Geravandi Sara, Najafi Marziye, Rajaee Roya, Mahmoudi Saeid, Pakdaman Mohsen
M.Sc. Student of Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
School of Public Health, Shahid Beheshti University of Medical Science, Tehran, Iran.
Electron Physician. 2015 Oct 19;7(6):1407-11. doi: 10.14661/1407. eCollection 2015 Oct.
In recent years, the World Health Organization (WHO) has emphasized the importance of determining the equality of the distribution of healthcare resources. Inequalities in the healthcare system are one of the world's most important developmental challenges, and the inefficiencies that exist in healthcare systems are the most important reason for these challenges. Thermal burns are one of the common injuries worldwide, and their effects are a significant reason for the mortality and morbidity rates throughout the world. Considering the importance of burns as one of the 30 leading causes of death in Iran, this study was aimed to compare the distribution of burn beds with its disability-adjusted life years (DALY) in Iran.
This applied analytic-descriptive study was conducted in order to determine the distribution of burn beds in Iran using the Lorenz curve. In this way, the distribution of burn beds was analyzed in relation to the population of each province and lost DALY caused by burns in Iran. For each province, the number of burn beds in 2012 was collected from credible and authoritative sources at the Ministry of Health, and the population of each province was obtained using data from the National Center of Statistics. The data were analyzed and presented using Microsoft Office Excel.
Isfahan and Khorasan Razavi Provinces had approximately 11 and 10.4% of the country's burn beds, respectively. The Provinces that had the most DALY were Sistan Baluchestan, Fars, and Kerman with 10.75%, 10.34%, and 9.54%, respectively. The Gini coefficients of burn beds in relation to population and DALY were calculated as 0.09 and 0.16, respectively.
The Gini coefficients in relation to population and DALY were less than 0.2. Although the Gini coefficient of the burn beds in relation to DALY was more than that for the population, the difference was not significant, and the distributions of beds regarding the two calculated coefficients were equal. It is recommended that healthcare policymakers distribute burn beds in proportion to the populations of the provinces.
近年来，世界卫生组织（WHO）强调了确定医疗资源分配公平性的重要性。医疗系统中的不平等是全球最重要的发展挑战之一，而医疗系统中存在的效率低下是这些挑战的最重要原因。热烧伤是全球常见的损伤之一，其影响是全球死亡率和发病率的重要原因。鉴于烧伤是伊朗30大主要死因之一，本研究旨在比较伊朗烧伤病床的分布与其伤残调整生命年（DALY）。
本应用分析描述性研究旨在使用洛伦兹曲线确定伊朗烧伤病床的分布。通过这种方式，分析了烧伤病床的分布与伊朗每个省份的人口以及烧伤导致的DALY损失之间的关系。对于每个省份，2012年烧伤病床数量从卫生部可靠且权威的来源收集，每个省份的人口使用国家统计局的数据获取。数据使用Microsoft Office Excel进行分析和呈现。
伊斯法罕省和呼罗珊拉扎维省分别拥有该国约11%和10.4%的烧伤病床。DALY最高的省份是锡斯坦-俾路支斯坦省、法尔斯省和克尔曼省，分别为10.75%、10.34%和9.54%。烧伤病床相对于人口和DALY的基尼系数分别计算为0.09和0.16。
相对于人口和DALY的基尼系数均小于0.2。尽管烧伤病床相对于DALY的基尼系数高于相对于人口的基尼系数，但差异不显著，并且就两个计算系数而言病床的分布是相等的。建议医疗政策制定者根据各省人口比例分配烧伤病床。
