Deputy of Management Development, Resources and Planning, Ministry of Health & Medical Education, Tehran, Iran.
Centre for Health Human Resources Research and Studies, Iran Ministry of Health and Medical Education, Tehran, Iran.
BMC Health Serv Res. 2024 Aug 19;24(1):942. doi: 10.1186/s12913-024-11355-8.
Health staff are an essential component of the health system and a significant factor in improving health outcomes. As a result, without a suitable number of trained and supported workforces, health-related goals will not be achieved. As a result, one of the most significant tasks of the government and healthcare human resource management in healthcare organizations is focusing on development and maintenance of personnel.
This study was a longitudinal and historical cohort study. Data was collected on the 40 medical universities and healthcare organizations under the jurisdiction of Iran Ministry of Health and Medical Education from 2008 to 2018 from the human resources database. In this study the COX regression and survival analysis was used to assess the factors of staff maintenance, retention rate, and the risk of turnover.
46,939 health workforces were included in the study, of which 13,328 (28.4%) were men and 33,611 (71.6%) were women. Based on the finding of cox regression model, the retention of staff were statistically different between male and female. Employees whose current work place and birthplace were similar had a significantly higher probability of retention. Accordingly, the cox regression result showed, the risk of employee turnover for single personnel was higher than the married ones.
an applicable policy for increasing maintenance among workforce recruitment, could be considering the native born professionals instead of non-natives born which reduce the costs of employee turnover, including re-hiring, initial and on-the-job training, housing, and other extra living expenses away from home and family.
卫生工作者是卫生系统的重要组成部分，也是改善健康结果的重要因素。因此，如果没有足够数量的经过培训和得到支持的劳动力，与健康相关的目标将无法实现。因此，政府和医疗保健组织中的医疗保健人力资源管理的最重要任务之一是专注于人员的发展和维护。
本研究是一项纵向和历史性队列研究。数据来自于 2008 年至 2018 年期间隶属于伊朗卫生部和医疗教育部的 40 所医科大学和医疗保健组织的人力资源数据库。在这项研究中，使用 COX 回归和生存分析来评估人员保留、保留率和离职风险的因素。
研究共纳入 46939 名卫生工作者，其中 13328 名（28.4%）为男性，33611 名（71.6%）为女性。基于 COX 回归模型的发现，男女员工的保留率存在统计学差异。当前工作地点和出生地相似的员工保留的可能性显著更高。因此，COX 回归结果表明，单身员工的离职风险高于已婚员工。
在招聘新员工时，可以考虑采用增加员工保留率的适用政策，招聘土生土长的专业人员而不是非土生土长的人员，以降低员工离职成本，包括重新招聘、初始和在职培训、住房以及远离家和家人的其他额外生活费用。
