fa عدالت توزیعی در بودجه عمومی سلامت: استان هرمزگان و مناطق همجوار عمومى General پژوهشی Original <strong><em><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">بهبود عادلانه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ی وضعیت سلامت در مناطق مختلف، اهمیت ویژه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ای در توسعه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ی متوازن و پایدار کشور دارد. تحقق این امر، مستلزم رفع نابرابری</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ها، به</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ویژه از منظر تخصیص منابع است. بررسی شاخص</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ها نشان می</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">دهد که استان هرمزگان، علی</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">رغم نیاز به بهره</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">مندی بیش</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">تر از منابع عمومی در بخش بهداشت و درمان، از بودجه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ی هزینه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ای کمتری نسبت به استان</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">های هم</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">جوار برخوردار شده است. پیش</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">نهاد می</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">گردد در زمان تنظیم و تصویب لایحه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ی بودجه، ضمن اختصاص اعتبارات عمرانی ویژه، جهت تسریع در بهره</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">برداری از پروژه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">های زیربنایی بخش بهداشت و درمان در هرمزگان، عدالت توزیعی در بودجه عمومی سلامت برای این استان مورد توجه جدی قرار گیرد. همچنین، تدوین و انتشار شفاف شاخص</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">های عدالت در توزیع منطقه</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">ای بودجه، در کنار ارقام و جداول، زمینه را برای پاسخ</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">گویی هرچه بیش</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">تر قانون</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">گذاران و مجریان فراهم می</span></span></span></span><span style="color:black;"><span style="font-family:calibri,sans-serif;"><span style="font-size:11.0pt;">‌</span></span></span><span dir="RTL"><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:11.0pt;">کند.</span></span></span></span></em></strong> <span style="color:#0000CD;"><strong>Distributional Equity in Public Health Budget: Hormozgan Province and Neighbouring Regions</strong></span><br> Ali Heyrani^1*<br> <em>¹</em><em>MD, PhD, Assistant Professor Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran</em><br> <span style="color:#0000CD;"><strong>Abstract</strong></span><br> Equitable improvement in the health status of different regions is essential for the balanced and sustainable development of the country. This requires resolving inequalities mainly regarding resource allocation. The study of indicators shows that Hormozgan province has received less public health operating budget compared to neighbouring provinces, despite its greater needs. It is suggested that when the budget bill is being formulated and approved, distributional equity in the public health budget be seriously considered for Hormozgan, along with allocating special capital budgets, to accelerate the utilization of healthcare infrastructure in this important border province. Also, the transparent release of equity measures for the regional distribution of budget, besides its tables and figures, will prepare the scene for both legislators and governors to be more accountable.<br> <span style="color:#0000FF;"><strong>Keywords:</strong></span> Budget; Equity; Health; Hormozgan<br> &nbsp; <table border="0" cellpadding="0" cellspacing="0"> <tbody> <tr> <td style="width:720px;height:72px;"><span style="color:#0000FF;"><strong>Please cite this article as follows:</strong></span><br> Heyrani A. Distributional equity in public health budget: Hormozgan province and neighbouring regions. Hakim Health Sys Res. 2019; 22(3): 160-163.</td> </tr> </tbody> </table> &nbsp;<br clear="ALL" > <span style="color:#0000CD;">*<strong>Corresponding Author: </strong></span>MD, PhD (Health Services Administration); Assistant Professor; Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran; Tel: (+98)7633344428; Fax: (+98)7633317340; Email: ali.heyrani@hums.ac.ir بودجه, سلامت, عدالت, هرمزگان Budget, Equity, Health, Hormozgan 160 163 http://hakim.tums.ac.ir/browse.php?a_code=A-10-1-675&slc_lang=fa&sid=1 ali Heyrani علی حیرانی ali.heyrani@hums.ac.ir Yes دانشگاه علوم پزشکی هرمزگان، پژوهشکده سلامت هرمزگان، مرکز تحقیقات عوامل اجتماعی در ارتقاء سلامت