A major objective of health policy in many countries is to avoid inequality in the distribution of health care resources. Our goal is to provide initial insight into the inequality in the regional distribution of different health care resources per capita and the variation of the inequality over time in Austria to provide starting points for policy recommendations and international comparisons. We also aim to examine whether the type of inequality measure and need-adjustment has an impact on the results. The findings reveal that inequality in the distribution of GPs with contracts with social health insurance is comparably small, but we observe an increase in inequality from 2002 to 2014. In general, there is a clear trend toward private physicians, of whom private specialists preferably open their practices in densely populated areas. Despite considerable reductions in public hospital beds between 2002 and 2014, the distribution across regions remains almost constant. The use of different inequality measures and need-adjustment provides additional insights so that custom-made policies to reduce inequalities can be developed.

译文

许多国家卫生政策的一个主要目标是避免卫生保健资源分配的不平等。我们的目标是初步了解奥地利人均不同医疗保健资源的区域分布不平等以及不平等随时间的变化,从而为政策建议和国际比较提供起点。我们还旨在检查不平等措施和需求调整的类型是否会对结果产生影响。研究结果表明,具有社会健康保险合同的全科医生分布的不平等程度相对较小,但我们观察到2014年2002年的不平等程度有所增加。总的来说,私人医生有明显的趋势,其中私人专家最好在人口稠密的地区开设诊所。尽管公立医院床位2002年和2014大幅减少,但各地区的分布几乎保持不变。使用不同的不平等措施和需求调整提供了更多的见解,以便可以制定定制的政策来减少不平等。

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