School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Public Health Policy. 2022 Sep;43(3):445-455. doi: 10.1057/s41271-022-00361-x. Epub 2022 Aug 17.
The World Health Organization (WHO) recognizes a critical shortage of health workers as a growing global crisis. The shortage persists despite local and global efforts to recruit health workers ethically. Unequal migration of healthcare professionals, most often from low to high-resource countries, overwhelmingly defeats the objective of achieving Universal Health Coverage (UHC). If not addressed, especially given emerging global pandemics like COVID-19, the critical shortage of health workers could decimate vulnerable public health systems. This Viewpoint describes the Root-Stem Model, a six-stage process of strategic factors affecting work life that could help policymakers address the challenge of brain-drain among healthcare workers in low-income countries.
世界卫生组织（WHO）认识到卫生工作者的严重短缺是一个日益严重的全球危机。尽管当地和全球都在努力以道德的方式招募卫生工作者，但这种短缺仍然存在。医疗保健专业人员的不平等移民，通常是从低资源国家到高资源国家，极大地挫败了实现全民健康覆盖（UHC）的目标。如果不加以解决，特别是考虑到像 COVID-19 这样的新兴全球大流行病，卫生工作者的严重短缺可能会使脆弱的公共卫生系统崩溃。本观点描述了根-干模型，这是一个影响工作生活的战略因素的六阶段过程，可以帮助政策制定者应对低收入国家医疗保健工作者人才流失的挑战。
