Geographical Distribution of General and Specialist Physicians per Population and Need Adjustment Indices in Khorasan Razavi Province

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SHAHRAKI MAHDI; GHADERI SIMIN

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Journal Paper

Paper Information

Journal: Medical Journal of Mashhad University of Medical Sciences Year:2020 | Volume:63 | Issue:3 Page(s): 2267-2277

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Title

Geographical Distribution of General and Specialist Physicians per Population and Need Adjustment Indices in Khorasan Razavi Province

Author(s)

SHAHRAKI MAHDI | GHADERI SIMIN | Issue Writer Certificate

Keywords

Gini coefficient

Robin Hood index

Need adjustment index

Health workforce

General practitioners

Abstract

Introduction: Evaluation of geographical distribution of physicians is essential to achieve social justice and reduce inequality. Therefore, this study was performed with aim to evaluate the distribution of physicians, General practitioners and specialist according to population and need adjustment indices in Khorasan Razavi province. Methods: This was a descriptive, cross-sectional and applied study. The population included the physicians, General practitioners and specialist of Khorasan Razavi province in 2006, 2011 and 2016. Sampling was not done. Data were extracted from the yearbooks of Statistical Center of Iran and Gini and Robin Hood indices based on population and Need adjustment index were calculated in Stata 14 and Excel 2019 software. Results: The ratio of physician, specialist and General practitioners per 10000 population at the province in 2016 was 5. 08, 2. 12 and 1. 84, respectively, that despite high growth was lower than the average compared to previous years. Gini coefficient for physician, specialist and general practitioner per population in 2006 was 0. 38, 0. 13 and 0. 71, respectively, that decreased to 0. 24, 0. 06 and 0. 69, respectively in 2016. The distribution of physicians and specialist based on the Need adjustment index was also more unequal than the population index. Conclusion: Inequality of physician, specialist and General practitioners per population decreased, so it is recommended to adopt long-term policies and programs to increase the number of physicians by increasing the quota in universities for long-term service in the province as well as recruiting physicians with the necessary incentives. Also, in short term, it is recommended to distribute specialist between cities of the province.

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APA: Copy

SHAHRAKI, MAHDI, & GHADERI, SIMIN. (2020). Geographical Distribution of General and Specialist Physicians per Population and Need Adjustment Indices in Khorasan Razavi Province. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 63(3 ), 2267-2277. SID. https://sid.ir/paper/973410/en

Vancouver: Copy

SHAHRAKI MAHDI, GHADERI SIMIN. Geographical Distribution of General and Specialist Physicians per Population and Need Adjustment Indices in Khorasan Razavi Province. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2020;63(3 ):2267-2277. Available from: https://sid.ir/paper/973410/en

IEEE: Copy

MAHDI SHAHRAKI, and SIMIN GHADERI, “Geographical Distribution of General and Specialist Physicians per Population and Need Adjustment Indices in Khorasan Razavi Province,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 63, no. 3 , pp. 2267–2277, 2020, [Online]. Available: https://sid.ir/paper/973410/en

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