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How the government intervention affects the distribution of physicians in Turkey between 1965 and 2000

Overview of attention for article published in International Journal for Equity in Health, January 2015
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Title
How the government intervention affects the distribution of physicians in Turkey between 1965 and 2000
Published in
International Journal for Equity in Health, January 2015
DOI 10.1186/s12939-014-0131-1
Pubmed ID
Authors

Erdinç Ünal

Abstract

IntroductionOne of the main weaknesses of the health system in Turkey is the uneven distribution of physicians. The diversity among geographical districts was huge in the beginning of the 1960s. After the 1980s, the implementation of a two-year compulsory service for newly graduated physicians is an interesting and specific experience for all countries. The aim of this study is to analyse the distribution of physicians, GPs and specialists between the years 1965-2000 and the efficiency of the strict 15 year government intervention (1981-1995).MethodsThe data used in this study includes the published data by the Ministry of Health and The State Institute of Statistics between the years 1965¿2000. Covering 35 years for total physicians, GPs and specialists, Gini coefficients are calculated so as to observe the change in the distribution. In order to measure the efficiency of government intervention, Gini index belonging to the previous 15 years (first period-1965 to 1980) and the last 15 years (second period) of 1981 when the compulsory service was enacted is also analysed including the statistical tests.ResultsIn 1965, the Gini for total physician is quite high (0.47), and in 2000 it decreases considerably (0.20). In 1965, the Gini for GPs and the Gini for specialists is 0.44 and 0.52, respectively and in 2000 these values decrease to 0.13 and 0.28, respectively. It is observed that, with this government intervention, the level of diversity has decreased dramatically up to 2000. Regarding to regression, the rate of decrease in Gini index in the second period is higher for the GPs than that of the specialists.ConclusionThe inequalities in the distribution between GPs and specialists are significantly different; inequality of specialist distribution is higher than the GP. The improvement of the inequality in the physician distribution produced by the market mechanism shows a long period when it is left to its own devices. It is seen that the compulsory service policy is efficient since the physician distribution has improved significantly. The government intervention provides a faster improvement in the GP distribution.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Portugal 1 3%
Unknown 37 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 24%
Student > Master 7 18%
Other 4 11%
Student > Doctoral Student 3 8%
Student > Ph. D. Student 3 8%
Other 4 11%
Unknown 8 21%
Readers by discipline Count As %
Economics, Econometrics and Finance 7 18%
Medicine and Dentistry 5 13%
Nursing and Health Professions 4 11%
Social Sciences 3 8%
Business, Management and Accounting 2 5%
Other 9 24%
Unknown 8 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 January 2015.
All research outputs
#15,315,142
of 22,778,347 outputs
Outputs from International Journal for Equity in Health
#1,529
of 1,893 outputs
Outputs of similar age
#208,649
of 352,269 outputs
Outputs of similar age from International Journal for Equity in Health
#25
of 32 outputs
Altmetric has tracked 22,778,347 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,893 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.2. This one is in the 13th percentile – i.e., 13% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 352,269 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.