Distribution of hospital beds in Tehran Province based on Gini coefficient and Lorenz curve from 2010 to 2012

Authors

  • Ali Javani M.Sc. in Business Administration, Budgeting and Performance Monitoring Center, Ministry of Health and Medical Education, Tehran, Iran

Keywords:

hospital bed capacity, hospitals, urban, health care rationing/organization and administration, beds/supply and distribution

Abstract

Introduction: Fair distribution of hospital beds across various regions is a controversial subject. Resource allocation in health systems rarely has focused on those who need it most and, in addition, is often influenced by political interests. The study assesses the distribution of hospital beds in different regions in Tehran, Iran, during 2010–2012. 

Methods: This cross-sectional study was conducted in all regions of Tehran (22 regions) during 2010 to 2012. All hospital beds in these regions are included in the study. Data regarding populations of each region were obtained from the Statistics Center of Iran. According to the data, the total number of beds (N.B) and population (P) in 2010 (N.B=19075, P= 7585000), 2011 (N.B=21632, P= 9860500), and 2012 (N.B=21808, P=12818650). The instrument was a form, including the name of the hospital, the district in which the hospital was located, the number of staffed beds, the name of each region, and its population. Data analysis was performed using DASP software version 2.3.

Results: The results demonstrate that the Gini coefficient of distributed beds in 22 regions of Tehran was 0.46 in all three years and specifically calculated 0.4666 in 2010, 0.4658 in 2011 and 0.4652 in 2012. The Gini coefficient of beds in 22 regions of Tehran is not fair in comparison with the population of each region during the years 2010 to 2012.

Conclusion: The results demonstrate that the distribution of beds in regions in Tehran is not fair in relation to the population of each region—and some regions had no hospitals. Therefore, it is essential for policymakers to frequently monitor this issue and investigate the fair distribution of hospital beds.

 

References

Shinjo D, Aramaki T. Geographic distribution of healthcare resources, healthcare service provision, and

patient flow in Japan: a cross sectional study. Soc Sci Med. 2012;75(11):1954-63. doi:

1016/j.socscimed.2012.07.032, PMID: 22920275.

Asada Y. Assessment of the health of Americans: the average health-related quality of life and its inequality

across individuals and groups. Popul Health Metr. 2005; 3: 7. doi: 10.1186/1478-7954-3-7, PMID: 16014174,

PMCID: PMC1192818.

Sukeri K, Alonso-Betancourt O, Emsley R. Staff and bed distribution in public sector mental health services

in the Eastern Cape Province, South Africa. South African Journal of Psychiatry. 2014; 20(4): 160-5. doi:

7196/sajp.570

Rashad H, Khadr Z. Measurement of health equity as a driver for impacting policies. Health Promot Int.

; 29 Suppl 1: i68-82. PMID: 25217358

Glorioso V, Subramanian SV. Equity in Access to Health Care Services in Italy. Health Serv Res. 2014;

(3): 950-70. doi: 10.1111/1475-6773.12128, PMID: 24949515, PMCID: PMC4231580.

Mobaraki H, Hassani A, Kashkalani T, Khalilnejad R, Chimeh EE. Equality in Distribution of Human

Resources: the Case of Iran’s Ministry of Health and Medical Education. Iran J Public Health.

;42(Supple1):161-5. PMCID: PMC3712591

Xie Y, Zhou X. Income inequality in today’s China. Proc Natl Acad Sci U S A. 2014; 111(19): 6928-33. doi:

1073/pnas.1403158111, PMID: 24778237, PMCID: PMC4024912.

Meskarpour-Amiri M, Mehdizadeh P, Barouni M, Dopeykar N, Ramezanian M. Assessment the trend of

inequality in the distribution of intensive care beds in Iran: using GINI index. Global journal of health science.

; 6(6): 28-36. doi:10.5539/gjhs.v6n6p28, PMID: 25363104

Omrani-Khoo H, Lotfi F, Safari H, Zargar Balaye Jame S, Moghri J, Shafii M. Equity in Distribution of

Health Care Resources; Assessment of Need and Access, Using Three Practical Indicators. Iran J Public

Health. 2013; 42(11): 1299-308. PMID: 26171343, PMCID: PMC4499072.

Mostafavi H, Aghlmand S, Zandiyan H, Alipoori Sakha M, Bayati M, Mostafavi S. Inequitable Distribution

Of Specialists And Hospital Beds In West Azerbaijan Province. Payavard Salamat. 2015; 9(1): 55-66. doi:

5539/gjhs.v6n6p28.

De Bruin AM, Bekker R, van Zanten L, Koole GM. Dimensioning hospital wards using the Erlang loss

model. Ann Oper Res. 2010; 178(1): 23-43. doi: 10.1007/s10479-009-0647-8.

Ameryoun A, Meskarpour-Amiri M, Dezfuli-Nejad ML, Khoddami-Vishteh H, Tofighi S. The assessment

of inequality on geographical distribution of Non-cardiac intensive care beds in Iran. Iran J Public Health.

; 40(2): 25. PMID: 23113070, PMCID: PMC3481771.

Horev T, Pesis-Katz I, Mukamel DB. Trends in geographic disparities in allocation of health care resources

in the US. Health policy. 2004; 68(2): 223-32. doi: 10.1016/j.healthpol.2003.09.011. PMID: 15063021.

Calman K. The ethics of allocation of scarce health care resources: a view from the centre. J Med Ethics.

;20(2):71-4. doi: 10.1136/jme.20.2.71. PMID: 8083876, PMCID: PMC137642

Asada Y. Assessment of the health of Americans: the average health-related quality of life and its inequality

across individuals and groups. Population Health Metrics. 2005;3(1):7. doi: 10.1186/1478-7954-3-7,, PMID:

, PMCID: PMC1192818

Published

2022-03-08