Distribution of hospital beds in Tehran Province based on Gini coefficient and Lorenz curve from 2010 to 2012.

Distribution of hospital beds in Tehran Province based on Gini coefficient and Lorenz curve from 2010 to 2012.
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DOI:
10.19082/1653
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发表时间:
2015-12
影响因子:
--
通讯作者:
Javani A
Javani A
中科院分区:
其他
文献类型:
--
作者:
Asl IM;Abolhallaje M;Raadabadi M;Nazari H;Nazari A;Salimi M;Javani A

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在不同地区之间公平分配医院病床是一个有争议的问题。保健系统的资源分配很少集中于最需要的人,而且往往受到政治利益的影响。该研究评估了2010-2012年期间伊朗德黑兰不同地区医院床位的分布情况。2010年至2012年期间,在德黑兰所有地区(22个地区)进行了这项横断面研究。这些地区的所有医院床位都包括在研究中。每个地区的人口数据来自伊朗统计中心。数据显示,2010年(N.B=19075,P= 7585000)、2011年(N. B=21632,P= 9860500)、2012年(N. B =21808,P=12818650)的床位总数(N.B)和人口总数(P)。这份文件是一张表格,包括医院的名称、医院所在的地区、病床数量、每个地区的名称和人口。使用DASP软件版本2.3进行数据分析。结果表明,德黑兰22个地区分布床位的基尼系数在所有三年中均为0.46,具体计算为2010年0.4666,2011年0.4658,2012年0.4652。与2010年至2012年期间每个地区的人口相比,德黑兰22个地区的床位基尼系数是不公平的。结果表明,德黑兰各地区的床位分布与各地区的人口相比并不公平,有些地区甚至没有医院。因此,政策制定者必须经常监测这一问题,并调查医院床位的公平分配情况。
Fair distribution of hospital beds across various regions is a controversial subject. Resource allocation in health systems rarely has focused on those who need it most and, in addition, is often influenced by political interests. The study assesses the distribution of hospital beds in different regions in Tehran, Iran, during 2010–2012. This cross-sectional study was conducted in all regions of Tehran (22 regions) during 2010 to 2012. All hospital beds in these regions are included in the study. Data regarding populations of each region were obtained from the Statistics Center of Iran. According to the data, the total number of beds (N.B) and population (P) in 2010 (N.B=19075, P= 7585000), 2011 (N.B=21632, P= 9860500), and 2012 (N.B=21808, P=12818650). The instrument was a form, including the name of the hospital, the district in which the hospital was located, the number of staffed beds, the name of each region, and its population. Data analysis was performed using DASP software version 2.3. The results demonstrate that the Gini coefficient of distributed beds in 22 regions of Tehran was 0.46 in all three years and specifically calculated 0.4666 in 2010, 0.4658 in 2011 and 0.4652 in 2012. The Gini coefficient of beds in 22 regions of Tehran is not fair in comparison with the population of each region during the years 2010 to 2012. The results demonstrate that the distribution of beds in regions in Tehran is not fair in relation to the population of each region—and some regions had no hospitals. Therefore, it is essential for policymakers to frequently monitor this issue and investigate the fair distribution of hospital beds.