Concentration and inequality in the geographic distribution of physicians in the European Union, 2006-2018

IF 2.3 0 GEOGRAPHY Regional Statistics Pub Date : 2021-01-01 DOI:10.15196/RS110308
Viktor Pál, Gabor Lados, Zsófia Ilcsikné Makra, L. Boros, A. Uzzoli, Szabolcs Fabula
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引用次数: 5

Abstract

The shortage and uneven geographic distribution of health workers is considered a severe global problem nowadays. Recent studies examining inequalities in health workforce supply at various spatial scales suggest that health workers' geographic distribution follows a core-periphery pattern as the more developed areas are generally better supplied with health labour than the less developed ones. Here, we explore the regional patterns and temporal changes of the geographic distribution of physicians in the European Union (EU) at the Nomenclature of territorial units for statistics (Nomenclature des unites territoriales statistiques - NUTS) 2 level between 2006 and 2018. We also compare the levels of concentration and inequality in the geographic distribution of physicians, economic development, and health outcomes. We utilise a mix of statistical methods such as descriptive statistics, indices of concentration and inequality, and bivariate correlation analysis based on Eurostat data. Our results provide evidence that the regional distribution of physicians in the EU shows a core-periphery pattern: NUTS regions with capital cities or metropolitan areas have more physicians. In addition, the regional patterns of the distribution of physicians in the EU are stable in time, and their geographic concentration is strengthening in the long run. Our results also suggest that there is a positive relationship between the geographic distribution of physicians and health outcomes;however, this relationship needs further investigation.
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2006-2018年欧盟医生地理分布的集中和不平等
卫生工作者短缺和地理分布不均被认为是当今一个严重的全球性问题。最近对不同空间尺度上卫生人力供应不平等现象的研究表明,卫生工作者的地理分布遵循核心-外围模式,因为较发达地区的卫生人力供应通常比欠发达地区更好。在这里,我们探讨了2006年至2018年欧盟(EU)医师地理分布在领土单位统计(Nomenclature des unites territoriales statisques - NUTS) 2水平上的区域模式和时间变化。我们还比较了医生地理分布、经济发展和健康结果的集中程度和不平等程度。我们使用了多种统计方法,如描述性统计、集中度和不平等指数,以及基于欧盟统计局数据的双变量相关分析。我们的研究结果提供了证据,证明欧盟医生的区域分布呈现出核心-外围模式:首都城市或大都市区的NUTS地区医生更多。此外,欧盟医师分布的区域格局在时间上是稳定的,从长期来看,其地理集中度正在增强。我们的研究结果还表明,医生的地理分布与健康结果之间存在正相关关系;然而,这种关系需要进一步调查。
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来源期刊
Regional Statistics
Regional Statistics GEOGRAPHY-
CiteScore
5.30
自引率
52.20%
发文量
28
期刊介绍: The periodical welcomes studies, research and conference reports, book reviews, discussion articles reflecting on our former articles. The periodical welcomes articles from the following areas: regional statistics, regional science, social geography, regional planning, sociology, geographical information science Goals of the journal: high-level studies in the field of regional analyses, to encourage the exchange of views and discussion among researchers in the area of regional researches.
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