Volume 19, Issue 4 (July - August 2020)
Payesh 2020, 19(4): 373-381 |
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Yahyavidizaj J, Arab M, Emamgholipour S, Na'emani F. Distribution of dentists in public sector and household payments for dental services in Iran. Payesh 2020; 19 (4) :373-381
URL: http://payeshjournal.ir/article-1-1449-en.html
URL: http://payeshjournal.ir/article-1-1449-en.html
1- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (3202 Views)
Objective (s): Oral health is one of the most important factors affecting people's well-being. However, there are major obstacle to accessing dental services including high medical costs, lack of financial resources and human resources. Therefore, the present study was designed and conducted to investigate the distribution of dentists in public sector and household payments for dental services in Iran.
Methods: The present cross-sectional study was designed and implemented using the National Household Expenditure Survey data from 2011 to 2017. Gini coefficient was used to measure the distribution of manpower and household payment. All analyzes were performed using MS Excel 2013 software.
Results: Across the country, there were 5.56 dentists per thousand. Qazvin, Hamedan, Yazd, Mazandaran and Ilam provinces had the highest average and Alborz, Lorestan, Qom, Khuzestan and Khorasan Razavi provinces had the lowest average number of dentists. The Gini coefficient of dentists' distribution in 2012 was 0.41 and with slight decrease it was 0.40 in 2017. Also, the Gini coefficient of payment for household dental costs in rural areas was 0.68 and 0.66 in urban areas in 2012 and it was 0.70 and 0.65 in rural and urban areas in 2017, respectively.
Conclusion: According to the findings of the present study, inequality in distribution of dentists in public sector and household use of dental services during the study period has not changed significantly. Given the high Gini coefficient of households for dental services in rural areas compared to urban areas, it seems that covering dental services can be an effective measure to reduce this inequality. In addition, implementing appropriate programs to facilitate access to dental services for disadvantaged households can be an effective measure to reduce this inequality.
Methods: The present cross-sectional study was designed and implemented using the National Household Expenditure Survey data from 2011 to 2017. Gini coefficient was used to measure the distribution of manpower and household payment. All analyzes were performed using MS Excel 2013 software.
Results: Across the country, there were 5.56 dentists per thousand. Qazvin, Hamedan, Yazd, Mazandaran and Ilam provinces had the highest average and Alborz, Lorestan, Qom, Khuzestan and Khorasan Razavi provinces had the lowest average number of dentists. The Gini coefficient of dentists' distribution in 2012 was 0.41 and with slight decrease it was 0.40 in 2017. Also, the Gini coefficient of payment for household dental costs in rural areas was 0.68 and 0.66 in urban areas in 2012 and it was 0.70 and 0.65 in rural and urban areas in 2017, respectively.
Conclusion: According to the findings of the present study, inequality in distribution of dentists in public sector and household use of dental services during the study period has not changed significantly. Given the high Gini coefficient of households for dental services in rural areas compared to urban areas, it seems that covering dental services can be an effective measure to reduce this inequality. In addition, implementing appropriate programs to facilitate access to dental services for disadvantaged households can be an effective measure to reduce this inequality.
