Damari Behzad, Ehsani-Chimeh Elham
Governance and Health Department, Brain & Spinal Cord Injuries center of Neuroscience institution, Tehran University of Medical Sciences, Tehran, Iran.
National Institute for Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2019 Jul 16;33:69. doi: 10.34171/mjiri.33.69. eCollection 2019.
Resource generation, stewardship, financing, and provision of health care services are 4 major functions of the health system. In this study, human resource management, as a vital aspect of resource generation, was studied and some interventions have been suggested for Iran. This was a mixed method study. Data were collected through the review of the relevant articles and government documents, interviews with human resources managers and experts in the health sector, and focus group discussions with selected authorities. The interview questions were based on a model proposed by the WHO. The collected data were categorized into 3 broad sets: description of the current status, factors contributing to the current status, and suggested interventions for improvement. Lack of a comprehensive human resources management policy and inattention to the human resources management in the developmental plans are some of the most common problems in Iran's health sector. Also, unequal distribution, unemployment, migration of graduates, and inadequate and ineffective participation of faculty members in universities are some other problems referred to as lack of a unified stewardship and dearth of a comprehensive human resources planning. Suggested interventions have focused on stewardship function of the health care system. A policy brief on the human resources for health needs should be developed and added as a separate article to the upstream documents of the country (eg, Iran's 20-year outlook plan). Implementing and monitoring operational plans for policy execution at Ministry of health has a major role in executing the adopted strategies.
卫生保健服务的资源生成、管理、融资和提供是卫生系统的四大主要功能。在本研究中，作为资源生成的一个重要方面，对人力资源管理进行了研究，并针对伊朗提出了一些干预措施。这是一项混合方法研究。通过查阅相关文章和政府文件、采访卫生部门的人力资源经理和专家以及与选定的当局进行焦点小组讨论来收集数据。访谈问题基于世界卫生组织提出的一个模型。收集到的数据分为三大类：现状描述、造成现状的因素以及建议的改进干预措施。缺乏全面的人力资源管理政策以及在发展计划中对人力资源管理的忽视是伊朗卫生部门最常见的一些问题。此外，分配不均、失业、毕业生外流以及大学教师参与不足和无效等问题也被提及，这些问题被称为缺乏统一管理和缺乏全面的人力资源规划。建议的干预措施侧重于卫生保健系统的管理功能。应制定一份关于卫生人力资源需求的政策简报，并作为单独的文章添加到该国的上游文件中（例如，伊朗的20年展望计划）。在卫生部实施和监测政策执行的运营计划对于执行所采纳的战略具有重要作用。
