Evidence map›Paper›PMID 28851438›Full record

ArticleHuman resources for health2017

Distribution of health care resources in Mongolia using the Gini coefficient.

Oyunchimeg Erdenee, Sekar Ayu Paramita, Chiho Yamazaki, Hiroshi Koyama

Abstract readComparative Study
In one paragraph

Article in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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  12. Spatial equity and factors associated with intensive care unit bed allocation in China.Archives of public health = Archives belges de sante publique · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Oyunchimeg ErdeneeDepartment of Public Health, Gunma University, 3-39-22 Showa, Maebashi, 371-8511, Japan.
Sekar Ayu ParamitaDepartment of Public Health, Gunma University, 3-39-22 Showa, Maebashi, 371-8511, Japan.
Chiho YamazakiDepartment of Public Health, Gunma University, 3-39-22 Showa, Maebashi, 371-8511, Japan.
Hiroshi KoyamaDepartment of Public Health, Gunma University, 3-39-22 Showa, Maebashi, 371-8511, Japan. hkoyama@gunma-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttaining the perfect balance of health care resources is probably impracticable; however, it is possible to achieve improvements in the distribution of these resources. In terms of the distribution of health resources, equal access to these resources would make health services available to all people. The aim of this study was to compare the distributions of health care resources in urban, suburban, and rural areas of Mongolia.

methodsWe compared urban and rural areas using the Mann-Whitney U test and further investigated the distribution equality of physicians, nurses, and hospital beds throughout Mongolia using the Gini coefficient-a common measure of distribution derived from the Lorenz curve. Two indicators were calculated: the distribution per 10 000 population and the distribution per 1000 km

resultsUrban and rural areas were significantly different only in the distribution of physicians per population. However, in terms of the distribution per area, there were statistical differences in physicians, nurses, and hospital beds. We also found that distributions per population unit were equal, with Gini coefficients for physicians, nurses, and hospital beds of 0.18, 0.07, and 0.06, respectively. Distributions per area unit were highly unequal, with Gini coefficients for physicians, nurses, and hospital beds of 0.74, 0.67, and 0.69, respectively.

conclusionsAlthough the distributions of health care resources per population were adequate for the population size, a striking difference was found in terms of the distributions per geographical area. Because of the nomadic lifestyle of rural and remote populations in Mongolia, geographical imbalances need to be taken into consideration when formulating policy, rather than simply increasing the number of health care resources.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityHealth Services Needs and DemandHumansMongoliaPrimary Health CareRural Health ServicesSocioeconomic FactorsUrban Health ServicesEqualityGeographic distributionHealth resourcesMongoliaPhysicians

Identifiers

PMID28851438
PMCPMC5576166

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.