Ehsani-Chimeh Elham, Sajadi Haniye Sadat, Majdzadeh Reza
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Knowledge Utilization Research Center, Community-Based Participatory-Research Center, and School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2018 Oct 16;32:100. doi: 10.14196/mjiri.32.100. eCollection 2018.
Given the key role of adequate, skilled, well-trained, and motivated human resources for health (HRH) in achieving universal health coverage (UHC), this manuscript aimed to investigate the current situation of Iran HRH after the implementation of the recent Health Transformation Plan (HTP) in accordance with UHC analytical framework using 4 domains of availability, accessibility, acceptability, and quality. Conflicts of interest and multiple interventions from different sectors have controversial and sometimes negative effects on the health workforce. Thus, to achieve the objectives of UHC from the perspective of human resources, Iran needs unified governance and comprehensive planning. Also, the effects of health system interventions on health workforce should be assessed before implementation.
鉴于充足、熟练、训练有素且积极性高的卫生人力资源在实现全民健康覆盖方面的关键作用,本手稿旨在根据全民健康覆盖分析框架,利用可及性、可获得性、可接受性和质量这四个领域,调查伊朗在实施近期的健康转型计划后卫生人力资源的现状。利益冲突以及来自不同部门的多种干预措施对卫生人力具有争议性,有时甚至产生负面影响。因此,从人力资源角度实现全民健康覆盖的目标,伊朗需要统一治理和全面规划。此外,应在实施之前评估卫生系统干预措施对卫生人力的影响。