Factors Influence on Geographic Distribution of Physicians in Selected Countries: A Review Article

Amir Ashkan Nasiripour; Mohammad Reza Maleki; Seyed Jamaledin Tabibi; Elham Ehsani Chimeh

Journal of Kermanshah University of Medical Sciences

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Factors Influence on Geographic Distribution of Physicians in Selected Countries: A Review Article

Author(s):

Amir Ashkan Nasiripour¹,

Mohammad Reza Maleki²,

Seyed Jamaledin Tabibi¹,

Elham Ehsani Chimeh^1,*

1Dept. of Health Care Administration, Islamic Azad University, Science and Research Branch, Tehran, Iran

2Dept. of Health Care Administration, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 17, issue 9; e74346

Published online:Dec 29, 2013

Article type:Review Article

Received:Jul 31, 2013

Accepted:Oct 15, 2013

How to Cite:Amir Ashkan NasiripourMohammad Reza MalekiSeyed Jamaledin TabibiElham Ehsani ChimehFactors Influence on Geographic Distribution of Physicians in Selected Countries: A Review Article.J Kermanshah Univ Med Sci.17(9):e74346.

Abstract

Background: One of the most important inequalities of providing health services is misdistribution of human resources, especially physicians. Many factors contribute to the distribution of physicians in different regions. The present study was aimed to explore the effective factors in distributing physicians in different countries.

Methods: This study is a systematic review, in which the data were gathered through literature review, online searches in multiple databases and relevant organizations’ websites. Later, the collected data were classified using content analysis method, and consequently, they were illustrated in comparative matrix.

Results: The factors that influence the dispersion of the physicians are divided into 4 main groups. Firstly, Geographic and Demographic factors of the region such as, population, age, gender and climate. Secondly, Health factors of the region and the country such as, the number of hospitals, health centers and health indicators. Thirdly, Economic, Social and Political factors of the region such as, economic growth, culture and believes. And finally, the factors related to physicians' characteristics and motivation such as, age, gender and the compensation system.

Conclusion: There are different reasons why physicians spread in different countries’ geographical regions. Regarding the unequal distribution of physicians in Iran, identifying these influential reasons and also the factors affecting the distribution of physicians, and the impact of each one of these, can lead to a fair and equal distribution of resources of the health sector.

Keywords

General Practitioner

Geographical Dispersion

Physician Distribution

Human Resources of the Health Sector

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