Abstract
Background and Purpose: In the contemporary world, regional disparities are widespread and expanding phenomena and are the focus of spatial planning. One of the issues emphasized in this planning is the balanced distribution of healthcare services at all spatial levels. The issue of equality in the proper distribution of these services and its impact on the quantity and quality of people's health has challenged the policy makers, and it is necessary to adopt specific policies to increase the amount of health and how to distribute health services. As a center with facilities, Tehran province attracts a large population every year; in the meantime, Tehran County does not attract the migrant population, but they are mostly drawn to the peripheral counties. This means that some marginal cities do not meet the needs of the health services of the population. Considering this importance, the purpose of the present research is to investigate the differences between the Counties of Tehran province in this regard and the reasons for it.
Methodology: The current research is descriptive and analytical, based on its practical purpose and method. In this research, the required information and data have been extracted from the library method and document study. In this way, first, using library information (books, articles, documents, etc.), the section related to the introduction, theoretical foundations, and background of the research was written, and in this regard, the information related to the indicators, through the relevant statistical yearbook, was collected. This information was first normalized and weighted using the Shannon entropy technique. In the next stage, using Mabak's decision-making technique, the Counties of Tehran province were ranked in terms of health services, and in the last stage, according to the situation of each county, the cause and reason of these inequalities were discussed.
Findings and Discussion: Among the Counties of Tehran province in terms of the distribution of health and medical services, there are many differences such that Tehran County with -123.54 is in the first place, Shemiranat is in the second place with -123.72, Firouz Koh is in the third place. With -125.26, they are ranked third and at the advanced level. Varamin County with -126/87 in fourth place, Damavand with 126/99 in fifth place, Ray with -127/05 in sixth place, Pakdasht with -127.39 in seventh place, Shahryar with -127.55 in eighth place. Pardis with -127.56 in the ninth place and Pishva with 127.81 in the tenth place, and at the semi-developed level, and finally the Counties of Rabat Karim, Baharestan, Qarchak, Islamshahr, Mallard, and Quds. The values of -127.83, -127.93, -128, -128.2, -128.18, and -128.22 were ranked 11 to 16 and in the undeveloped level. Due to being the center and the capital County of Tehran, it has all the facilities including health and treatment (sufficient specialist doctors, well-equipped hospitals with enough beds).
Conclusion: The reason for Tehran County availability of health and medical services is its convenient political location, being the capital, the center, and the serious attention of the authorities to this category, which has made it possible to provide health and medical services in this city in proportion to the population and even more than that and, its population and even from the surrounding (center and south of the country) come to this Countie to benefit from the appropriate services. On the other hand, Counties such as Shemiranat, Firouz Koh, Damavand, Varamin and Ray, despite their not so sensitive location, due to their large population, have been able to provide the necessary medical services according to the population, and from facilities such as multi-bed hospitals, emergency rooms, etc. suitable doctors, sufficient and expert doctors, etc. to benefit. On the other hand, cities such as Islamshahr, Mallard and Pishwa lack hospitals and necessary facilities such as specialist doctors, MRI, CT scan, etc. In such a way that the population goes to the surrounding Counties, such as Tehran, to meet their medical needs. The results of the research can help national officials and planners in the matter of balanced distribution of these services in favor of deprived cities.
Main Subjects
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