Relative inequalities in geographic distribution of health care resources in Kermanshah province, Islamic Republic of Iran

Rezaei, Satar; Karyani, Ali Kazemi; Fallah, Razieh

doi:10.26719/2016.22.1.20

Cited by 12 publications

(14 citation statements)

References 18 publications

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“…[ 26 ] However, other evidences show that, with an increase in the specialization and education of human resources in health-care sector, inequality in their distribution increases. [ 22 27 ]…”

Section: Discussionmentioning

confidence: 99%

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Trends of geographic distribution of general practitioners in the public health sector of Iran

Rabbanikhah

Moradi

Mazaheri

et al. 2018

J Edu Health Promot

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BACKGROUND:Proper distribution of general practitioners (GPs) is one of the challenges in all health systems. This study aimed to investigate geographical distribution of GPs in public health sector in Iran between 2010 and 2016.METHODS:The study is a descriptive–cross-sectional study. The population of provinces was extracted from Iran's National Statistic Center, while information on GPs was gathered from deputy of statistic and information technology in Ministry of Health and Medical Education. Data analysis was carried out using descriptive statistics, Gini coefficient (GC), and by drawing geographical distribution map of GPs. Data analysis was performed by excel 2013, Stata V.14, and Arc GIS software.RESULTS:The results of calculating the number of GPs per 100,000 population in Iran showed that, in year 2010, Chaharmahal and Bakhtiari Province had the highest (10.39) and Alborz Province had the lowest (0.66) number of per capita GPs. The highest number of GPs per 100,000 population among Iran's provinces belonged to Chaharmahal and Bakhtiari (8.97), while the lowest belonged to Tehran (0.28) in year 2016. The GC was 0.31 in year 2010 and 0.283 for 2011. The lowest GC belonged to year 2012 (GC = 0.272), while the largest coefficient belonged to year 2016 (0.356).CONCLUSIONS:According to the results of this study, the distribution of GPs in public health sector of Iran in between 2010 and 2016 showed inequality. Therefore, along with increasing the number of GPs working in public health sector, it is necessary to pay attention to their distribution. Further studies are needed to investigate inequality of GPs within and between the provinces.

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Section: Discussionmentioning

confidence: 99%

“…Based on various evidences, it is possible to conclude that inequality in health care is high and in provinces such as Tehran and Kermanshah, there are large inequalities in distribution of GPs. [ 27 28 ] The study by Mobaraki et al . showed lower inequality in distribution of resources in public sector in medical science universities.…”

Section: Discussionmentioning

confidence: 99%

Trends of geographic distribution of general practitioners in the public health sector of Iran

Rabbanikhah

Moradi

Mazaheri

et al. 2018

J Edu Health Promot

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“…In Iran, the previous studies have shown different and somewhat mixed and inconsistent results in terms of resources distribution, especially human resources. Some studies displayed inequitable status in terms of various resources distribution in such provinces as Ardabil (32), Lorestan (33) and Kermanshah (34).…”

Section: Introductionmentioning

confidence: 99%

Inequality Analysis of Pharmacist Distribution in Iran

Manshadi

Dehnavi

Sefiddashti

et al. 2020

Preprint

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Introduction: Unequal distribution of resources has always been a concern for health systems in addressing access issues in relation to health services.It might have a devastating effect on health outcomes and in a way incur the direct and indirect costs. The purpose of this study thus is to investigate the trend of pharmacists’ distribution in Iran.Methods: In this retrospective longitudinal study, data were collected for a four-time period; 2007, 2012, 2016 and 2019,from the Statistical Center of Iran and Islamic Republic of Iran Medical Council. The sought indicator was the number of pharmacists per 10,000 population. Gini coefficient and Lorenz curve were used to measure and analyze the inequality using STATA software and ArcGIS software was used to map the pharmacists’ distribution.Results: The results showed that the number of pharmacists in 2007 was 12986 and increased by 69% (21919) in 2019, however the inequality in the distribution of pharmacists has not yet disappeared. Gini coefficient values for 2007, 2012, 2016 and 2019 were 0.26, 0.23, 0.21 and 0.19, respectively. The Gini coefficient decreased by 27% during the study period and from 2007 to 2019, pharmacy per capita increased in all provinces of Iran.Conclusion: The trend of pharmacist distribution in Iran indicates an overall decrease in the inequality level. However, the inter-provincial distribution of pharmacists is significantly unequal, demanding full attention of national and provincial authorities. The results might also inject plenty of insights into the evidence-based policy making at the ministerial level.

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“…In recent years, the geographical distribution of human resources has been studied in several studies in Iran (3,18). The trend of human resource development in Iran has shown a significant increase over the past three decades, but their distribution does not seem to be fair (19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

Equality in the Distribution of Maternal and Child Care Providers in the Public Sector of Lorestan Province, Iran

et al. 2019

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Background: Equitable distribution of health services is the main goal of all countries, but this objective is more closely monitored and planned at the national level. Objectives: The purpose of this study was to investigate the distribution of care providers of mother and child as vulnerable groups at the provincial level in one of the provinces of Iran in 2011-2017. Methods: The Gini coefficient, dissimilarity index, and Gaswirth index were used to assess the distribution of maternal and child care specialists. The time trend of inequality was estimated using regression analysis. The calculations were performed using STATA-14 software. Results: The mean Gini coefficients of pediatricians, gynecologists, and midwives in the study period were 0.25, 0.32, and 0.36, respectively. The mean dissimilarity indices for the mentioned specialists in the study period were 15, 14.7, and 10.9, respectively. The mean Gaswirth indices were 0.99, 0.78, and 0.49, respectively. The results of the regression analysis showed that the effect of time on inequalities was not significant. Conclusions: The results of the study showed that there was some inequality in the distribution of human resources related to maternal and child health. Therefore, health policymakers are proposed to design and implement a sustainable policy for the fair distribution of these workforces at the provincial level. Equality of indicators at the national level does not necessarily imply equitable distribution at the county level. Therefore, it is proposed to measure and monitor the indicators at provincial/state levels, as well.

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Relative inequalities in geographic distribution of health care resources in Kermanshah province, Islamic Republic of Iran

Cited by 12 publications

References 18 publications

Trends of geographic distribution of general practitioners in the public health sector of Iran

Trends of geographic distribution of general practitioners in the public health sector of Iran

Inequality Analysis of Pharmacist Distribution in Iran

Equality in the Distribution of Maternal and Child Care Providers in the Public Sector of Lorestan Province, Iran

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