Field Epidemiology Training Programme, Ministry of Health, Riyadh, Saudi Arabia.
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
East Mediterr Health J. 2022 Jan 31;28(1):23-30. doi: 10.26719/emhj.22.003.
Adequate access to health care systems is considered a basic human right. Therefore, it is important that health care services be delivered to those who need them most in the most efficient manner possible.
We evaluated the distribution of hospital beds across Saudi Arabia from 2015 to 2019 to assess inequalities in hospital resource allocation.
This cross-sectional study utilized data from the Health Statistical Yearbook published by the Ministry of Health during the period 2015-2019. The number of hospital beds per 100 000 population was calculated for the 20 health regions. Generation of other parameters, such as the Gini index and the Lorenz curve, was performed to assess the distribution of beds. The Pearson coefficient was calculated to assess the correlation between beds and population in each health region.
The ratio of hospital beds to population improved from 2015 to 2019 in areas such as Ha'il, Tabouk and Ta'if, which increased by 89.6, 72.5 and 32.5 respectively. The calculated mean Gini index for bed distribution in the public sector was 0.21; in the private sector it was 0.53. There was a strong positive correlation between population and hospital beds in Riyadh, Qaseem, Eastern and Ha'il regions.
In Saudi Arabia the observed inequalities in hospital bed distributions lie mainly in the private sector. It is recommended that policymakers be aware of such inequalities and work on possible reforms to achieve the goals of Saudi Vision 2030.
充分获得医疗保健系统被认为是一项基本人权。因此，以最高效的方式向最需要的人提供医疗保健服务非常重要。
我们评估了 2015 年至 2019 年期间沙特阿拉伯的医院床位分布情况，以评估医院资源分配的不平等。
本横断面研究利用了卫生部在 2015 年至 2019 年期间发布的《卫生统计年鉴》中的数据。计算了 20 个卫生区域每 10 万人拥有的医院床位数量。生成了基尼指数和洛伦兹曲线等其他参数，以评估床位的分布情况。计算了每个卫生区域床位与人口之间的 Pearson 系数，以评估它们之间的相关性。
哈伊勒、塔布克和塔伊夫等地区的床位与人口的比例从 2015 年到 2019 年有所改善，分别增加了 89.6%、72.5%和 32.5%。公共部门床位分配的计算平均基尼指数为 0.21；在私营部门为 0.53。利雅得、卡西姆、东部和哈伊勒地区的人口与医院床位之间存在很强的正相关关系。
在沙特阿拉伯，观察到的医院床位分布不平等主要存在于私营部门。建议政策制定者意识到这些不平等，并努力进行可能的改革，以实现沙特 2030 年愿景的目标。
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