An Analysis of Disparities in Access to Health Care in Iran: Evidence from Lorestan Province

Abstract

Equal distribution of healthcare facilities in order to increase the accessibility of the individuals to services is one of the main pillars in improvement of health. This study was aimed to examine the disparities in access to health care services across the cities of Lorestan province located in west of Iran. This study is a descriptive study. Data related to indicators of institutional and manpower was collected using statistical yearbook of Statistical Centre of Iran (SCI) and analyzed by Scaogram Analysis Model. The results revealed distinct regional disparities in health care services across Lorestan province. According to Scalogram analysis model, Khorramabad and Delfan towns were ranked as the first and the last according to access to health care services. Overally, 44% of the cities are undeveloped and only 22% are credited as developed. Taking the advantage of development-oriented programs, reduction of the gap in health care services in the must be considered in the health policy. Therefore, Delfan, Dorood, Koohdasht and Selseleh are characterized as the underdeveloped and consequently urgently should be considered in planning and deprivation programs.

Investigating the Development and Access to Healthcare Services across Iranian Provinces

“…Amini et al [24] stated that Isfahan and Tehran had high The results of this study revealed a significant difference between the Iranian provinces in terms of their health facility development levels. Overall, the results of most studies exploring this field also indicated that the health sector resources were inadequately distributed [16,26,27].…”

“…CoCoSo is a technique for prioritizing a set of alternatives by the combination of simple additive weighting and an exponentially weighted product model. The CoCoSo method provides simpler and easier steps and eliminates the weaknesses of other MCDM methods such as TOPSIS or COPRAS (26). This method has been used in various contexts such as supplier selection [21,22] and health sector evaluation [23].…”

Satisfaction with health care system: A comparative study between market-based insurance model of the United States and “out-of-pocket” model in developing and low-income countries

“…[12] People in the United States experience huge disparities in availing health care services and also with health outcomes [13][14][15] which can be comparable to the people in low-income and developing nations who experience widespread disparities in healthcare. [16][17][18][19][20][21][22][23][24] Findings of this study are very helpful in understanding factors of dissatisfaction with healthcare models in several countries. However, there is very limited research on this subject, which limits us in comparing findings of this research.…”

Analisis Sistem Pusat Pelayanan Permukiman Di Kota Yogyakarta Tahun 2014

“…Berdasarkan hasil analisis skalogram dari penelitian Nemati et al (2014) adanya kesenjangan pada pelayanan kesehatan di provinsi Lorestan. Pengurangan kesenjangan pelayanan kesehatan harus diperhatikan karena wilayah yang terbelakang dikarenakan kurangnya perencanaan program di wilayah tersebut.…”