To this end, we examined whether concentrations of doctors and nurses/midwives were associated with utilization of six MDG-related essential health services when controlling for other known determinants of utilization.
In cross-national analyses we found that aggregate concentrations of doctors and nurses were associated with utilization of skilled birth attendants and measles immunization but not with four other essential services.
Limitations considered, our work suggests that in cross-national comparisons in low- and middle-income countries, concentrations of doctors and nurses are not associated with the differences in provision of several essential health services important for the achievement of the MDGs.
I live in New York City, which has to have the highest per capita concentration of doctors on the planet, yet I couldn't find one to take me.
Anne B. Martin, an economist at the Centers for Medicare and Medicaid Services who was the main author of the report, said the reasons for the differences included the age and incomes of the population, the concentration of doctors in a state, the generosity of public programs, the extent of private health insurance coverage and the mix of services used by state residents.
However, the most recent available data on this are from 2006 [14], and we therefore felt that indexing publication rates to concentration of doctors overall for 2000 and 2010 was more reliable.
Overall, the concentration of doctors in urban areas is most pronounced in Nepal.
Our main independent variables of interest were three health worker measures: concentration of doctors, concentration of nurses and midwives and aggregate concentration of health workers (doctors, nurses and midwives) per 1000 population [ 17, 21, 30].
The concentration of doctors is usually highest in developed countries and cities, with better living standards, higher income, more social recognition and greater job satisfaction.
The absence of a significant difference in rural versus urban prescribing of allopathic drugs by persons other than an allopathic doctor is surprising, given the concentration of doctors in urban areas in Nepal.
She isn't happy, and she is letting the world know it – a painful, high-pitched howl of a cry, somehow amplified by the quiet concentration of the doctors and nurses, who are working now to save her life.
