Inequalities in the distribution of inpatient health care beds in Poland from 2010 to 2017
AbstractInfrastructure resources are the major input of health systems therefore the equitable distribution of beds at inpatients health care providers remain critical in making progress towards the goal of universal health coverage. The aim of this study is to evaluate the distribution of infrastructure resources in inpatient health care across regions of Poland between 2010 and 2017 and estimate the level of equity.This research by applying to Polish conditions will allow to fill in the gap in existing literature. Data was derived from the Knowledge Database Health and Health Care of Statistic Poland and Polish Statistical Yearbook. In purpose to examine the distribution of beds of inpatient health care providers against population size and geographic size in Poland, the Gini coefficient calculated based on the Lorenz Curve was engaged. This study has several major findings. The amount of most types of beds - apart from psychiatric hospitals beds - when expressed as number of them per 10,000 population or 1 square km increased in 2017 compared to 2010. Moreover, for most types inpatient health care beds, the level of access slightly changed during analyzed period however in case of nursing homes, hospices and psychiatric hospitals, the decrease of equity to access to them was found when considering distribution against population size. The Gini coefficients against geographic distribution showed inequity in the access to beds in nursing homes, however slight improvement towards lower inequity in the analyzed period was also noticed. It was also recognize that the decrease in equity took place in case of hospices and psychiatric. So, the geographical distribution of all types of inpatient health care beds is less equitable then in case of population distribution. The most troublesome is relatively lower equity in case of nursing homes in both population and geographical distribution. Thus this research provides some implications for policy and practice.
|Journal series||International Journal of Business and Management Invention, ISSN 2319–801X, e-ISSN 2319-8028, (0 pkt)|
|Publication size in sheets||0.5|
|Keywords in Polish||opieka zdrowotna; opieka stacjonarna, nierówności, wskażnik Gini, Polska|
|Keywords in English||health care; inpatient care; inequality; Gini coefficient; Poland|
|Score||= 5.0, 08-04-2020, ArticleFromJournal|
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