Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Public Health, School of Public Health, Lorestan University of Medical Sciences, Khorramabad, Iran.
PLoS One. 2018 Jun 27;13(6):e0199613. doi: 10.1371/journal.pone.0199613. eCollection 2018.
The migration of healthcare specialists from developing countries has increased in recent years. This has caused a rapid reduction in the access to and quality of healthcare services in such countries. The aim of this study is to evaluate the factors affecting the migration of specialist human resources in Iran's healthcare system.
This is a qualitative study, which was carried out through semi-structured interviews between 2015 and 2016. For sampling, purposive sampling method with maximum variation sampling was used. Further, data saturation was observed by conducting 21 interviews, and data analysis was performed using the MAXQDA10 content analysis software.
Factors affecting the migration of specialists were classified into five key themes, including structural, occupational, personal, socio-political and economic factors. These themes consisted of 12 categories and 50 subcategories. The most important factors affecting the migration of our study population were structural issues, occupational problems, and personal concerns.
Identification of factors influencing migration is the first step to prevent the migration of specialist human resources. Implementing the recommendations proposed in this study would assist to prevent migration of medical professionals.
近年来，发展中国家的医疗专业人员外流现象有所增加。这导致这些国家的医疗服务可及性和质量迅速下降。本研究旨在评估影响伊朗医疗体系中专业人力资源流动的因素。
这是一项定性研究，于 2015 年至 2016 年期间通过半结构化访谈进行。采用最大变异抽样的目的抽样法进行抽样。通过进行 21 次访谈观察到数据饱和，使用 MAXQDA10 内容分析软件进行数据分析。
影响专家流动的因素分为结构、职业、个人、社会政治和经济因素五个关键主题。这些主题包括 12 个类别和 50 个子类别。影响我们研究人群流动的最重要因素是结构性问题、职业问题和个人问题。
确定影响移民的因素是防止专业人力资源外流的第一步。实施本研究中提出的建议将有助于防止医疗专业人员外流。
