Shokri Azad, Akbari-Sari Ali, Bayat Mahboubeh, Khodadost Mahmoud, Rahimi Foroushani Abbas, Mirbahaeddin Elmira, Farzianpour Fereshteh
Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2019 Dec;48(12):2240-2248.
Accurate estimation of active general practitioners (GPs) is a concern for health authorities to estimate requirements. This study aimed to accurately estimate GPs active supply in Iran using three sources capture-recapture (CRC) method.
This cross-sectional study collected data during 2015-2016, targeting all GPs registered in three independent data sources; a national survey from all hospitals, database of human resource management office at health ministry and physicians' offices databank. Variables including medical council codes, GP names, surnames and national ID codes were used for data linkage among the three sources. Three sources CRC method was applied using log-linear models to estimate the total number of active GPs in STATA software.
Overall, 27,048 GPs were identified after removing the duplicate records. Based on CRC three sources data, the total number of GPs were 53,630 in 2015-2016. Distribution of GPs per 1,000 population among the provinces indicates that provinces of Kohgiluyeh & Boyer Ahmad, Mazandaran, Golestan and Yazd with ratios of 1.28, 1.28, 1.21 and 1.17 physicians rank the highest proportion of GPs and the provinces of Sistan & Baluchestan, Ilam, Zanjan, Alborz, North Khorasan with corresponding ratios of 0.24, 0.40, 0.40, 0.43 and 0.45 GPs ranked the lowest.
CRC method is known to be the best and rapidest method to estimate active GP due to its compatibility for the current situation of databanks in Iran. Therefore, this method is a good application in human resource distribution and planning.
准确估算在职全科医生数量是卫生部门估算需求时所关注的问题。本研究旨在采用三源捕获再捕获(CRC)方法准确估算伊朗在职全科医生的供给情况。
这项横断面研究在2015 - 2016年期间收集数据,目标是三个独立数据源中登记的所有全科医生;来自所有医院的全国性调查、卫生部人力资源管理办公室数据库以及医生办公室数据库。包括医学委员会代码、全科医生姓名、姓氏和国民身份证代码等变量用于三个数据源之间的数据关联。使用对数线性模型应用三源CRC方法在STATA软件中估算在职全科医生的总数。
总体而言,去除重复记录后确定了27,048名全科医生。根据CRC三源数据,2015 - 2016年全科医生总数为53,630名。各省每千人口全科医生分布情况表明,科吉卢耶 - 博韦艾哈迈德省、马赞德兰省、戈勒斯坦省和亚兹德省的全科医生比例最高,分别为1.28、1.28、1.21和1.17名医生,而锡斯坦 - 俾路支斯坦省、伊拉姆省、赞詹省、阿尔伯兹省、北呼罗珊省的相应比例最低,分别为0.24、0.40、0.40、0.43和0.45名全科医生。
由于CRC方法与伊朗数据库的当前情况相兼容,已知它是估算在职全科医生的最佳且最快的方法。因此,该方法在人力资源分配和规划中具有良好的应用价值。