ArticleRisk management and healthcare policy2019
Equity of health workforce distribution in Thailand: an implication of concentration index.
Article in Risk management and healthcare policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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22 citing papers in PubMed, 39 citations in OpenAlex.
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- Ecological assessment of extreme temperature and fine particulate matter (pm2.5) impact on diabetes service and outcomes in Thailand.BMC public health · 2025Article
- Equity and efficiency of health resource allocation in Sichuan Province, China.BMC health services research · 2024Article
- Dynamic distribution, regional differences and convergence of health workforce allocation in township health centers in China.Heliyon · 2024Article
- The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study.BMC health services research · 2023Article
- Effect of doctor allocation policies on the equitable distribution of doctors in Thailand.Human resources for health · 2023Article
- Availability of stroke services and hospital facilities at different hospital levels in Thailand: a cross-sectional survey study.BMC health services research · 2022Article
- Dementia Care for Europeans in Thailand: A Geography of Futures.The American behavioral scientist · 2022Article
- Regional Differences in Admissions and Treatment Outcomes for Hepatocellular Carcinoma Patients in Thailand.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Physician- and patient-reported barriers to hepatocellular carcinoma surveillance: A nationwide survey.Medicine · 2022Article
- Ten years of China's new healthcare reform: a longitudinal study on changes in health resources.BMC public health · 2021Article
- An examination of Thailand's health care system and strategies during the management of the COVID-19 pandemic.Journal of global health · 2021Review
- Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage.International journal of environmental research and public health · 2021Article
- Occupational hazards, health conditions and personal protective equipment used among healthcare workers in hospitals, Thailand.Human and ecological risk assessment : HERA · 2021Article
- Perception of an Introductory Point-of-Care Ultrasound Course for Thai Medical Students on Emergency Medicine Rotation.Open access emergency medicine : OAEM · 2021Article
- Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeographical maldistribution has been a critical concern of health workforce planning in Thailand for years. This study aimed to assess the equity of health workforce distribution in public hospitals affiliated to the Office of Permanent Secretary (OPS) of the Ministry of Public Health (MOPH) through the application of "concentration index" (CI).
methodsA cross sectional quantitative design was employed. The dataset comprised 1) health workforce data from the OPS, MOPH in 2016, 2) regional and provincial-level economic data from the National Economic and Social Development Board in 2015, and 3) population data from the Ministry of Interior in 2015. Descriptive statistics, Spearman's rank correlation, and CI analysis were performed.
resultsThailand had 2.04 health professionals working in public facilities per 1,000 population. Spearman's correlation found positive relationship in all health professionals. Yet, statistical significance was not found in most health professionals but doctors (
conclusionThe positive CIs implied that the distribution of all health professionals, especially doctors, at provincial and regional hospitals slightly favored the richer provinces. In contrast, the distribution at district hospitals was slightly more concentrated in less well-off provinces. From a macro-view, the distribution of all health professionals in Thailand was relatively equitable across provincial economic status. This might be due to the extensive health infrastructure development and rural retention policies over the past four decades.
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