Behzadifar Meysam, Shaygan Farzaneh, Ebrahimi Parvin, Shahabi Saeed, Azari Samad, Teli Banafshe Darvishi, Martini Mariano, Behzadifar Masoud
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Complex of Education of Dorud, Lorestan University of Medical Sciences, Khorramabad, Iran.
J Prev Med Hyg. 2024 Oct 31;65(3):E449-E455. doi: 10.15167/2421-4248/jpmh2024.65.3.3356. eCollection 2024 Sep.
Equity in health service delivery ensures that resources are distributed based on need, minimizing barriers to access and reducing health disparities. Hospital beds are a critical healthcare resource, essential for providing timely and effective medical care. This study aims to evaluate the equity in the distribution of hospital beds in Lorestan Province, western Iran, using the Gini coefficient and Lorenz curve as analytical tools.
Data on the number of hospital beds and population statistics for each city in Lorestan were collected from the Lorestan University of Medical Sciences and the Statistical Center of Iran. The equity of hospital bed distribution was assessed using the Gini coefficient and Lorenz curve, with analyses conducted using R statistical software.
Lorestan Province, with a population of 1,678,873, has significant disparities in hospital bed distribution. The Gini coefficient for hospital beds was 0.27, indicating moderate inequality. The Lorenz curve showed a substantial deviation from the equity line, highlighting the imbalance. Khorramabad and Aligudarz exhibited the highest inequality, while Rumeshkan, Kuhdasht, and Poldokhtar had more equitable distributions.
The study reveals notable inequities in hospital bed distribution in Lorestan Province, emphasizing the need for targeted policy interventions. Strategic resource allocation, infrastructure development, and policy reforms are essential to enhance healthcare equity. Continuous monitoring and consideration of additional healthcare resources and socioeconomic factors are recommended for comprehensive future assessments.
卫生服务提供的公平性确保资源根据需求进行分配，最大限度地减少获取障碍并缩小健康差距。医院床位是关键的医疗资源，对于提供及时有效的医疗护理至关重要。本研究旨在使用基尼系数和洛伦兹曲线作为分析工具，评估伊朗西部洛雷斯坦省医院床位分配的公平性。
从洛雷斯坦医科大学和伊朗统计中心收集了洛雷斯坦省每个城市的医院床位数和人口统计数据。使用基尼系数和洛伦兹曲线评估医院床位分配的公平性，并使用R统计软件进行分析。
洛雷斯坦省人口为1,678,873，医院床位分配存在显著差异。医院床位的基尼系数为0.27，表明存在中等程度的不平等。洛伦兹曲线显示与公平线有较大偏差，突出了不平衡。霍拉马巴德和阿里古达兹的不平等程度最高，而鲁梅什坎、库赫达什特和波尔道赫塔尔的分配更为公平。
该研究揭示了洛雷斯坦省医院床位分配存在显著不平等，强调需要有针对性的政策干预。战略资源分配、基础设施发展和政策改革对于提高医疗公平性至关重要。建议持续监测并考虑其他医疗资源和社会经济因素，以便进行全面的未来评估。
