Asl Iravan Masoudi, Abolhallaje Masoud, Raadabadi Mehdi, Nazari Hamed, Nazari Aslan, Salimi Mohammad, Javani Ali
Ph.D. of Health Services Management, Associate Professor, Majlis Research Center, Tehran, Iran.
Ph.D. in Health Services Management, Ministry of Health and Medical Education, Tehran, Iran.
Electron Physician. 2015 Dec 20;7(8):1653-7. doi: 10.19082/1653. eCollection 2015 Dec.
Fair distribution of hospital beds across various regions is a controversial subject. Resource allocation in health systems rarely has focused on those who need it most and, in addition, is often influenced by political interests. The study assesses the distribution of hospital beds in different regions in Tehran, Iran, during 2010-2012.
This cross-sectional study was conducted in all regions of Tehran (22 regions) during 2010 to 2012. All hospital beds in these regions are included in the study. Data regarding populations of each region were obtained from the Statistics Center of Iran. According to the data, the total number of beds (N.B) and population (P) in 2010 (N.B=19075, P= 7585000), 2011 (N.B=21632, P= 9860500), and 2012 (N.B=21808, P=12818650). The instrument was a form, including the name of the hospital, the district in which the hospital was located, the number of staffed beds, the name of each region, and its population. Data analysis was performed using DASP software version 2.3.
The results demonstrate that the Gini coefficient of distributed beds in 22 regions of Tehran was 0.46 in all three years and specifically calculated 0.4666 in 2010, 0.4658 in 2011 and 0.4652 in 2012. The Gini coefficient of beds in 22 regions of Tehran is not fair in comparison with the population of each region during the years 2010 to 2012.
The results demonstrate that the distribution of beds in regions in Tehran is not fair in relation to the population of each region-and some regions had no hospitals. Therefore, it is essential for policymakers to frequently monitor this issue and investigate the fair distribution of hospital beds.
医院床位在各地区的公平分配是一个有争议的话题。卫生系统中的资源分配很少关注最需要的人群，此外，还常常受到政治利益的影响。本研究评估了2010 - 2012年期间伊朗德黑兰不同地区的医院床位分布情况。
本横断面研究于2010年至2012年在德黑兰的所有地区（22个地区）开展。这些地区的所有医院床位均纳入研究。各地区人口数据来自伊朗统计中心。根据数据，2010年床位总数（N.B）和人口数（P）分别为（N.B = 19075，P = 7585000），2011年为（N.B = 21632，P = 9860500），2012年为（N.B = 21808，P = 12818650）。研究工具为一份表格，包括医院名称、医院所在地区、配备人员的床位数、各地区名称及其人口数。使用DASP 2.3版软件进行数据分析。
结果表明，德黑兰22个地区床位分布的基尼系数在这三年均为0.46，具体计算为2010年0.4666、2011年0.4658、2012年0.4652。与2010年至2012年各地区人口相比，德黑兰22个地区床位的基尼系数并不公平。
结果表明，德黑兰各地区的床位分布与各地区人口数不相称，且一些地区没有医院。因此，政策制定者必须经常监测这一问题并研究医院床位的公平分配。
