Saeidifar Masoud, Martini Mariano, Ebrahimzadeh Farzad, Shaygan Farzaneh, Darvishi Teli Banafshe, Behzadifar Masoud
School of Nursing, Lorestan University of Medical Sciences, Doroud, Iran.
Department of Health Sciences, University of Genoa, Genoa, Italy.
J Prev Med Hyg. 2025 Jan 31;65(4):E586-E593. doi: 10.15167/2421-4248/jpmh2024.65.4.3459. eCollection 2024 Dec.
This policy brief highlights the critical shortage of healthcare workers in Iran, which hinders access, quality, and patient outcomes. The growing demand from population increases and chronic diseases, coupled with issues like geographic maldistribution, workforce migration, inadequate training, and limited support systems, exacerbates the crisis. Urban areas benefit disproportionately, leaving rural communities underserved and healthcare quality compromised. Evidence-based recommendations include incentivizing rural placements, improving workforce management systems, enhancing salaries and working conditions, expanding education and training, and leveraging digital health tools and task-shifting models. A phased implementation strategy is proposed, combining short-term pilot projects with long-term reforms to build a resilient healthcare workforce.
本政策简报强调了伊朗医护人员严重短缺的问题,这一问题阻碍了医疗服务的可及性、质量以及患者治疗效果。人口增长和慢性病导致的需求不断增加,再加上地理分布不均、劳动力迁移、培训不足以及支持系统有限等问题,加剧了这场危机。城市地区受益过多,农村社区医疗服务不足,医疗质量受到影响。基于证据的建议包括激励农村岗位安置、改善劳动力管理系统、提高薪资和工作条件、扩大教育和培训,以及利用数字健康工具和任务转移模式。建议采用分阶段实施策略,将短期试点项目与长期改革相结合,以打造一支有韧性的医疗 workforce。 (最后“workforce”未完整翻译,因为前面未明确具体所指,推测是“医疗劳动力队伍”之类,但按照要求不能添加解释,整体译文保留原文的不完整性供你参考)