Inequalities in the geographical distribution and workload of obstetrics and gynaecology specialists by gender in Turkey

Name: Inequalities in the geographical distribution and workload of obstetrics and gynaecology specialists by gender in Turkey
Author: Erus, B., Tuncay Alpanda, Berna

İsim	Inequalities in the geographical distribution and workload of obstetrics and gynaecology specialists by gender in Turkey
Yazar	Erus, B., Tuncay Alpanda, Berna
Basım Tarihi:	2022-06
Basım Yeri	- World Health Organization
Konu	Geographic distribution, Obstetrics and gynaecology, Patient preference, Physician workload, Turkey
Tür	Süreli Yayın
Dil	İngilizce
Dijital	Evet
Yazma	Hayır
Kütüphane:	Özyeğin Üniversitesi
Demirbaş Numarası	1020-3397
Kayıt Numarası	010ced07-480e-480d-8fba-071c735291a0
Lokasyon	Economics
Tarih	2022-06
Örnek Metin	Background: Women often have a preference for female obstetrics and gynaecology specialists (ob/gyns). Following the policy allowing physician selection by patients in Turkey, distribution of ob/gyns by gender across provinces has been an important indicator of access to healthcare. Aims: To analyse ob/gyns distribution by gender across provinces in Turkey, with emphasis on the relationship with conservativeness of the province and resulting physician workload. Methods: We measured the number of male and female ob/gyns by province in 2016 and the number of outpatient visits and deliveries performed by male and female ob/gyns in 2015. Pearson and Spearman correlation of the female ratio with votes for conservative parties was used to assess the distribution of ob/gyns. We then analysed the correlation with resulting workload of female ob/gyns and ran linear regressions of these variables controlling the number of ob/gyns in a province. Results: More conservative provinces, measured by the vote share for conservative political parties, have a higher ratio of female ob/gyns. Linear regression showed that a 1 percentage point (pp) increase in the vote share corresponded to a 0.69 pp increase in female ratio. For workload, a 1 pp higher female ratio resulted in a decrease in workload, measured as outpatient visits per female ob/gyn divided by that per male ob/gyn, by 0.014. Conclusion: Conservative provinces have more female ob/gyns, but other provinces compensate for that with higher female ob/gyn workload. High workload may have adverse health effects and result in lower quality of care.
DOI	10.26719/emhj.22.037
Cilt	28

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Inequalities in the geographical distribution and workload of obstetrics and gynaecology specialists by gender in Turkey

Yazar Erus, B., Tuncay Alpanda, Berna

Basım Tarihi 2022-06

Basım Yeri - World Health Organization

Konu Geographic distribution, Obstetrics and gynaecology, Patient preference, Physician workload, Turkey

Tür Süreli Yayın

Dil İngilizce

Dijital Evet

Yazma Hayır

Kütüphane Özyeğin Üniversitesi

Demirbaş Numarası 1020-3397

Kayıt Numarası 010ced07-480e-480d-8fba-071c735291a0

Lokasyon Economics

Tarih 2022-06

Örnek Metin Background: Women often have a preference for female obstetrics and gynaecology specialists (ob/gyns). Following the policy allowing physician selection by patients in Turkey, distribution of ob/gyns by gender across provinces has been an important indicator of access to healthcare. Aims: To analyse ob/gyns distribution by gender across provinces in Turkey, with emphasis on the relationship with conservativeness of the province and resulting physician workload. Methods: We measured the number of male and female ob/gyns by province in 2016 and the number of outpatient visits and deliveries performed by male and female ob/gyns in 2015. Pearson and Spearman correlation of the female ratio with votes for conservative parties was used to assess the distribution of ob/gyns. We then analysed the correlation with resulting workload of female ob/gyns and ran linear regressions of these variables controlling the number of ob/gyns in a province. Results: More conservative provinces, measured by the vote share for conservative political parties, have a higher ratio of female ob/gyns. Linear regression showed that a 1 percentage point (pp) increase in the vote share corresponded to a 0.69 pp increase in female ratio. For workload, a 1 pp higher female ratio resulted in a decrease in workload, measured as outpatient visits per female ob/gyn divided by that per male ob/gyn, by 0.014. Conclusion: Conservative provinces have more female ob/gyns, but other provinces compensate for that with higher female ob/gyn workload. High workload may have adverse health effects and result in lower quality of care.

DOI 10.26719/emhj.22.037

Cilt 28