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Measuring health inequalities in Albania: A focus on the distribution of general practitioners
Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece, State Mental Health Hospital of Chania, Chania, Crete, Greece, Department of General Practice and Primary Health Care, Faculty of Health Sciences, University of Linköping, Linköping, Sweden, Research Unit, Cretan Mental Health Services Coordination Centre, Chania, Crete, Greece.
Department of General Practice and Primary Health Care, Faculty of Health Sciences, University of Linköping, Linköping, Sweden, Research Unit, Cretan Mental Health Services Coordination Centre, Chania, Crete, Greece.
Department of Family Medicine, Faculty of Medicine, University of Tirana, Tirana, Albania.
Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.
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2006 (English)In: Human Resources for Health, ISSN 1478-4491, E-ISSN 1478-4491, Vol. 4Article in journal (Refereed) Published
Abstract [en]

Background: The health workforce has a dynamically changing nature and the regular documentation of the distribution of health professionals is a persistent policy concern. The aim of the present study was to examine available human medical resources in primary care and identify possible inequalities regarding the distribution of general practitioners in Albania between 2000 and 2004. Methods: With census data, we investigated the degree of inequality by calculating relative inequality indices. We plotted the Lorenz curves and calculated the Gini, Atkinson and Robin Hood indices and decile ratios, both before and after adjusting for mortality and consultation rates. Results: The Gini index for the distribution of general practitioners in 2000 was 0.154. After adjusting for mortality it was 0.126, while after adjusting for consultation rates it was 0.288. The Robin Hood index for 2000 was 11.2%, which corresponds to 173 general practitioners who should be relocated in order to achieve equality. The corresponding figure after adjusting for mortality was 9.2% (142 general practitioners), while after adjusting for consultation rates the number was 20.6% (315). These figures changed to 6.3% (100), 6.3% (115) and 19.8% (315) in 2004. Conclusion: There was a declining trend in the inequality of distribution of general practitioners in Albania between 2000 and 2004. The trend in inequality was apparent irrespective of the relative inequality indicator used. The level of inequality varied depending on the adjustment method used. Reallocation strategies for general practitioners in Albania could be the key in alleviating the inequalities in primary care workforce distribution. © 2006 Theodorakis et al, licensee BioMed Central Ltd.

Place, publisher, year, edition, pages
2006. Vol. 4
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-50300DOI: 10.1186/1478-4491-4-5OAI: oai:DiVA.org:liu-50300DiVA: diva2:271196
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12

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