Volume 11, Issue 3 (9-2017)                   payavard 2017, 11(3): 361-370 | Back to browse issues page

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Rahmatpour P, Emamgholipour S, Moghadamnia M T, Tavakkoli M. Assessing the Distribution of Health Care Services: Evidence from Guilan Province in Year 2011 and 2013 . payavard. 2017; 11 (3) :361-370
URL: http://payavard.tums.ac.ir/article-1-6311-en.html
1- Master of Science in Nursing Education, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
2- Assistant Professor, Health Management and Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Ph.D. Candidate in Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Master of Science in Health Economics, Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran , maryam.tavakkoli2012@gmail.com
Abstract:   (1733 Views)
Background and Aim: Health and equal access to quality care regardless of age, gender, race and location is health systems' goal in all countries. This study aimed to determine inequality in healthcare services distribution and development level of cities in Guilan province.
Materials and Methods: This descriptive, cross-sectional study assessed the distribution state of 13 healthcare indicators in all cities of Guilan (n=16) in year 2011 and 2013. In order to collect data, the database of Statistical Center of Iran (SCI) was used as reference. The taxonomy technique was employed to determine the degree of development of different cities. In addition, indicators were weighed by Shannon’s entropy. Finally, TOPSIS was used to rank the cities in term of access to health sector resources.
Results: Taxonomy technique in 2 years showed that Rudbar, Rudsar and Lahidjan were of most developed cities and Talesh, Rezvanshahr and Amlash were the most under-developed cities respectively. After weighting indicators and according to Shannon entropy, the number of specialists and paramedics gained the most and the least weight, respectively.
Conclusion: Due to the inequality in distribution of health resources in Guilan province, attention to underdeveloped cities in this province should be a priority. To achieve equitable health resources in Guilan, it is recommended that the plannings be based on state of development of cities.
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Type of Study: Research | Subject: Hospital Managment
ePublished: 2017/11/1

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