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Distribution of nursing workforce in the world using Gini coefficient
Erfan Kharazmi1, Najmeh Bordbar1, Shima Bordbar2
1Health Human Resources Research Centre, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Nursing
|May 5, 2023
Summary
Global nursing workforce distribution is unequal, with high Human Development Index (HDI) nations having significantly more nurses per capita than low HDI nations. This highlights disparities in healthcare access and outcomes worldwide.
Area of Science:
- Global Health
- Health Workforce Research
- Health Economics
Background:
- Unequal access to health human resources negatively impacts healthcare services and outcomes.
- Investigating the global distribution of the nursing workforce is crucial for understanding healthcare disparities.
Purpose of the Study:
- To analyze the worldwide distribution of the nursing workforce.
- To examine the relationship between Human Development Index (HDI) and nurse distribution.
Main Methods:
- Descriptive-analytical study using 2021 data from WHO and UN.
- Analysis of nurse-to-population ratios, Gini coefficient, Lorenz, and Pareto curves.
- Countries categorized into four HDI groups: very high, high, medium, and low.
Main Results:
- The global average was 38.6 nurses per 10,000 population.
- Very high HDI nations had 95 nurses/10,000, while low HDI nations had only 7 nurses/10,000.
- Global Gini coefficient for nurse distribution was 0.667, indicating significant inequality.
Conclusions:
- Significant global inequalities exist in nursing workforce distribution.
- Policymakers must prioritize equitable distribution of nurses at all levels.
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