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Inequity in the distribution of rural family physicians in Iran

A Cross Sectional Study

Bibliographic Data

ID6150962
AuthorsRasoul Tabari-Khomeiran (0000-0002-7211-8660, Guilan University of Medical Sciences), Elham Ehsani‐chimeh (0000-0001-6084-7930, Tehran University of Medical Sciences), Ali Davoudi Kiakalayeh (0000-0003-1629-5790, Guilan University of Medical Sciences), Enayatollah Homaie Rad (0000-0002-9064-0380, Guilan University of Medical Sciences), Sajad Delavari (0000-0002-5539-9026, Shiraz University of Medical Sciences)
Year2019
Volume12
Issue4
Pages258-266
Publication date2019-07-18
Open AccessYes
TypeARTICLE
VenueInternational Journal of Human Rights in Healthcare (JOURNAL)
Journal identifiersISSN: 2056-4902 • E-ISSN: 2056-4910
PublisherEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/ijhrh-12-2018-0077
OpenAlexW2963800166
LanguageEN
References cited17

Purpose Equal distribution of health human resources is a major issue to achieve human rights in healthcare. Rural family physicians (RFPs) as a part of health human resources play an important role in delivering health services, so the purpose of this paper is to calculate amount of inequity in distribution of RFPs in Iran. Design/methodology/approach In this study, the authors tried to find inequity in the distribution of RFPs in the provinces of Iran. For this purpose, inequity indices containing concentration curves and indices were calculated by ranking health-adjusted life expectancy (HALE). Furthermore, a regression model was estimated to find the pattern and influencing factors of inequity in the distribution of RFPs. Findings The number of male RFPs was significantly higher in Sistan va Baloochestan, and in the same line, the number of female RFPs was higher in Zanjan province. Concentration index of total RFPs was 0.0568 (not significant) (males= 0.041, females= 0.0718). The results of regression model showed that HALE and per capita GDP did not have any significant relationship with RFPs distribution (HALE p =0.753, GDP p =0.792). Originality/value The RFP plan was successful in enhancing equal access to physician and health care services relatively. However, gender imbalance in distribution of RFPs was high especially in less-developed regions

Distribution (mathematics · Economic growth · Economics · Environmental health · Health care · Life expectancy · Per capita · Population · Ranking (information retrieval · Sociology · Statistics · Computer Science · Demography · Global Health Care Issues · Global Health Workforce Issues · Healthcare Policy and Management · Mathematics · Medicine

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