سنجش نابرابری فضایی سطح سلامت در استان قزوین با استفاده از تکنیک الکتره فازی

نوع مقاله : علمی-پژوهشی

نویسنده

کارشناسی ارشد جغرافیا و برنامه ریزی شهری- دانشگاه پیام نور

چکیده

یکی از عوامل تأثیر گذار در توسعه هر کشوری، بهینه بودن ارائه خدمات بهداشت و درمان است. این خدمات زمانی مطلوب‌تر خواهند بود که به طور عادلانه در مناطق مختلف توزیع شوند و رضایت جامعه را فراهم کنند. هدف پژوهش حاضر، تحلیل نابرابری سلامت منطقه‌ای در استان قزوین است؛ بدین منظور با رویکردی کاربردی و ماهیتی توصیفی و تحلیلی انجام یافته است. جمع آوری داده با شیوه کتابخانه‌ای و اسنادی صورت گرفته است که مشتمل بر مطالعه ادبیات جهانی سلامت، پژوهش‌های انجام شده پیشین و استناد به سالنامه آماری استان قزوین در سال 1392 است. تجزیه و تحلیل داده‌ها با بهره گیری از مدل الکتره فازی، مدل جمع وزنی، ضریب همبستگی پیرسون، ضریب پراکندگی و آزمون تی صورت گرفته است که بدین منظور از نرم افزارهای Excel و SPSS برای اطمینان از صحت و دقت در محاسبه­ها بهره گیری شد. محاسبات روش الکتره فازی نشان دهنده برتری غالب شهرستان قزوین با 5 امتیاز بر سایر شهرستان‌های استان است و در جایگاه‌های بعدی به ترتیب شهرستان‌های بوئین زهرا با 4 امتیاز، تاکستان با 3 امتیاز، آبیک با 2 امتیاز، البرز با 1 امتیاز و آوج با صفر امتیاز، رتبه‌های دوم تا ششم را کسب کردند. محاسبات آزمون تی، ضریب همبستگی پیرسون، ضریب پراکندگی نیز نشان دهنده نابرابری توزیعی چه در بین شهرستان‌ها و چه در درون آن‌ها (شهرها و روستاها) است؛ وجود نابرابری در استان قزوین، از توزیع ناعادلانه خدمات سلامت و فاصله از دو اصل در دسترس بودن و فراهم بودن بین شهرستان‌ها و درون آنها حکایت دارد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Measuring Spatial Inequalities of Health Level in Qazvin Province Using Fuzzy Electre Technique

نویسنده [English]

  • Sahar Hassanpour
MA, Geography and Urban Planning, Payame Noor University
چکیده [English]

One of the factors influencing the development of a country is health services and treatment optimized. These services will be more favorable when they are more evenly distributed in different regions of the country and hence provide community satisfaction. The purpose of this study was the analysis of health inequality in Qazvin province. For this purpose, this study with a practical approach and a descriptive-analytic nature was carried out. The data collection was done through library study including the study of previous documents and the world health literature according to the Statistical Yearbook of Qazvin province in 2013. The data were then analyzed through fuzzy Electre and weighted sum models, Pearson correlation coefficient, Coefficient of Variation, and t-test. In order to do this, Excel and SPSS softwares were used to ensure accuracy in calculations. The calculations of fuzzy Electre method represented the superiority of Qazvin city with 5 scores over the other cities. Bouin Zahra with 4 scores, Takestan with 3 scores, Abyek with 2 scores, Alborz with 1 score, and Avaj with 0 score ranked second to sixth respectively. The Calculations of t-test, Pearson correlation coefficient, and Coefficient of Variation also represented inequality between the cities and within them (cities and villages). Inequality in Qazvin province indicated the unjust distribution of health services as well as the distance from the two principles of provision and availability - between and within the cities.

کلیدواژه‌ها [English]

