Journals / Journal of International Health Sciences and Management / 2015 / Cilt: 1 - Sayı: 1

EFFECT OF PER CAPITA INCOME ON THE REGIONAL DISTRIBUTION OF PHYSICIANS: GROWTH CURVE MODEL

Pages
34–44
Publication Date
2016-04-03
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The importance of economic development in providing equality of the accessibility to health services is an obvious reality

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The economic basis of the imbalance of the regional distribution of physicians is the imbalance of per capita income among residential areas.
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Key Findings & Data:As per capita income raises the demand for health services increases.
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Conclusion & Impact:The importance of economic development in providing equality of the accessibility to health services is an obvious reality
🔬Design:Survey & Empirical Study
📍Scope:2000 Verileri
⚙️Variables:Per capita income and the distribution of physicians · accessibility to health services and income level

Abstract

Aim: The economic basis of the imbalance of the regional distribution of physicians is the imbalance of per capita income among residential areas. As per capita income raises the demand for health services increases. On the other hand, doctors prefer high-income cities in order to generate more revenue. Turkey has a wide range of differences in inter-provincial income levels. In this study, the relationship between the distribution of doctors and per capita income in 70 cities between 1991 and 2000 in Turkey has been examined. Thus, it is aimed to point out the importance of the economic basis of the imbalance in the distribution of physicians.Method: The survey data of the Income Distribution by Provinces between 1991-2000 provided by Turkish Statistical Institute and the total number of specialists, GPs and total physicians in these provinces, gross domestic product per capita, and population data have been used. Multilevel regression analysis has been used in order to find out whether doctors prefer high-income cities, and how this preference changes as the income level changes, and whether this trend is higher among the specialists compared to the GPs.Results and Conclusion: There is a statistically significant positive relationship between domestic product per capita and the total number of specialists, GPs and total psychians per 10000 people. It is determined that doctors prefer the provinces where per capita income levels are high. A statistically significant difference is determined in the changes of the medium of the total number of specialists, GPs and total psychians per 10000 people and domestic product per capita in time. It is seen that as the provincial income levels per capita increase the number of physicians in the provinces also increase. This relationship is stronger among specialists compared to GPs. The importance of economic development in providing equality of the accessibility to health services is an obvious reality

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Cite This Article

UNAL, E., DAYAN, A. (2016). EFFECT OF PER CAPITA INCOME ON THE REGIONAL DISTRIBUTION OF PHYSICIANS: GROWTH CURVE MODEL. Journal of International Health Sciences and Management, Cilt: 1 - Sayı: 1, 34–44. https://ajindex.com/articles/777464

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References (9)

  1. Solak M, Bayraktar N, Kapıcıoğlu MİS, Dilsiz A, Kerkiüklü M, Zırh H, Duman MÖ, Güngör H, Binler A. Türkiye’de Sağlık Eğitimi ve Sağlık İnsangücü Durum Raporu, Haziran 2010,
  2. Ankara.
  3. Yardım MS, Üner S. Türkiye’de Hekim Dağılımında Coğrafi Farklılıklar, TAF Preventive Medicine Bulletin 2013; 12(5). Anand DS, Bärniyghausen T. Human resources and health outcomes: cross-country econometric study. The Lancet; Volume 364, Issue 9445, p. 1603 – 1609. Shi L, Starfield B, Kennedy B, Kawachi I. Income inequality, primary care, and health indicators. J Fam Pract 1999 Apr; 48(4):275-84. Blumentahl D. Geographic imbalances of physician supply: an international comparison. Journal of Rural Health 1994; 10(2):109-118.
  4. Dussault G, Franceschini MC. Not enough there, too imbalances in the distribution of the health workforce. Human Resources for Health 2006; 4:12. geographical [7] Matsumoto M, Inoue K, Noguchi S, Toyokawa S, Kajii E. Community characteristics that attract physicians in Japan: a cross-sectional analysis of community demographic and economic factors. Human Resources for Health 2009; 7:12. Tanihara S, Kobayashi Y, Une H, Kawachi I, Urbanization and physician maldistribution: a longitudinal study in Japan, BMC Health Services Research 2011; 11:260. Molahaliloğlu S, Hülür Ü, Gümrükçüoğlu OF, Ünüvar N, Aydın S. Sağlıkta İnsan Kaynaklarının Mevcut Durum Analizi. TC Sağlık Bakanlığı Refik Saydam Hıfzısıhha Merkezi Başkanlığı Hıfzısıhha Mektebi Müdürlüğü; Ankara, 2007.
  5. Pong R W, Pitblado J. Geographic Distribution of Physicians in Canada: Beyond How Many and Where, Health Human Resources, Canadian Institute for Health Information 2005; p. 59. Rivo ML, Kindig DA. A report card on the physician work force in the United States. N Engl J Med 1996; 334:892-896.
  6. Dubois CA, McKee M, Nolte E. Avrupa’da Sağlıkta İnsan Kaynakları, Türkiye Cumhuriyeti Sağlık Bakanlığı Yayınları; Ankara, 2011, p.24. Munga MA, Maestad O. Measuring inequalities in the distribution of health workers: the case of Tanzania. Human Resources for Health 2009; 7:4. Akdağ R. Turkey Health Transformation Program Evaluation Report (2003-2010); T.C. Sağlık Bakanlığı Yayını, 2011.
  7. Akdağ R. İlerleme Raporu, Türkiye Sağlıkta dönüşüm Programı. T C Sağlık Bakanlığı; 2008.
  8. Cooper RA, Getzen TE, Laud P. Economic expansion is a major determinant of physician supply and utilization. Health Serv Res 2003; 38:675-696.
  9. Newhouse JP, Williams AP, Schwartz WB, Bennett BW. The Geographic Distribution of Physicians: Is the Co