Department of Socio-Economic Geography and Spatial Management, Institute of Geography and Environmental Sciences, Jan Kochanowski University of Kielce, Kielce, Poland.
Department of Paediatric Endocrinology and Diabetology. Faculty of Paediatrics, Medical University of Lublin, Lublin, Poland.
BMC Prim Care. 2022 Apr 27;23(1):94. doi: 10.1186/s12875-022-01701-2.
The purpose of this study was to identify the factors that determine the differences in the distribution and workload of paediatricians in Poland. This research, specific to conditions found within Poland, will help further advance knowledge in this area. Data were derived from the database of Statistics Poland. The level of convergence of the phenomenon studied was analysed. The paediatricians' accessibility index was ascertained and its spatial diversity examined. The level of correlation of patients treated per paediatrician was analysed in relation to indices of urbanisation, availability of paediatricians and disposable income.
A moderate variation of patients treated per paediatrician was found and the conditional convergence of the investigated phenomenon observed. A close negative association between the number of patients treated and access to paediatricians (-0.686, p = 0.005) was revealed.
The research suggests that socioeconomic factors may affect the uneven spatial distribution of the workload of paediatricians in Poland and cause differences between the provinces in the equal access to paediatricians. This research may thus provide implications for policy and practice as well as lead to a better understanding of the problem.
本研究旨在确定决定波兰儿科医生分布和工作量差异的因素。这项针对波兰特定情况的研究将有助于进一步推动该领域的知识发展。数据来源于波兰统计局数据库。分析了研究现象的趋同程度。确定了儿科医生的可及性指数，并考察了其空间多样性。分析了每位儿科医生治疗的患者人数与城市化指数、儿科医生的可及性和可支配收入之间的相关性。
发现每位儿科医生治疗的患者数量存在中度变异，观察到研究现象的条件趋同。治疗的患者数量与儿科医生可及性之间存在密切的负相关（-0.686，p=0.005）。
研究表明，社会经济因素可能会影响波兰儿科医生工作量的不均衡空间分布，并导致各省之间在儿科医生可及性方面存在差异。因此，这项研究可能对政策和实践产生影响，并有助于更好地理解这一问题。