  • Inequalities
  • ranking
  • Health Level
  • Fuzzy Electre Qazvin Province
  1. Castelli, A. Jacobs, R. Goddard, M. & Smith, P., (2013), Health, policy and geography: Insights from a multi-level modelling Approach, Journal of Social Science & Medicine, 22 (92), 61-73.
    1. Choay, F., (2013), Urban fantasy facts. Mohsen Habibi, Tehran: Tehran University Press.
    2. Document the health sector in national development programs, the Fourth Economic, Social and Cultural Rights in Iran., (2005), The Ministry of Health and Medical Education.
    3. El Jardali, F. Bou-Karroum, L., Ataya, N.,   El-Ghali, H., Hammoud, R., (2014), A retrospective health policy analysis of the development and implementation of the voluntary health insurance system in Lebanon: Learning from failure, Journal of Social Science & Medicine, 10 (123), 45-54.
    4. Evandrou, M. Falkingham, J. Feng, Z. & Vlachantoni, A. (2014), Individual and province inequalities in health among older people in China: Evidence and policy implications, Journal of Health & Place, 6 (30), 134–144.
    5. G. Boone, C.H. ,  Modarres,  A., (2014), City and Environment. Manoochehr Tabibian, Tehran: Tehran University Press.
    6. Gidey, G. Taju, S., Hagos, A., (2005), Introduction to Public Health, Mekelle University Press.
    7. Grad, F. (2002), The Preamble of the Constitution of the World Health, Journal of Bulletin of the World Health Organization, 80 (12), 981- 984.
    8. Hamoo Zadeh, P,. Moradi, N., Sadeghi Far, Gamil. & Tofighi, Sh., (2011), The city of West Azarbaijan province benefit from structural indicators of health, Journal of Medical Sciences, 1 (2), 42-49.
    9. Hataminezhad, H. Farhoodi, r. & Mohammad Jabri, D., (2008), Analysis of social inequality in the enjoyment of civil service applications, Case Study of Esfarayen, Journal of Human Geography, 41 (65), 85-71.
    10. Health and Sustainable Development., (2002), World Health Organization (WHO).
    11. Heidari Chapane, R., Alizadezanvari, S.H., Ghalikimilan, B. Imanitabar, H., (2015), Analysis of the socio-economic inequalities based on VIKOR and Saw in East Azerbaijan province, case study: Health Care, Journal of Research and urban planning, 6 (21), 19-34.
    12. Helmstetter, C., Brower, S., Egbert, A., (2010), The unequal distribution of health in the twin cities. Wilder Research Press.
    13. Honore, P., Scott, W., (2010), Priority areas for improvement of quality in public health, Washington DC: Department of Health and Human Services Press.
    14. Kazemi Mohammadi, M., (2000), Evaluation of sustainable development on urban development, case study: Qom sity. The thesis submitted for the degree of doctor of philosophy in urban Geography,Tarbiat modarres University.
    15. Kontodimopoulos, N., Nanos, P., Niakas, D., (2006), Balancing efficiency of health services and equity of access in remote areas in Greece, Journal of Faculty of Social Sciences, 76 (1), 49-57.
    16. Krizek, K., Power, J., (2013),A planners guide to sustainable development, Mostafa Behzadfar And Kiumars Habibi, Tehran: Mehre eeman Press.
    17. Lotfi, S., Manouchehri miyandoaab, A., ahar, h., (2013), The city and social justice: An Analysis of neighborhood inequality (the case of Maragheh neighborhoods), Journal of Geographical Studies Quarterly, 28 (2), 69-92.
    18. National health indicators, (2009), Center for Information Technology and Management, Ministry of Health and Medical Education Press.
    19. Martin, K. Mullan, Z. & Horton, R., (2015), The neglected foundation of global health, Journal of The Lancet Global Health, 3 (15), 1-2.
    20. Mousavi, A. et al., (2013), Classification of Kermanshah province in the utilization of structural parameters of health Model Scalogram, Journal of Health Promotion Management, 2 (2), 7-15.
    21. Pour Taheri, M., (2013), The use of multi-criteria decision-making methods in geography, Tehran: SAMT Press.
    22. Pour Mohammadi, Mohammad, (2012), Urban land Use planning,Tehran: SAMT Press.
    23. Randall, R., (2011), The urban Institute Health Policy Center,  Independent Research For Better Policy And Health Press.
    24. Sabokbar, H. Vazin, N., Sobhasy gheidari, H., (2014), Explaining Spatial Inequalities in Health Care Using Decision Electre Model(Case study: Townships of Khorasan Razavi Province), Journal of Geography and Regional Development, 12 (22), 83-103.
    25. Saraee, M., Camaee Zadeh, Y., (2011), the degree of development of the city of Yazd in terms of access to health centers by using Morris, Journal of Preparation Environment, 6 (22), 63-80.
    26. Senvar, O. Tuzkaya, G., Kahraman, C., (2014), Multi Criteria Supplier Selection Using Fuzzy PROMETHEE Method, Journal of Department of Industrial Engineering, Marmara University, 3 (12), 21-34.
    27. Shie, I., (2010). An introduction to the basics of urban planning, Tehran: University of Science and Industry Press.
    28. Statistical Yearbook of Qazvin province., (2014). Department of Planning and Development, Governor of Qazvin.
    29. Taghadosi, A., Piri, S., Bahari, E., (2012), spatial analysis and ranking of indicators of health services using factor analysis and clustering techniques (Case study: The city of Gilan province), Journal of Preparation Environment, 4 (18), 145 -176.
    30. Tahari mehrjardi, M., Babai meybodi, H., Morovati sharifabadi, A., (2012), Rating provinces of the Islamic Republic of Iran in terms of access to health indices. Journal of Health Information Management, 3 (9), 356- 369.
    31. The Role of Health in Economic Development., (2011), Research Analyst, DSAED Press.
    32. Vertakova, J., Vlasova, O., (2014), Problems and Trends of Russian Health Care Development, Journal of Procedia Economics and Finance, 4 (16), 34 – 39.
    33. www.cqgrd.gatech.edu.
    34. www.mehrnews.com.
    35. www.pha.org.nz.
    36. www.qums.ac.ir.
    37. www.snn.ir.
    38. www.SpatialAcademy.com.
    39. www.tasnimnews.com.
    40. Ziyari, Y., khodadadi, R., (2013), User location of treatment (clinic) using AHP method in GIS (Case study: Semnan), Journal of Preparation Environment, 6 (20), 177- 190.