Asadi Heshmatollah, Ahmadi Batoul, Nedjat Saharnaz, Sari Ali Akbari, Gorji Hasan Abolghasem, Zalani Gholamhossein Salehi
M.Sc. of Health Services Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ph.D. of Health Services Management, Associate Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Jun 25;9(6):4669-4677. doi: 10.19082/4669. eCollection 2017 Jun.
Loss of human resources in the health sector through migration has caused many problems in the delivery of healthcare services in developing countries.
The aim of this study was to determine factors influencing intention to migrate in skilled human resources in Iran's healthcare sector.
This cross-sectional study was carried out in 2016 in Iran. The study population included health sector human resources at the Tehran and Iran University of Medical Sciences. Using multi-stage cluster sampling, 827 people were selected for participation. Participants included four groups: hospital staff, health workers, medical students, and postgraduate students (Masters and PhD). Data were collected using a valid and reliable questionnaire and analyzed by descriptive parameters, chi-square and logistic regression test using SPSS version 18.
Inclination to migrate, in the study population, was 54.77%. There was a significant relationship between inclination to migrate and age, work experience, employment status, marital status, familiarity with a foreign language, foreign language skills, foreign language courses, having relatives or family living abroad, and prior experience of being abroad (p<0.05). The most important factors influencing inclination to migrate were: reaching out for better life (81.92±21.95), interdisciplinary discrimination (80.83±20.75), and experience of living and studying abroad. (80.55±18.12).
Considering the high rate of intention to emigrate in the studied population (54.77%), a lot of whom will emigrate if their situation is ready, it can be a serious problem for the health system in the near future in which it will face lack of skilled health workers, and so requires more attention of health sector authorities.
移民导致卫生部门人力资源流失，给发展中国家的医疗服务提供带来了诸多问题。
本研究旨在确定影响伊朗医疗部门技术人力资源移民意愿的因素。
这项横断面研究于2016年在伊朗开展。研究人群包括德黑兰医科大学和伊朗医科大学的卫生部门人力资源。采用多阶段整群抽样法，选取827人参与研究。参与者包括四组：医院工作人员、卫生工作者、医学生以及研究生（硕士和博士）。使用有效且可靠的问卷收集数据，并通过描述性参数、卡方检验和使用SPSS 18版进行的逻辑回归分析。
研究人群中，有移民倾向的比例为54.77%。移民倾向与年龄、工作经验、就业状况、婚姻状况、对外语的熟悉程度、外语技能、外语课程、有亲属或家人居住在国外以及此前的出国经历之间存在显著关系（p<0.05）。影响移民倾向的最重要因素为：追求更好生活（81.92±21.95）、跨学科歧视（80.83±20.75）以及在国外生活和学习的经历（80.55±18.12）。
鉴于研究人群中有较高的移民意愿（54.77%），其中许多人一旦条件成熟就会移民，这在不久的将来可能会给卫生系统带来严重问题，届时卫生系统将面临技术熟练的卫生工作者短缺的情况，因此需要卫生部门当局给予更多关注。
