Evaluation of Equality in the Distribution of Human Resources in the Health Sector of North Khorasan Province

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Abstract

Introduction: The reduction of inequality in the utilization of resources and facilities of society is considered one of the most important criteria of development. The present study aimed to investigate equality in the distribution of human resources in the health sector in North Khorasan province (by the Gini coefficient and Lorenz curve) in 2020. Method: This study was conducted based on a descriptive-analytical design. The study population included human resources in the health sector. Data were collected from the national portal of the Statistical Center of Iran and the population yearbook of the province using a researcher-made form. Data were analyzed in STATA (version 12) and DASP (version 2.2) software packages. Results: For every 10,000 people, 55.3 human resources were working in the health sector of North Khorasan province. Human health resources are distributed equally in this province. The Gini coefficient for all human health resources, except nurses and specialists, was less than 0.2, indicating complete equality in the distribution of resources. The lowest coefficient value was related to general practitioners (0.052), and the highest Gini coefficient pertained to specialized physicians (0.422), pointing to a relative inequality in the distribution of specialized physicians. Conclusion: The removal of inequalities in human resources in the health sector in different regions can result in the promotion of equality in health outcomes. Therefore, it is suggested that policymakers and senior health system managers take effective measures to improve justice in access to human resources
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对北呼罗珊省卫生部门人力资源分配公平性的评价
引言:减少社会资源和设施利用的不平等被认为是发展的最重要标准之一。本研究旨在调查2020年北呼罗珊省卫生部门人力资源分配的公平性(通过基尼系数和洛伦兹曲线)。方法:本研究采用描述性分析设计。研究对象包括卫生部门的人力资源。数据是从伊朗统计中心的国家门户网站和该省人口年鉴中收集的,使用研究人员制作的表格。数据在STATA (version 12)和DASP (version 2.2)软件包中进行分析。结果:在北呼罗珊省,每10万人中有55.3名人力资源人员在卫生部门工作。人力卫生资源在本省分布均匀。除护士和专家外,所有人类卫生资源的基尼系数均小于0.2,表明资源分配完全平等。系数值最低的是全科医生(0.052),系数值最高的是专科医生(0.422),说明专科医生的分布相对不平等。结论:消除不同区域卫生部门人力资源方面的不平等可以促进健康结果的平等。因此,建议决策者和卫生系统高级管理人员采取有效措施,提高人力资源获取的公平性
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