Clustering and ranking Iranian provinces based on some health indicators - Payesh (Health Monitor)
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Volume 23, Issue 1 (January- February 2024)                   Payesh 2024, 23(1): 7-17 | Back to browse issues page


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Ashtarinezhad E, Ahmadi K, Mojiri A. Clustering and ranking Iranian provinces based on some health indicators. Payesh 2024; 23 (1) :7-17
URL: http://payeshjournal.ir/article-1-2178-en.html
1- Chief Executive of ME Statistical Software Design Institute, Mashhad, Razavi Khorasan, Iran
2- Department of Computer Science, Faculty of Mathematical Sciences, Shahrekord University, Chaharmahal and Bakhtiari, Iran
3- Department of Statistics, Faculty of Science, University of Zabol, Sistan and Baluchestan, Iran
Abstract:   (825 Views)
Objective(s): The use of statistical methods to reach the clustering and ranking of health in the society can give a proper view of the state of health in Iranian provinces. The aim of the current research was to cluster and rank Iranian provinces based on some health indicators.
Methods: This was a descriptive study. Clustering and ranking Iranian provinces were carried out according to several items such as the number of employees working in faculties of medical sciences, doctors, paramedics, hospitals, active beds, primary health care providers, laboratories, rehabilitation centers, nuclear medicine centers, clinics and emergency centers. The data were collected from the statistical yearbooks of the provinces.  Clustering analysis and data visualizations were performed in R software and ranks were obtained using Topsis software.
Results: The results showed that the provinces of Ilam, Yazd, Semnan, South Khorasan, Zanjan, Ardabil, Fars, Kohgiluyeh and Boyer Ahmad, and Chaharmahal and Bakhtiari had the highest health scores and belonged to the third cluster. Their ranks were 1 to 9 respectively. In the first cluster the following provinces were observed: Qom, Tehran, Alborz, and Hamedan with scores of 0.552, 0.540, 0.460, and 0.36 respectively indicating that these provinces had the lowest health scores and their ranks were 28 to 31. The other provinces appeared on the second cluster and ranked 10 to 27 with almost equal scores.
Conclusion: In order to achieve health equity, the indicators should be improved in provinces belonged to the first cluster to in order to achieve the standard per capita.
Full-Text [PDF 1321 kb]   (382 Downloads)    
type of study: Descriptive | Subject: Helath Services Management
Received: 2023/06/17 | Accepted: 2023/10/30 | ePublished ahead of print: 2023/11/22 | Published: 2023/12/27

References
1. Jahangir M. Set of legal rules. 4st Edition, Agah Publication Institute: Tehran, 2006 [Persian]
2. World Bank. International studies on health and economic development 2000 http://grants.nih.gov/grants/guide/rfa-files/RFA-TW-01-001.html/
3. Shadpour K. Health sector reform in Islamic Republic of Iran. Journal of Inflammatory Diseases 2006; 10:7-20
4. Kawachi I, Subramanian S, Almeida-Filho N. A glossary for health inequalities. Journal of Epidemiology and Community Health 2002; 56: 647-652 [DOI:10.1136/jech.56.9.647]
5. Mohamadi K, Ahmadi K, Fathi-Ashtiani A, AzadFallah P, Ebadi A. Development of mental health indicators in Iran. Journal of Health Education and Health Promotion 2014; 2: 37-48[Persian]
6. Pajuyan J, Vaezi V. The relationship between distribution of income and health economy in Iran. Economics Resarch 2011; 41:137-158[Persian]
7. Malek-Afzali H. Equality evaluation indicators in health. Knowledge and Health in Basic Medical Sciences 2010; 5: [DOI:10.22100/jkh.v5i0.955 [Persian]]
8. Sadeghi N, Alavi A. Relation of organizational health indicators and organizational effectiveness in health system. Journal of Health System Research 2014; 10:548-557 [Persian]
9. Asefzadeh S, Farzandi pour M. The necessity for defining the conceptual framework of health indicators. Journal of Rafsanjan University of Medical Sciences 2005; 4:196-209 [Persian]
10. Hozarmoghadam N, Sahabi B, Ahmadi A, Mahmoudi V. Impacts of globalization on health indicators. Journal of Strategic Studies of Public Policy 2015; 19:199-236[Persian]
11. Organization WH. Constitution of the World Health Organization. World Health Organization 1946 http://apps.who.int/gb/bd/PDF/bd47/EN/constitutio n-en.pdf?ua=1
12. Mojiri A, Ahmadi K. Inequality in the distribution of resources in health care system by using the Gini coefficient and Lorenz curve (A case study of Sistan and Baluchestan province over a five-year period). Payesh 2022; 21: 227-236 [Persian] [DOI:10.52547/payesh.21.3.227]
13. Sayehmiri A, Sayehmiri K. Ranked health status of the city of Ilam Taxonomy technique and principal component analysis. Journal of Ilam University of Medical Sciences 2001; 8-9: 30-35 [Persian]
14. Zarrabi A, Mohammadi J, Rakhshaninasab H. Spatial analysis of health service development indices. Social Welfare Quarterly 2008; 7: 213-234 [Persian]
15. Tahari Mehrjard MH, Babaei Mybodi H, Morovati Sharifabadi A. Investigation and ranking of Iranian provinces in terms of access to health sector indicators. Journal of Health Information Management 2012; 9:356-369 [Persian]
16. Amini S, Yadollahi H, Eynanlu S. Health Rating provinces of the country. Social Welfare Quarterly 2006; 5: 27-48 [Persian]
17. Ahmadi S, Saborikhah H, Darvishi H, Jabari H. Spatial analysis of prosperity provinces of Iran in health indexes. Journal of Regional Planning 2014; 14: 31-44
18. Bazzi KH, Moamari E, Explanation and analysis of the inequalities of health development services using multi-criteria decision-making methods (Case study: Golestan province). Geography and Development 2018; 15: 97-116 [Persian]
19. Mahinizadeh M, Pourghorban M. Assessing the inequality of health distribution among the provinces of Iran during the Fifth Development Plan (2011-2015). Journal of Community Health Research 2022; 11: 262-276 [DOI:10.18502/jchr.v11i4.11643]
20. MacKay DJC. Information theory, inference and learning algorithms. 1st Edition, Cambridge University Press: United Kingdom, 2003
21. Kriegel HP, Schubert E, Zimek A. The (black) art of runtime evaluation: Are we comparing algorithms or implementations? Knowledge and Information Systems 2017; 52: 341-378 [DOI:10.1007/s10115-016-1004-2]
22. Rousseeuw PJ. Silhouettes: a graphical aid to the interpretation and validation of cluster analysis. Journal of Computational and Applied Mathematics 1987; 20: 53-65 [DOI:10.1016/0377-0427(87)90125-7]
23. Drake J, Hamerly G. Accelerated k-means with adaptive distance bounds. In 5th NIPS workshop on optimization for machine learning 2012 Dec 8; 8:1-4
24. Yoon KP, Hwang C. Multiple attribute decision making: an introduction. 1st Edition, SAGE Publications: California, 1995 [DOI:10.4135/9781412985161]
25. Sepehrdoust H. Factors affecting the development from the viewpoint of health indicators. Health Information Management 2011; 8:1-8 [Persian]

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