ارزیابی برابری در توزیع منابع انسانی بخش سلامت استان خراسان شمالی

مقدمه: کاهش نابرابری در بهره‌مندی از منابع و امکانات جامعه یکی از معیارهای اساسی توسعه به شمار می‌رود. مطالعه حاضر با هدف بررسی وضعیت برابری در توزیع منابع انسانی بخش سلامت در استان خراسان شمالی (با استفاده از ضریب جینی و منحنی لورنز) در سال 1399 انجام شد.روش کار: این مطالعه از نوع توصیفی - تحلیلی و کاربردی بود. جامعه پژوهش منابع انسانی بخش سلامت بودند. داده‌ها از درگاه ملی مرکز آمار ایران، سالنامه جمعیتی استان و با استفاده از فرم محقق‌ساخته جمع‌آوری شد. برای تحلیل داده‌ها از نرم‌افزار stata12 و 2.dasp2 اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﻪازای ﻫﺮ 10 ﻫﺰار ﻧﻔﺮ، 55/3 ﻧﯿﺮوی اﻧﺴﺎﻧﯽ در ﺑﺨﺶ ﺳﻼﻣﺖ ﻣﺸﻐﻮل ﺑﻪ ﮐﺎر ﻫﺴﺘﻨﺪ. ﺗﻮزﯾﻊ ﻣﻨﺎﺑﻊ اﻧﺴﺎﻧﯽ ﺳﻼﻣﺖ ﺑﺮاﺑﺮی ﺧﻮﺑﯽ دارد. ﻣﻘﺪار ﺿﺮﯾﺐ ﺟﯿﻨﯽ ﺑﺮای ﻫﻤﻪ ﻣﻨﺎﺑﻊ اﻧﺴﺎﻧﯽ ﺳﻼﻣﺖ ﺑﻪﺟﺰ ﭘﺮﺳﺘﺎران و ﭘﺰﺷﮑﺎن ﻣﺘﺨﺼﺺ ﮐﻤﺘﺮ از 0/2 ﺑﻮد ﮐﻪ ﻧﺸﺎندﻫﻨﺪه ﺑﺮاﺑﺮی ﮐﺎﻣﻞ در ﺗﻮزﯾﻊ ﻣﻨﺎﺑﻊ اﺳﺖ. ﮐﻤﺘﺮﯾﻦ ﻣﻘﺪار ﺿﺮﯾﺐ ﻣﺮﺑﻮط ﺑﻪ ﭘﺰﺷﮑﺎن ﻋﻤﻮﻣﯽ 0/052 و ﺑﯿﺸﺘﺮﯾﻦ ﻣﻘﺪار ﺿﺮﯾﺐ ﻣﺮﺑﻮط ﺑﻪ ﭘﺰﺷﮑﺎن ﻣﺘﺨﺼﺺ ﺑﻮد 0/422 ﮐﻪ ﻧﺸﺎندﻫﻨﺪه ﻧﺎﺑﺮاﺑﺮی ﻧﺴﺒﯽ در ﺗﻮزﯾﻊ ﭘﺰﺷﮑﺎن ﻣﺘﺨﺼﺺ در ﺳﻄﺢ اﺳﺘﺎن اﺳﺖ. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: رﻓﻊ ﻧﺎﺑﺮاﺑﺮیﻫﺎی ﻣﻨﺎﺑﻊ ﺑﺨﺶ ﺳﻼﻣﺖ در ﻣﻨﺎﻃﻖ ﻣﺨﺘﻠﻒ زﻣﯿﻨﻪ ﺑﻬﺒﻮد و اﻓﺰاﯾﺶ ﺑﺮاﺑﺮی ﭘﯿﺎﻣﺪﻫﺎی ﺳﻼﻣﺖ را ﻓﺮاﻫﻢ ﻣﯽ آورد. ﻟﺬا ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد ﺳﯿﺎﺳﺖﮔﺬاران و ﻣﺪﯾﺮان ارﺷﺪ ﻧﻈﺎم ﺳﻼﻣﺖ اﻗﺪاﻣﺎت ﻣﻨﺎﺳﺒﯽ را ﺑﺮای ﺑﻬﺒﻮد ﻋﺪاﻟﺖ در دﺳﺘﺮﺳﯽ ﻣﺮدم ﺟﺎﻣﻌﻪ ﺑﻪ ﻣﻨﺎﺑﻊ اﻧﺴﺎﻧﯽ ﻣﻮرد ﻧﯿﺎز ﺑﺨﺶ ﺳﻼﻣﺖ ﺑﻪﮐﺎر ﮔﯿﺮﻧﺪ.

evaluation of equality in the distribution of human resources in the health sector of north khorasan province

introduction: the reduction of inequality in the utilization of resources and facilities of society is considered one of the most important criteria of development. the present study aimed to investigate equality in the distribution of human resources in the health sector in north khorasan province (by the gini coefficient and lorenz curve) in 2020.method: this study was conducted based on a descriptiveanalytical design. the study population included human resources in the health sector. data were collected from the national portal of the statistical center of iran and the population yearbook of the province using a researchermade form. data were analyzed in stata (version 12) and dasp (version 2.2) software packages.results: for every 10,000 people, 55.3 human resources were working in the health sector of north khorasan province. human health resources are distributed equally in this province. the gini coefficient for all human health resources, except nurses and specialists, was less than 0.2, indicating complete equality in the distribution of resources. the lowest coefficient value was related to general practitioners (0.052), and the highest gini coefficient pertained to specialized physicians (0.422), pointing to a relative inequality in the distribution of specialized physicians.conclusion: the removal of inequalities in human resources in the health sector in different regions can result in the promotion of equality in health outcomes. therefore, it is suggested that policymakers and senior health system managers take effective measures to improve justice in access to human resources