توزیع فضایی شاخص سلامت در استان‌های منطقه زاگرس

محورهای موضوعی : فصلنامه علمی برنامه ریزی منطقه ای

چنور محمدی ¹ , حسین نظم فر ²

1 - دانشجوی دکتری جغرافیا و برنا‌مه‌ریزی شهری، دانشگاه محقق اردبیلی، اردبیل، ایران
2 - استاد گروه جغرافیا و برنامه‌ریزی شهری، دانشگاه محقق اردبیلی ، اردبیل، ایران

تاریخ دریافت : 1398/11/23 تاریخ پذیرش : 1399/04/27 تاریخ انتشار : 1401/05/01

کلید واژه: توزیع فضایی, شاخص سلامت, COPRAS, منطقه زاگرس,

چکیده مقاله :

مقوله سلامت یکی از شاخص های اصلی توسعه یا فتگی جوامع برشمرده می شود؛ زیرا سلامتی مهم ترین عامل توسعه و ضامن بقای هر جامعه است و برخورداری از خدمات بهداشتی درمانی به عنوان یکی از اصول سلامت، با هدف ارتقا و تأمین سلامت افراد، یکی از ارکان مهم پیشرفت هرجا معه ای را تشکیل می دهد. جامعه ی آماری این پژوهش پنج استان منطقه زاگرس(ایلام، کردستان، کرمانشاه، لرستان و همدان) می باشند، هدف پژوهش حاضر بررسی وضعیت توزیع فضایی شاخص سلامت و رتبه بند ی و سطح بند ی استان ها ی منطقه زاگرس می باشد، که داد ه های مورد نیاز از سالنامه آماری 1394 پنج استان مذکور گرفته شده است. در پژوهش حاضر با بهره گیری از روش آنتروپی شانون جهت وزن دهی و مدل COPRAS با استفاده از 42 معیار بخش سلامت به رتبه بندی و سطح بندی استان ها پرداخته شد. نتایج نشان می دهد که ضریب توسعه از (72/42) تا (100) در نوسان است. به طوری که استان همدان با (100 ) امتیاز در رتبه اول و توسعه ، استان لرستان با (47/96) در رتبه دوم و نسبتاً توسعه یافته، استان کرمانشاه با (67/94) امتیاز در رتبه سوم و نسبتاً توسعه یافته ، استان کردستان با (36/86) امتیاز در رتبه چهارم و نسبتاً توسعه یافته و در آخر استان استان ایلام با (72/42) امتیا ز در رتبه پنجم و در حال توسعه از لحا ظ شاخص سلامت می باشند، این نتایج نشان از تفاوت استان های منطقه زاگرس در برخورداری از شاخص سلامت دارد.

چکیده انگلیسی:

Health category is considered as the main index of development because health is the most important factor of development and it guarantees the survival of each community. Health services, as the health principle and by the aim of providing and upgrading individual heaths, form the important development element in each society. The population of this research involves five provinces of Zagros area involving Ilam, Kordestan Kermanshah, Lorestan and Hamedan. The purpose of the present study is to investigate and study the position of spatial distribution of health index and ranking and rating the provinces of Zagros area. Required data is obtained from statistical yearbook of 2016 in five mentioned provinces. In the present research, ranking and rating of provinces are performed by using Shannon entropy method for weighing and COPRA'S model by using 42 criteria of health. The results show that development coefficient is variable from 42.72 to 90. The province of Hamedan with the score of 100 and Lorestan with the score of 96.47 are respectively located in the first and second rank, and they are respectively considered as developed and relatively developed provinces. Kermanshah with the score of 94.67 is located in the third rank, and it is relatively developed, while Kordestan with the score of 86.39 is placed in the fourth rank and it is relatively developed. At last, Ilam province with the score of 42.72 is placed in the fifth rank, and it is considered as developing province in terms of health index. These results indicate province differences in Zagros area in terms of beat health index.

منابع و مأخذ:

1. Sedigheh (2006), Health ranking of the country's provinces. Journal of Social Welfare Research, Amini, Nejat; Yadolahi, Hossein and Inanloo, Volume 5, Number 20, pp. 27-48. (in Persian).


2. Amate-Fortes, I., Guarnido-Rueda, A., & Molina-Morales, A. (2020). World Analysis of the Determinants of the Inequality in Health. Is the Measurement of Inequality Important?. Revija za socijalnu politiku, 27(1), 83-98.


3. Ataei, Mohammad (2010), Multi­Criteria Decision Making, Shahroud, Shahroud University of Technology, First Edition . (in Persian).


