The Application of Multi - Criteria Decision - Making Models in the Assessment of the Development Spatial Inequalities in the Field of Health Care (Case Study: Ardabil Province)

Subject Areas : Urban and Regional Planning Studies

behnam bagheri ¹ , Mohammadtaqi Masoumi ² , Hossein Nazmfar ³ , Raosul Samadzadeh ⁴

1 - geography department, Islamic azad university Ardabil Branch
2 - gepgraphy department, islamic azad university, ardabil branch
3 - University of Mohaghegh Ardabili
4 - Islamic Azad university Ardabil Branch

Received: 2019-01-15 Accepted : 2020-09-13 Published : 2021-01-20

Keywords: Multi-Criteria Decision Making, development, Ardabil, spatial inequality, Healthcare Index,

Abstract :

Proportionate distribution of facilities, equipment, and Proficient human forces who are directly involved in the health of society is of great importance. The present descriptive-analytical study aimed to rank the Counties of Ardabil province with respect to the health care development indicators. Access to health carefacilities and their distribution across the Countieswere determined by employing 26 health indicators, applying TOPSIS and VIKORdecision making models,and unifying the results by Borda and Copeland techniques, mean-rank, and integration. The findings revealed the gap and inequality among the Counties of the province and a marked difference in access tohealth care facilities and infrastructures. The results of the integration method revealed that among the Counties of the province, just the county of Ardabil, the center of the province, had very favorable conditions. The Counties of Khalkhal and Meshginshahr had favorable conditions. The most deprived county in terms of access to health care facilities was Sarein and the other Counties were classified as deprived or somewhat deprived areas. The findings indicate that it is possible to change the spatial inequalities of development towards balanced growth by decentralization of facilities from the center of the province and proper distribution of facilities and equipment with a justice-oriented approach and also the distribution of health care equipment in proportion to the population of Counties.

References:

Ahadnejad Roshani, M,Zolfi. GolamHussein,R.(2012). The assessment of Mazandaran Province County in terms of access to health care infrastructure using Topsis Model Morris.Quarterly Geography and Planning Zagros Landscope. 3(8), P 53-68,(in Persian)

Bahrami,R.(2016). An Analysis on the Extent of Health Sector Developmention the cities of Kurdistan Province using Linear Topsis Method.Scienific – Research Quarterly of Geographical Data(sepehr).  24(96), p 39-4, (in Persian)

Baeten, Steef. Van  ourti,  Tom. Van Doorslaer, Eddy. (2013).Rising  inequalities in  income  and  health  in China:  Who  is  left behind?.Journal  of  Health  Economics.32.Pp. 1214-1229

Cheng, R. W Chin, T. L. and Huang, C. C. (2007), Optimal selection of location for Taiwanese hospitals to ensure acompetitive advantage by using the analytic hierarchy process and sensitivity analysis, Building and Environment, Vol42.

Fanga,  P. Donga, P. Xiaoc, J. Liud, C. Fengc, X.& Wang, Y. (2010). Regional inegquality  in health  and  its  determinants: Evidence from china, Health Policy.94,PP.14-25

Gulliford, M. and Myfanuy, M. Access to health care, New Fetter Lan, London,2003.

Hekmatnia H & Mousavi M (2016),Model Application in Geography with Emphasis on Urban and Regional Planning, Fourth Edition, Tehran: Azad peyma,(in Persian)Jafari, M. Seyfi, H. Jafari, A. (2012). Measuring the Health & Treatment Sector Development Level in Zanjan Province Town Ships by: NumericalTaxonomy Method.Journal of Health Care Management.  4(1&2), p 61-69,(in Persian)

Kazemi, A. Rezapoor, A. Bagheri Faradonbeh, S. Nakhaei,M. Ghazanfari,S. (2015).Study the Development Level of Provinces in Iran: A Focus on Health Indicators.Journal of Health Administration. 18(4), p 29-42,(in Persian)

Makdissia, P.& Yazbeck, M. (2014). Measuring socioeconomic health inequalities in Presence of multiplecategorical information.Journal of Health Economics, 34, 84-95.

Management And Planning Organization Province Ardabil (2016),Statistical Year Book Province Ardabil, Deputy of Statistics and Information.

Masoumi, M.T. Esnaashari,M.(2012). Analysis of Trend in Regional Inequality and Development  levels Using Planning Techniques and Identification of Ardabil Provinces Towships Development levels.Quarterlyof Human Geography,4(3), P 87-108,(in Persian)

Mavedat, E. Maleki, S. (2014). Classification and spatial Measurement of Social-Physical damages of the Cities Against Earthquakes by using VIKOR Technique and GIS, Case study: Yazd city.Geography Territorial Spatial Arrangment. 4( 11), p 85-103,,(in Persian)

Mohammadi, J. Ahmadian, M. Alizadeh, J. Jamini, M.(2013). Spatial Analysis of Health and Sanitary Indicators of Western Azarbaijan.Quarterly Social Welfare, 12( 47), p 153-180,(in Persian)

Nastaran, M. Abolhasani, F. Izadi, M. (2010). Application of Topsis method in Analysis and Prioritizing Sustainable Development of urban zones (Case Study:urban zones of Isfahan).Journal geography and Environmental Planning. 21( 2),P 83-100,(in Persian)

Nazmfar, H. Alibakhshi, A. (2014). Measuring The rate of enjoyment of health care in the counties of Khuzestan province using the integration technique. Journal of Geography and Envirmental studies. 3(9), P7-108, (in Persian)

Smith, H. K, Harper, P. R, Potts, C. N, & Thyle, A. (2009). Planning sustainable community health schemes in rural areas of developing countries. European Journal of Operational Research, 193(3), 768-777.

Soares, Jo.Marques, MML.Monteiro, CMF.(2003).A multivariate methodology to uncover regional disparities: a contribution to improve European Union and governmental decision. European Journal of Operational Research. 145(1), p 121-35.

Statistical Center of Iran (2016), Population and Housing Census Province Ardabil 2016, Tehran, Statistical Center of Iran

Taghvaei, M. Bahari, I.(2013). Assessing Development Degree and Ranking Town ships of Mazandaran Province by using Factor Analysis and Cluster Analysis. Journal Geoghraphy and Enviromental Planning.  23( 4), p 15-38,(in Persian)

Tavakolynia, J. Kanoni, R. Khavarian Garmsir, A.R. Pasban Issalo, V.(2015). Analysis of Regional Development Inegualities in Health-Thevapy Sector(Case Study:Ardabil Province),Quarterly Regional Planning.5(18),P 1-14,(in Persian)

Varesi, H. Bagheri, K. Zandi, K. Nadipoor, N.(2016). Evaluating and Ranking of Fars Provinces in Terms of Access to Health Sector indicators using Regional Planning Technigues.Journal Geography and Enviromental Planning.  4(16), p105-117,(in Persian)

Zali, N. Frough, A. (2016).Presentation of Tourism Regional Development Scenarios Based on the Principles of Futures Studies (Case: Hamedan Province). Journal Town and Country Planning. 8( 1), P 107- 131,(in Persian)

Zarabi, A. Shihkbeyglo, R. (2011). Classification of Provinces of Iran by Health indicatorQuarterly Social Welfare. 11(42), p107-128,(in Persian)