Detecção de padrões espaciais na distribuição dos pacientes portadores de doença genética com deficiência física da Associação de Assistência à Criança Deficiente (AACD) de Pernambuco

Abstract

Knowing the spatial pattern of patients with genetic disease with physical disabilities in the treatment of Pernambuco AACD is of great importance because it makes it possible to guide the basic care assistance to these individuals and provide solid basis for planning public health policies. However, there are few references in the literature using the tools of spatial analysis in the context of disability. This dissertation was structured in the form of two papers. In the first article the global Moran's I index was used to characterize the spatial pattern of the rate of patients with genetic disease with physical disabilities in the AACD treatment of Pernambuco and the results were compared with those obtained with the randomization test. In both approaches we found the existence of spatial pattern for the rate of patients with genetic disease with physical disabilities in the treatment of Pernambuco AACD when we took into account the rates of four municipalities closest to each location. In the second article we evaluated the performance of the global Moran's I index and the Mantel test with Spearman correlation, both using randomization to assess the statistical significance, regarding the ability to detect spatial pattern for the rate of patients with diseases genetic with physical disabilities in the AACD treatment of Pernambuco. The results showed that the global Moran's I index proved to be a more satisfactory method for detecting the spatial pattern, since it uses the information in its calculations of the neighborhood, and provide greater control of the rejection rates of the null hypothesis under study.