type of study: Descriptive |
Received: 2020/01/15 | Accepted: 2020/08/18 | ePublished ahead of print: 2020/09/2 | Published: 2020/09/5
Received: 2020/01/15 | Accepted: 2020/08/18 | ePublished ahead of print: 2020/09/2 | Published: 2020/09/5
References
1. Organization WHO. The world health report 2000: health systems: improving performance: World Health Organization; 2000(avaible: https://www.who.int/whr/2000/en/)
2. Shaham G, Komeili A, Masoudi AI. Impact of healthcare overhaul plan on manpower distribution at selected hospitals affiliated to tehran university of medical sciences. Journal of Health Management (former health system), 2016;3: 17-26
3. Nili M, Nafisi S. Human capital estimates based on average years of education for Iranian labor. Iranian Journal of Economic Research 2006; 25:17
4. Herman RD, Renz DO. Advancing nonprofit organizational effectiveness research and theory: Nine theses. Nonprofit Management and Leadership 2008; 18:399-415 [DOI:10.1002/nml.195]
5. Ghazi Mirsaeid SJ, Mirzaie M, Haghshenas E, Dargahi H. Human resources distribution among Tehran university of Medical Sciences Hospitals. Journal of Payavard Salamat 2014; 7:432-46
6. Rezapoor A, Roumiani Y, Azar F, Ghazanfari S, Mirzaei S, Asiabar A, et al. Effective factors on utilization and access to health care: a population-based study in Kerman. Journal of Health Administration (JHA) 2017; 18:15
7. Organization WH. The world health report 2006: working together for health: World Health Organization 2006 (available: https://www.who.int/whr/2006/en/
8. Ebadifard Af, Abou Agh, Esmaeili R. Calculation and unit cost analysis of health care services delivered in Shahriar SA Bakhshi health center by activity based costing 2006;9: 31-40
9. Yousefi M, Arab M, Oliaeemanesh A. Methods of resource allocation based on needs in health systems, and exploring the current Iranian resource allocation system. Hakim Research Journal 2010; 13:80-90
10. Tahani B, Moosavi SP. Assessment of Oral Health Status and Health Behaviors in the Adult Population of Nomadic Tribes (2016). Journal of Mashhad Dental School 2018; 42:307-19
11. Nahvi M, Zarei E, Marzban S, Jahanmehr N. Utilization of dental services and its out-of-pocket payments: a study in dental clinics of Ramsar. Journal of Mashhad Dental School 2017; 41:171-82
12. Mohammadzadeh Z, Jafarnejad F, Movahed T. Comparison of Oral Health-Related Quality Of Life among Adult Referred to Public and Private Dental Clinics of Mashhad, Iran. Journal of Mashhad Dental School 2017; 41:239-50
13. Aaberge R. Gini's nuclear family. The Journal of Economic Inequality 2007;5:305-22 [DOI:10.1007/s10888-006-9050-8]
14. Bellù LG, Liberati P. Charting income inequality: the Lorenz curve, 2005. (available: http://www.fao.org/3/a-am391e.pdf )
15. Dizaj JY, Anbari Z, Karyani AK, Mohammadzade Y. Targeted subsidy plan and Kakwani index in Iran health system. Journal of Education and Health Promotion 2019; 8:98
16. Moulana Z, Ghasem Pour M, Asghar Pour F, Elmi M, Baghban Shaker P. The Frequency of Streptococcus Mutans and Lactobacillus spp. in 3-5-year-old Children with and without Dental Caries. Medical Laboratory Journal 2013;7:29-34
17. Nishiura H, Barua S, Lawpoolsri S, Kittitrakul C, Leman MM, Maha MS, et al. Health inequalities in Thailand: geographic distribution of medical supplies in the provinces. Southeast Asian Journal of Tropical Medicine And Public Health 2004; 35:735-40
18. Kiadaliri A, Hosseinpour R, Haghparast-Bidgoli H, Gerdtham U-G. Pure and social disparities in distribution of dentists: a cross-sectional province-based study in Iran. International Journal of Environmental Research and Public Health 2013; 10: 1882-1894 [DOI:10.3390/ijerph10051882]
19. Rezaei S, KaramiMatin B, Akbari Sari A. Inequality in the geographic distribution of health workers in the public health sector in Iran. Hakim Health Systems Research Journal 2015; 18:194-200
20. Rezaei S, Nouri B. Evaluation of inequalities in the distribution of health resources by Gini coefficient and Lorenz curve: a case study in Kurdistan province from 2006 to 2013. Scientific Journal of Kurdistan University of Medical Sciences 2016; 20:1-11
21. Okawa Y, Hirata S, Okada M, Ishii T. Geographic distribution of dentists in Japan: 1980‐2000. Journal of Public Health Dentistry 2011; 7:236-40 [DOI:10.1111/j.1752-7325.2011.00255.x]
22. Mehrolhassani MH, Khosravi S. Study of Geographical Inequality Trend in Distribution of Human Resources and Health Facilities in Health Sector of Iran in Past Decade. Iranian Journal of Epidemiology 2018; 13:27-36
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