4. Ahmadi, Sajjad; Saburikhah, Hamid; Darvishi, Hedayatullah and Jabbari, Habib (2014), Spatial Analysis of Iran's Provinces in Health Indicators, Regional Planning Quarterly, Fourth Year, No. 14, pp. 31-44. (in Persian).


5. Baosh, Masoumeh; Shiani, Maliha; Mosaieh, Meysam (2017), Analysis of socio-economic factors affecting poverty and inequality in the field of health during the years 2011-2015, scientific-research quarterly of social welfare­, Volume 17, Number 67, pp. 71-108. (in Persian).


6. Braveman, P. Tarimo, E. (2002). Social inequalities in health within countries: notonly an issue for affluent nations, Social Science & Medicine, No. 54, pp. 621–635.


7. Chris S. Kochtitzky, MSP .) 2004). Urban Planning and Public Health at CDC.p5.


8. Emam Gholipour Sefid Dashti, ، Sara and Shirani Faradenbeh, Reza (2013), Distribution of facilities and access to health services in Kerman province in 2013, Journal of Health and Development, Year 6, No. 2, pp. 123-132. (in Persian).


9. Faraji­Sabokbar, Hassan­Ali; Vazin, Nargis and Sajasi­Qeydari, Hamdollah (2014), Explanation of Spatial Inequality in Health Level Using Electric Decision Model Case Study: Countries of Khorasan Razavi Province), Journal of Geography and Regional Development, Volume 12, Number 22, pp. 83-105. (in Persian).


10. Faraji­Sabokbar, Hassan­Ali and Vazin, Nargis (2012), Structural Model of the Relationship between Health and Health Services, Scientific-Research Quarterly of Social Welfare, 13th Year, No. 48, pp. 27-44. (in Persian).


11. Goodarzi, Reza (2015), Spatial Analysis of Health Indicators in Delfan City Masters thesis with the guidance of Vahid Mohammadnejad, Faculty of Literature and Humanities, Department of Geography, Urmia University. (in Persian).


12. Heidari­dastnaei, Razieh (2018), An Analysis of the Development of Urban Development in Isfahan Province in terms of Health Indicators with a Sustainable Development Approach, Master's Thesis in Geography and Urban Planning under the guidance of Dr. Mehdi Ebrahimi Bozani , Payame Noor University, Vazvan Center. (in Persian).


13. endryx M, Ahern M, Lovrich N, McCurdy A. (2002): Access to health care and community social capital. Health Serv Res; 37(1): 85.


14. Hangaragi, S, S. (2008), The Dimension of Inter-Taluka Disparities in the Levels of Development of Old Bijapur District of Karnataka State, Indian Journal of Regional Science,40, 38-59.


15. Jafari, Firooz, Shamaei, Ali, Hatami, Afshar (2018), Analysis of Spatial Inequalities Based on Health Indicators Case Study: Cities of Tehran Province), Quarterly Journal of Geography (Regional Planning) Fifth year, No. 1, pp. 17-27. (in Persian).


16. Kawachi, I., Subramanian, S. V., & Almeida-Filho, N. (2002): A glossary for health inequalities. Journal of epidemiology and community health, 56(9), 647-652.


17. Lai, D., Huang, J., Risser, J. M., & Kapadia, A. S. (2008): Statistical properties of generalized Gini coefficient with application to health inequality measurement. Social Indicators Research, 87(2), 249-258.


18. Less,N, (2010) ,Inequality as an Obstacle to World Political Community and Global Social Justice, Oxford University, Paper to be Presented at the SGIR 7th Annual Conference on International Relations, Sweden, September 9-11^th.


19. Mulliner, E., K. Smallbone & M. Vida, )2013( "An Assessment of Sustainable HousingAffordability Using Multiple Criteria Decision Making Method", Omega theInternational Journal of Management Science,Vol. 41, Issue 2, Pp. 270- 279.


20. Mohammadi Dehcheshmeh, Mostafa and Shanbehpour Madavan, Fereshteh (2016), Comparative Analysis of Health Indicators in Khuzestan Province, Geography and Environmental Planning, , Volume 27, Number 4, (Series 64), pp. 57-76. (in Persian).


21. Nastaran, Mihan and Mirzaei, Enayatollah (2014), Quantitative Analysis of Factors Affecting Health in Achieving the Goals of Urban Planning and Case Study Areas: Cities of Isfahan Province, Quarterly Journal of Environmental Management, No. 30, pp. 39-61. (in Persian).


