伊朗公共心血管健康服务可及性的评估不平等问题

Assessment inequality in access to public cardiovascular health services in Iran.

作者信息

Meskarpour-Amiri Mohammad, Dopeykar Nooredin, Ameryoun Ahmad, Mehrabi Tavana Ali

机构信息

PhD Student of Health Economics, Health Management Research Center, Baqiyatallah University of Medical sciences, Tehran, Iran, & Faculty of Management and Economics, Tarbiat Modares University, Tehran, Iran.

MSc in Health Economics, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Med J Islam Repub Iran. 2016 Oct 8;30:420. eCollection 2016.

PMID:28210585

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5307612/

Abstract

Timely access to cardiovascular health services is necessary to prevent heart damages. The present study examined inequality in geographical distribution of cardiovascular health services in Iran. Present study is a cross-sectional study conducted using demographic data from all Iranian provinces (31 provinces) from 2012 census by the Statistics Center of Iran (SCI). The Gini coefficients of CCU beds and cardiologists were used to assess equality in access to cardiovascular health services in Iran. MS Excel software was used to calculate Gini coefficients. The proportions of CCU bed and cardiologist per 100,000 population were 4.88 and 1.27, respectively; also the Gini coefficients were 0.129 and 0.045, respectively. Descriptive statistics showed a skewness in distribution of pubic cardiovascular health services in Iran, though Gini coefficient revealed no significant inequality. However, equal distribution of CCU beds and cardiovascular specialists does not mean they are sufficiently available in Iran.

摘要

及时获得心血管健康服务对于预防心脏损伤至关重要。本研究调查了伊朗心血管健康服务地理分布的不平等情况。本研究是一项横断面研究，使用了伊朗统计中心（SCI）2012年人口普查中来自伊朗所有省份（31个省）的人口数据。冠心病监护病房床位和心脏病专家的基尼系数用于评估伊朗心血管健康服务可及性的平等程度。使用MS Excel软件计算基尼系数。每10万人口中冠心病监护病房床位和心脏病专家的比例分别为4.88和1.27；基尼系数分别为0.129和0.045。描述性统计显示伊朗公共心血管健康服务的分布存在偏态，尽管基尼系数显示没有显著的不平等。然而，冠心病监护病房床位和心血管专科医生的均匀分布并不意味着在伊朗这些资源就足够可用。