[Home ] [Archive]    
:: Volume 16, Issue 1 (4-2013) ::
Hakim Health Sys Res 2013, 16(1): 20-27 Back to browse issues page
Equity in Geographical Distribution of Dialysis Beds and Nephrologists Based on the Lorenz Curve and Gini Coefficient Need Indices: Case of Iran
Omrani-Khou H , Shafiee M , Safari H , Habibi F , Askari-Bakhiani R
, Milad.shafii@gmail.com
Abstract:   (10410 Views)

  

 Omrani-Khou H ( PhD student) , Shafiee M * ( PhD student) , Safari H ( MSc student) , Habibi F ( MSc student) , Askari-Bakhiani R ( PhD student)

 

  Department of Health Economics and Management, School of Public Health,

  Tehran University of Medical Sciences, Tehran, Iran

 

  Received: 21 May 2012, Accepted: 14 Mar 2013

 

 

  Abstract

 

  Introduction: Equity is an important index in resource distribution and access to health services. Human or equipments may be distributed inappropriately if decision-makers do not pay attention to need indices. This not only creates obstacles in access to health services, but also results in an inefficient allocation of resources. This study aimed to assess equity in distribution of dialysis beds and nephrologists in Iran, 2009.

  Methods: In this cross-sectional study, we gathered the data including number of dialysis beds, number of patients and nephrologists from all provinces. Data were entered into the Excel and were analyzed using the Lorenz curve and Gini coefficient.

  Results: In 2009, 18586 patients underwent dialysis in Iran. Most of the patients were hospitalized in Tehran (n=3991). Ilam had the least number of the dialysis patients (n=83). The total number of dialysis beds was 3722 in Iran mostly located in Tehran (n=666). The Kohgiluyeh and Boyer Ahmad had the least number of beds (n=23) in Iran. The total number of nephrologists was 335 in 2009 in Iran from whom 151 individuals worked in Tehran. On average, there were 25 dialysis patients, five dialysis beds and 0.44 nephrologists per 100000 populations.

  Conclusion: Although, according to the Lorenz curve, dialysis beds have been distributed appropriately, distribution of the nephrologists was not appropriate. Regarding the role of the human resources in delivering adequate health services, appropriate distribution of nephrologists can result in high efficiency of resources in health system in Iran.

 

  Key words: equity, distribution, nephrologists, dialysis

 

 

  Please cite this article as follows:

 Omrani-Khou H, Shafiee M, Safari H, Habibi F, Askari-Bakhiani R. Equity in Geographical Distribution of Dialysis Beds and Nephrologists Based on the Lorenz Curve and Gini Coefficient Need Indices: Case of Iran. Hakim Research Journal 2013 16(1): 20- 27.

 

 

 



  * Corresponding Author: Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98- 21- 88989129, E-mail: Milad.shafii@gmail.com

Full-Text [PDF 308 kb]   (1113 Downloads)    

Received: 2013/06/26 | Accepted: 2013/06/26 | Published: 2013/06/26
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA code


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Omrani-Khou H, Shafiee M, Safari H, Habibi F, Askari-Bakhiani R. Equity in Geographical Distribution of Dialysis Beds and Nephrologists Based on the Lorenz Curve and Gini Coefficient Need Indices: Case of Iran . Hakim Health Sys Res . 2013; 16 (1) :20-27
URL: http://hakim.hbi.ir/article-1-1125-en.html


Volume 16, Issue 1 (4-2013) Back to browse issues page
فصلنامه پژوهش حکیم Hakim Research Journal
Persian site map - English site map - Created in 0.1 seconds with 29 queries by YEKTAWEB 3835