22. Pirkhzranian, Seyed Havri (2015), Spatial Analysis and Leveling of Health-Medical Indicators in Kurdistan Province Using GIS, Master's Thesis in Geography - Medical Geography under the guidance of Dr. Rashid Saeedabadi and Dr. Mehran Yar­Ahmadi, Faculty of Literature and Humanities, Urmia University. (in Persian).


23. Paul, S, (2012), Analysis of Micro Level Disparities in Urban Facility-utility Services: a Study on Barasal city, West Bengal, India, Journal of Urban and Regional Analysis, vol IV 2.


24. Rezaei, Mohammad Reza; Parizadi, Taher and Sheikhi, Hojjat (2014), Analysis of Spatial Distribution Characteristics in Zagros Region, Geography and Environmental Planning, Volume 20, Consecutive 55, No. 3, pp. 157-170. (in Persian).


25. Rezaei Mohammadreza and Akbari, Mahmoud (2018), Investigating the inequality of health indicators in the cities of Fars province, Regional Planning Quarterly, Volume 8, Number 31, pp. 19-32. (in Persian).


26. Sepehrdoost, Hamid (2011), Factors Affecting Development from the Perspective of Health Indicators, Health Management, Volume 8, Number 2, pp. 8-1. (in Persian).


27. Statistical Yearbook of the Year (2015), Management and Planning Organization of Ilam Province. (in Persian).


28. Statistical Yearbook of the Year (2015), Management and Planning Organization of Kermanshah Province. (in Persian).


29. Statistical Yearbook of the Year (2015), Management and Planning Organization of Kurdistan Province. (in Persian).


30. Statistical Yearbook of the Year (2015), Management and Planning Organization of Lorestan Province.


31. Statistical Yearbook of the Year (2015), Management and Planning Organization of Hamadan Province. (in Persian).


32. Statistics Center of Iran, (2015), General Census of Population and Housing (www.amar.org.ir(.(in Persian).


33. Sheikhi, Hojjat and Shahyvandi, Ahmad (2012), An Analysis of Regional Development and Leveling of Urban System in Zagros Region, Specialized Journal of Spatial Planning, No. 2, (Consecutive 6), pp. 21-40. (in Persian).


34. Smith, H. K. ; Harper, P. R. ; Potts, C. N. and Thyle, A. (2009). Planning sustainable community health schemes in rural areas ofdeveloping countries, European Journal of Operational Research, No. 193, pp. 768–777.


35. Sun, S. Jiaying, Ch. Magnus, J. Paul, K. Ling, X. Yaoguang, ZH. Kristina, B. (2011). Regional differences in health status in China: Population health-related quality of life results from the National Health Services Survey 2008. Health & Place. 17 (2): 671.


36. Salvati, L., Venanzoni, G., & Carlucci, M. (2016). Towards (spatially) unbalanced development? A joint assessment of regional disparities in socioeconomic and territorial variables in Italy. Land Use Policy, 51, 229-235


37. Taghvaei, Massoud and Shahyvandi, Ahmad (2010), Distribution of Health Services in Iranian Cities, Social Welfare Quarterly, Year 10, No. 39, Tehran, pp. 33-54. (in Persian).


38. Tavakolinya, Jamileh; Kanoni, Reza; Khavarian Garmsir, Amir Reza and Pasban Issalou, Vahid (2015), Analysis of Regional Development Inequalities in Ardabil Health and Medical Section, Regional Planning Quarterly, Fifth Year, No. 18, pp. 1- 14. (in Persian).


39. World Health Organization (1985), Management Process for Health, translated by Mohammad Assar, Tehran, Translator Publishing. (in Persian).


40. XU،، Liu، m.، An، S.، Chen، J.، and Yan، P.)2013(. Assessing the impact urbanization on regional net primary productivity in Jiangyin County، Chin، Journal of Environmental Management، 85: 3


41. zangiabadi, Ali; Amir, Azdi Touba and Parizadi, Taher (2012), Spatial Analysis of Development Indicators of Health Services in Kurdistan Province, Geography (Scientific-Research Quarterly of the Geographical Society of Iran) New Volume, Year 10, No. 32, pp. 199-215. (in Persian).


42. Zangiabadi, Ali; Bahari, Issa and Ghaderi, Reza (2013), Spatial Analysis and Leveling of Health-Medical Indicators Using GIS (Case Study: Cities of East Azarbaijan Province)­, Journal of Geographical Research, Year 28, Issue 1, pp. 75-106. (in Persian).