This article discusses options to allow comparative analysis of inequalities in the distribution of health workers (HWs) across and within countries using a single summary measure of the distribution. Income inequality generally is measured across individuals, but inequalities in the dispersion of HWs must use geographical areas or population groupings as units of analysis. The article first shows how this change of observational unit creates a resolution problem for various inequality indices and then tests how sensitive a simple ratio measure of the distribution of HWs is to changes in resolution. This ratio of inequality is illustrated first with the global distribution of HWs and then with its distributions within Indonesia. The resolution problem is not solved through this new approach, and indicators of inequalities of access to HWs or health services more generally appear not to be comparable across countries. Investigating geographical inequalities over time in one setting is possible but only if the units of analysis remain the same over time.

中文翻译：

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卫生人力资源不平等：衡量问题。

本文讨论了允许使用单一的分布汇总度量对国家之间和国家内部卫生工作者 (HW) 分布的不平等进行比较分析的选项。收入不平等通常是跨个人衡量的，但 HW 分散的不平等必须使用地理区域或人口分组作为分析单位。本文首先展示了观测单位的这种变化如何为各种不等式指数产生分辨率问题，然后测试 HW 分布的简单比率度量对分辨率变化的敏感程度。这种不平等的比率首先用 HW 的全球分布来说明，然后用它在印度尼西亚的分布来说明。分辨率问题没有通过这种新方法解决，更普遍的情况是，在获得 HW 或卫生服务方面不平等的指标似乎在各国之间没有可比性。在一种环境中随时间调查地域不平等是可能的，但前提是分析单位随着时间的推移保持不变。