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The relationship between democracy and corruption and the global physician workforce

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  • Amrit Kirpalani
  • Eray Yilmaz

Abstract

Background: Understanding how governance factors such as democracy and corruption impact the healthcare workforce is crucial for achieving Universal Health Coverage (UHC). Effective health workforce planning and resource allocation are influenced by these political constructs. This study examines the relationship between democracy and corruption and key healthcare workforce metrics. Methods: A cross-sectional study was conducted using a global dataset from 2020 to 2022. The primary outcome was Physician Density (medical doctors per 10000 people). Secondary outcomes included the generalist to specialist ratio and the percentage of female physicians (% Female). Partial correlations, multivariate analysis of variance (MANOVA), and univariate analysis of variance (ANOVA) were used to analyze the relationship between workforce variables and the democracy index (DI), and corruption perception index (CPI), controlling for domestic health expenditure. Results: Data from 134 countries showed significant positive associations between both DI (r = 0.32, p = 0.004) and CPI (r = 0.43, p

Suggested Citation

  • Amrit Kirpalani & Eray Yilmaz, 2024. "The relationship between democracy and corruption and the global physician workforce," PLOS Global Public Health, Public Library of Science, vol. 4(11), pages 1-10, November.
    • Handle: RePEc:plo:pgph00:0003656
    DOI: 10.1371/journal.pgph.0003656
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