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


avatar Amir Ashkan Nasiripour 1 , avatar Mohammad Reza Maleki 2 , avatar Seyed Jamaledin Tabibi 1 , avatar Elham Ehsani Chimeh 1 , *

Dept. of Health Care Administration, Islamic Azad University, Science and Research Branch, Tehran, Iran
Dept. of Health Care Administration, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran

how to cite: Nasiripour A A, Maleki M R, Tabibi S J, Ehsani Chimeh E. Factors Influence on Geographic Distribution of Physicians in Selected Countries: A Review Article. J Kermanshah Univ Med Sci. 2013;17(9):e74346.


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.





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