The Bridge Between Need and Access: Distribution of Trauma Care Facilities at a Religious Mega Mass Gathering

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 57 7 2020 01 25 The Bridge Between Need and Access: Distribution of Trauma Care Facilities at a Religious Mega Mass Gathering 442 447 Arezou Karampouian Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. AND Departments of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Zohreh Ghomian Departments of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Workplace Health Promotion Research Center (WHPRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Davoud Khorasani-Zavareh Workplace Health Promotion Research Center (WHPRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2019 06 01 2019 11 04 Participating in mass gatherings puts people at risk of incidents. The distribution of resources should be based on need. The purpose of this study was to investigate the distribution of trauma care facilities based on need and access at a religious mass gathering in Iran. This national cross-sectional study is based on obtained data including the number of visits to health centers (NVHC) and the number of injuries visits health center (NIVHC) as needs and the number of physicians, paramedic, ambulance, and treatment center as access in border cities of Iran and Iraq in 2016. Gini coefficient, Lorenz curve and the Pearson correlation coefficient were applied to measure the level of equality in the distribution of trauma care and the correlation between access and need. The facilities were relatively distributed equally at the border towns in Iran; however, were not equally distributed in Iraq. There is no significant association between the paramedic for NIVHC and ambulance for NIVHC and NVHC. Moreover, there was a significant association between physician for NIVHC and NVHC, a paramedic for NVHC, and treatment centers for NIVHC and NVHC. The consequences of incidents could be reduced if distributing trauma care facilities equals at mass gatherings. https://acta.tums.ac.ir/index.php/acta/article/view/7930 https://acta.tums.ac.ir/index.php/acta/article/download/7930/5290