چكيده لاتين :
Introduction
Nowadays, the development category is the concern of many countries. However, no definition is provided for development which there is consensus on it. Basically, development is considered as a fundamental change in economic, social and cultural variables in any community and its realization requires coordination between its various dimensions. Since the health of body and soul is one of the main criteria of development of different countries and regions, the extent of enjoying or availability of these services and their optimal distribution in national and regional level have great value and importance. So, measuring the levels of health inequalities across different regions is essential. Health services in the cities have is directly associate with the health and soul of citizens. Improving the situation of health services of citizens is one of the signs of development and humane promotion. On the one hand, the evaluation of development levels by using quantitative methods results in the recognition of the extent of inequalities among regions, and on the other hand, there is an attempt to reduce and eliminate these inequalities. Aimed to taking advantage of considered indexes, the present study was carried out to look for measuring the distribution, development of health services in counties of Razavi Khorasan, determine the development difference among them, and also, attract the authorities' attention to pay more attention to deprived and underdeveloped counties. Considering the importance of health services in social and economic development, the necessity of prioritizing the different areas of the province. According to the importance of health services in social and economic development, the necessity of prioritizing different regions of this province in proper and efficient planning in order to better services providing and social and economic justice at different levels of the regions, and similarly, setting priorities for appropriate investment in health services is felt. Methodology
This study is a descriptive-analytical research and its type is applied one. The data include 15 indexes of health services were driven from the last census (2011). In this study, setting priorities in the counties of Razavi Khorasan province was done through Topsis and Vikor method according to development of health services indexes at four levels (over-privileged, privileged, semi-privileged, and underprivileged).
Result and Discussion
Since the main issue for urban planners is growth and development of regions and analysis of proportional spatial distribution facilities in cities can help policy makers achieve the objectives, understanding the process of inequalities in enjoying differences services in different regions can be useful and effective. Therefore, in this part of the study and by applying quantitative, Topsis and Vikor method which are the main models and methods of multi criteria decision making, the status of each of the province's counties was analyzed in terms of enjoying health services indexes and using 15 indexes.
Results of the study show that Mashhad city as a political and economic administrative center of province, is the most enjoyed city in terms of development indexes of health services and show a considerable difference with other counties of this province. Neyshabur and Sabzevar counties are at the second level of development and the rest of the cities are located in the semi-privileged and underprivileged. Conclusion
The findings of this study show that there is a general deprivation in the entire of the province, in terms of accessibility health services and distribution of existing health services has not carried out appropriately enough to the needs of the county's population. In general, it can be concluded that compared to less developed region, the more developed a city is, the more services are delivered to it at higher level. Whereas, social justice means the equality of people's interest different urban classes in access to resources and urban services; otherwise, it causes inequality, imbalance and violation of civil rights, which all will be in contrast to multilateral development.
Given that our modern cities should move towards healthy, stable, and humane and fair, need to urban management with the aim of develop and harmonious equip has been viewed. According to the results in general, observance of spatial justice in the allocation of services in general and health services in particular is proposed.
- Venture of state to investment, planning and major actions for promoting the health services in the counties of Razavi Khorasan province, especially in underprivileged ones and applying anti-deprivation strategies in these counties.
- Strengthening and completing the communication network system to facilitate the relationship of all populated places with each other and trying to adapt the partial planning to the spatial planning system.
- In studies which measure the degree of development of regions, the quantity of indexes is considered. As a result of these studies, mainly in provincial capitals and major cities are introduced as the highest level of development. But in reality, the large cities and counties which have more services, provide these services to larger population and this caused a drop in the level of development, due to the low per capita of services for citizens. Therefore, applying per capita indexes for is suggested for the future studies.
