جستجوی مقالات مرتبط با کلیدواژه « تخت بیمارستانی » در نشریات گروه « پزشکی »

Equity in the health system is “peoplechr('39')s access to the health services according to their needs, paying for healthcare based on the financial ability, and having an acceptable level of health”. Equitable distribution of hospital beds plays an important role in achieving the goal of universal health coverage. The purpose of this study was to evaluate equity in the geographical distribution of hospital beds in Khuzestan Province.

Data from the Ministry of Health and the statistics center of Iran were used for this descriptive and cross-sectional study. Hospitals of Khuzestan Province in 2016 formed the research community. The equity in the distribution of hospital beds has been measured using the Lorenz curve and the Gini coefficient. Excel software was applied for data analysis.

Khuzestan Province had a population of 4,710,509 and 54 hospitals with 7,014 active hospital beds in 2016. There were 1.1 hospitals per hundred thousand population and 1.5 hospital beds per thousand population in the province. The cities of Ahwaz, Karun, and Masjed Soleiman had the most hospital beds per people. About 30% of hospitals and 51% of hospital beds were in Ahvaz. The Gini coefficient of distribution of hospital beds in the cities of Khuzestan was 0.33.

The distribution of hospital beds in Khuzestan province using the Gini index was relatively fair. Policymakers and senior health managers should take measure to improve equity in the access of people to hospital beds.

The rate of first hospitalization for incidence of stroke has been significantly rising over the past 20 years and this requires proper management of the neurology ward beds. In this regard, the present study was conducted to evaluate the correlates of length of stay in stroke patients.

the study design is descriptive and correlation. The study population consisted of 153 patients diagnosed with stroke admitted to the neurology ward of Imam Reza Hospital of Kermanshah in Iran, December 2014 to February 2015. The required data obtained from Hospital Information System (HIS) and it was confirmed by telephone follow-up. Statistical analysis included Pearson correlation and linear regression analysis were used to analyze the data.

The linear regression analysis results show that type of transfer the patient to hospital can correctly predict the length of stay (P=0.012) and the patients who used ambulance for transfer to hospital occupy a bed almost 5 days more than others. Our model was able to explain only 7% of the variance for the length of stay.

It seems stroke patients who used ambulance for transfer to a hospital compared to others stay in the hospital for a longer time. Therefore, it is necessary that the number of beds required in stroke therapy wards be calculated according to the usual demand for dispatching ambulances and taking the ratio of personal referrals.

 Equity in access to health care services is one of the main goals of health systems, so that inequality in the geographical distribution of health resources will make it difficult for individuals to access the health care facilities. This study aimed to determine the distribution status of hospital resources and inequality coefficient in the West Azarbaijan province before and after implementation of the health system reform plan. This cross-sectional and descriptive-analytic study aimed to investigate inequality in the distribution of health resources in cities of West Azarbaijan province before and after health system reform plan using concentration ratio and Hall Tiedman indices. The required data for estimating these indices were the number of specialist physicians and hospital beds, which were extracted from the data base of treatment deputy in Urmia University of Medical Sciences. Data analysis was conducted by Excel software. The results indicated a high spatial concentration in distribution of the health resources in the province, so that fixed beds and specialist physicians were more concentrated in the capital city of province; Urmia. Moreover, inequality in distribution of the resources in cities of the province was highly related to population. Comparisons of the results before and after the health system reform plan showed that the distribution of fixed beds and specialist physicians had decreasing and increasing trends, respectively. The results showed that inequality in distribution of the hospital beds was intensified after implementation of the health reform plan. Furthermore, distribution of specialist physicians after the reform plan, despite its improvement, was not according to the population distribution. Therefore, inappropriate distribution of the above-mentioned resources should be readjusted by adopting redistributive policies.

Equitable distribution of resources in health sector is one of the prerequisites of social justice in any society. The aim of this study is to determine inequality in the distribution of specialists and hospital beds in West Azerbaijan Province. This was a descriptive study. The population of the study consists of all hospital beds in the public sector and all specialists working in the health sector of West Azerbaijan Province in 2012. The required data were collected after referring to health and treatment d eputies of Urmia University of Medical Sciences and Statistical Center of Iran. To determine inequity in the distribution of specialists and hospital beds، per capita resource indicators، the Gini coefficient، and Lorenz curve were employed. Distribution of specialist physicians in the province was not equitable; the situation was the same as regards hospital beds، too. It seems that neither the distribution of specialist physicians nor the number of hospital beds is proportional to the population. Besides، measures such as p roviding special welfare facilities، paying higher wages، and considering the health needs of people in the province can better attract physicians and modify the existing shortcomings.