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A Survey On Frequency Of Defensive Medicine Among General Practitioners Of Kerman City
Mohammadreza Amiresmaili , Mahmood Nekoueimoghadam , Mahmood Moosazadeh , Fatemeh Esmaili , Mahboobeh Mirtajeddini ,
Volume 7, Issue 5 (1-2014)
Abstract

 Background and Aim: Defensive medicine is a potential social problem which can bring about consequences for public health regarding the quality of personal care and wastage of limited health resources. In this study, the frequency of positive and negative defensive medicine behaviors was examined among general practitioners of Kerman city.

 Materials and Methods: This cross-sectional study was conducted among general practitioners in the city of Kerman. As data collection instrument, a questionnaire was given to a sample of 100 subjects. The obtained data were entered into SPSS 20 and analyzed using such descriptive statistics as frequency percentage and mean, and applying analytical tests such as chi-square and t-test.

 Results: In this research, 100 general practitioners were studied. The frequency of positive and negative defensive medicine behavior was 99% and 47%, respectively. Besides, the positive defensive medicine behavior in men was more than that in women (100% vs. 97.2%) on the contrary, the negative defensive medicine behavior in women was more than that in men (52.8% vs. 43.8%). Explaining in more detail about taking medicines properly and on time and avoiding the prescription of risky behaviors which might be useful to patients had the highest frequency among positive and negative defensive medicine behaviors, respectively.

 Conclusion : The present study showed that the frequency of defensive medicine was high in the studied population and that the application of factors related to this phenomenon by the participants of the present study was prevalent.


The Study of Justice in The Distribution of General and Specialized Physicians in Khuzestan Province: 2018
Ahmad Tahmasebi Ghorrabi, Amin Torabipour, Mansour Zahiri,
Volume 14, Issue 2 (5-2020)
Abstract
Background and Aim: Equitable distribution of health sector resources has always been one of the major challenges of this sector. Due to health care needs, equitable distribution of physicians is a determining factor in health system policies. The purpose of this study was to investigate the distribution of justice among the general practitioners and specialists in Khuzestan province.
Materials and Methods: This was a descriptive and cross-sectional study. Population data were collected through the Statistical Center of Iran and the number of physicians, through the Departments of Health, Human Resources Development and Human Resources, the Medical System Organization, and the Provincial Management and Planning Organization. Then using equity indices (population per 1000 population), Gini coefficient and Lorenz curve, equity in physician distribution was investigated. Gini coefficient and Lorenz curve were extracted using Excel software.
Results: Hendijan(0.5) and Hafttekel(0.49) had the highest proportion of general practitioner to population and Khormshahr(0.12) and Mahshahr(0.11) respectively. The highest ratio of specialist physician to population was in Karun city(0.75) and the lowest in Bavi(0.04), Hamidieh(0.05) and Lali (0.07). Gini coefficient of distribution of general practitioner and specialist in the province were 0.19 and 0.33, respectively. The gap between the distribution curves of general practitioners and specialists and the equality line in the Lorenz curve confirm these coefficients.
Conclusion: proportion of general practitioners and specialists to population is low throughout the province, the distribution of general practitioners and specialists was relatively Equitable.Provincial health policy makers and managers should pay particular attention to increasing the proportion of general Physicians and specialist.
 

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