Preprint Article Version 1 This version is not peer-reviewed

Improvement of Equality in the Distribution of Human Resources in Polish Healthcare

Version 1 : Received: 4 February 2019 / Approved: 5 February 2019 / Online: 5 February 2019 (11:33:20 CET)

How to cite: Rój, J. Improvement of Equality in the Distribution of Human Resources in Polish Healthcare. Preprints 2019, 2019020052 (doi: 10.20944/preprints201902.0052.v1). Rój, J. Improvement of Equality in the Distribution of Human Resources in Polish Healthcare. Preprints 2019, 2019020052 (doi: 10.20944/preprints201902.0052.v1).

Abstract

Human resources are the major input of health systems therefore the equitable distribution of human resources in health care remain critical in making progress towards the goal of universal health coverage and thus to sustainable development. The purpose of this study is to evaluate the health care human resources distribution 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 health resources 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 human resources – as apart from internist, obstetrics and gynecology, occupational medicine - when expressed as number of them per 10,000 population or 1 square km increased in 2017 compared to 2010. Moreover, for most types of health care human resources the level of access slightly changed during analysied period as Gini coefficients decreased. However, the geographical distribution of all types of human resources is less equitable then in case of population distribution. The most troublesome is relatively lower equity in case of oncologist, family medicine and occupational medicine and cardiologist in both population and geographical distribution. Thus this research provides some implications for policy and practice. As the main reason to establish National Health Fund (which meant the centralization of the system) in Poland was to to eliminate regional differences in access to health care, thus this research confirms that still some more corrective actions, in this field, should be undertaken.

Subject Areas

health care, human resources, inequality, Gini coefficient.

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