefore, using Van ness hot tubs Berwyn groups or other similarly small areal units to delimit communities would result in a smaller total community population denominator, thereby introducing larger standard error for the SES data.

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