Measuring health inequalities in Albania: a focus on the distribution of general practitioners

Human Resources for Health
Pavlos N TheodorakisErik Trell

Abstract

The health workforce has a dynamically changing nature and the regular documentation of the distribution of health professionals is a persistent policy concern. The aim of the present study was to examine available human medical resources in primary care and identify possible inequalities regarding the distribution of general practitioners in Albania between 2000 and 2004. With census data, we investigated the degree of inequality by calculating relative inequality indices. We plotted the Lorenz curves and calculated the Gini, Atkinson and Robin Hood indices and decile ratios, both before and after adjusting for mortality and consultation rates. The Gini index for the distribution of general practitioners in 2000 was 0.154. After adjusting for mortality it was 0.126, while after adjusting for consultation rates it was 0.288. The Robin Hood index for 2000 was 11.2%, which corresponds to 173 general practitioners who should be relocated in order to achieve equality. The corresponding figure after adjusting for mortality was 9.2% (142 general practitioners), while after adjusting for consultation rates the number was 20.6% (315). These figures changed to 6.3% (100), 6.3% (115) and 19.8% (315) in 2004. There was a declining trend i...Continue Reading

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Citations

Sep 24, 2011·International Journal for Equity in Health·Aliasghar Ahmad KiadaliriHassan Haghparast-Bidgoli
Jan 23, 2009·Human Resources for Health·Michael A Munga, Ottar Maestad
Jul 16, 2016·International Journal of Environmental Research and Public Health·Peige SongLin An
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Jan 7, 2018·International Journal for Equity in Health·Zhenghong RenLin An
Oct 7, 2016·Journal of Epidemiology and Community Health·Jinwook BahkYoung-Ho Khang
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Aug 31, 2017·Human Resources for Health·Oyunchimeg ErdeneeHiroshi Koyama
Nov 14, 2018·International Journal for Equity in Health·Liming Lu, Jingchun Zeng
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Apr 27, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Gennaro RoccoAlessandro Stievano

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