Inequality in Distribution of Health Care Resources in Iran: Human Resources, Health Centers and Hospital Beds

Lotfi, Farhad; Bayati, Mohsen; Yusefi, Ali Reza; Ghaderi, Shekoufeh; Barati, Omid

doi:10.5812/semj.63700

Cited by 16 publications

(10 citation statements)

References 20 publications

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“…25 In their study about the inequality in the distribution of healthcare resources in Iran, Lofty et al found that the highest ratio of manpower number per 1000 population was in Ilam province. 29 It should be mentioned that this study does not consider the misdistribution of health workers within Ilam province. In the study by Sefiddashti regarding inequality in the distribution of human resources in Tehran province, they found that the highest value of the Gini coefficient (GC) was related to nurses (GC=0.291) in 2007.…”

Section: Discussionmentioning

confidence: 98%

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Supply-and-demand projections for the health workforce at a provincial level from 2015 to 2025 in Ilam, Iran

Bazyar

Hekmat

Rafiei

et al. 2020

Proceedings of Singapore Healthcare

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Background: Human resources are the key component of health systems. It is critical to have the right number of human resources at anytime and anywhere in the health system. This article aims to help local health decision makers to identify potential gaps between the future supply and demand of human resources and to make necessary changes in medical training processes to fill the gap. Methods: An eight-stage process was applied to project the supply and demand of health workers in Ilam province in 2025 for the following fields: public health, environmental health, general medicine, dentistry, pharmacy, nursing and midwifery. To estimate the demand for human resources, a mainly population-based model (manpower-to-population ratio) was applied. A modified version of the Australian dynamic stock and flow model was used to predict the supply of new recruits in 2025. The potential surplus or shortfall in the health workforce was calculated by comparing the supply and demand in 2025. Results: The demand and supply projections for the chosen fields were estimated respectively as: general medicine 457, 709; pharmacy 131, 86; dentistry 86, 251; nursing 949, 1657; midwifery 24, 247; public health 182, 211; and environmental health 92, 225. Conclusions: The current trend of medical graduates will meet the need for human resources in 2025, and there is no need to increase medical student admission. The Education Deputy of Ilam Medical University should take into account the health needs of its catchment area in medical educational processes and training new health-care staff.

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Section: Discussionmentioning

confidence: 98%

“…25 In their study about the inequality in the distribution of health-care resources in Iran, Lofty et al found that the highest ratio of manpower number per 1000 population was in Ilam province. 29…”

Section: Discussionmentioning

confidence: 99%

Supply-and-demand projections for the health workforce at a provincial level from 2015 to 2025 in Ilam, Iran

Bazyar

Hekmat

Rafiei

et al. 2020

Proceedings of Singapore Healthcare

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“…Despite the fact that a large number of future practitioners are being trained annually, the Iranian Ministry of Health faces a shortage of human resources due to the lack of funds to hire the required people [55]. The lack of sufficient person-power and higher workloads have caused the discontent of many employees, leading to a reduced quality of services provided to patients [56].…”

Section: Discussionmentioning

confidence: 99%

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

Behzadifar

Bragazzi

Arab‐Zozani

et al. 2019

Health Res Policy Sys

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BackgroundPolicy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs. The purpose of this study was to assess the challenges of implementing clinical governance through a meta-synthesis of qualitative studies published in Iran.MethodsTen databases, including ISI/Web of Sciences, PubMed/MEDLINE, Embase, PsycINFO, the Cochrane Library, CINAHL, Scopus, Barakatns, MagIran and the Scientific Information Database, were searched between January 2009 and May 2018. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines. Thematic synthesis was used to analyse the data.ResultsTen studies were selected and included based on the inclusion/exclusion criteria. In the first stage, 75 items emerged and were coded, and, following comparison and combination of the codes, 32 codes and 8 themes were finally extracted. These themes included health system structure, management, person-power, cultural factors, information and data, resources, education and evaluation.ConclusionThe findings of the study showed that there exist a variety of challenges for the implementation of clinical governance in Iran. To successfully implement a health policy, its infrastructure needs to be created. Using the views and support of stakeholders can ensure that a policy is well implemented.Trial registrationCRD42017079077. Dated October 10, 2017.Electronic supplementary materialThe online version of this article (10.1186/s12961-018-0399-5) contains supplementary material, which is available to authorized users.

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“…Another retrospective study [31] on resource distribution between Iran provinces in 2014, mentioning that the dissemination of the health policy segment assets between Iran areas was moderately equivalent. In this manner, health policymakers need to be centered on different parts of availability, for example, circulation of assets as indicated by health needs, distribution of resources within the provinces, and quality of services provision.…”

Section: Health Policies Degradation In Different Areas Of Iranmentioning

confidence: 99%

Telepediatric assistance in Iran: Specialist and subspecialty challenges

Mirmoeini¹,

Shooshtari²,

Battineni³

et al. 2020

EAI Endorsed Trans Perv Health Tech

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INTRODUCTION: Having justice for easy access to health services may probably be a standard feature and indisputable right of all health policies. The health policy of Iran enunciates this right. Unfortunately, as may happen in many countries, the execution of this policy depends on different factors. Among these parameters should be quoted as the suitable distribution of professionals, hospitals, and medical facilities. On the other hand, in Iran, there are many other problems linked to accessing areas with natural hindrances. OBJECTIVE: In this study, we analyzed the primary studies that report specialty and subspecialty challenges that had been faced by Iran to improve pediatric assistance. METHODS: Conduction of literature search in PubMed and CINAHL libraries was done, especially studies from 2010 to 2019. A Boolean operated 'MeSH' term was used for search. Newcastle-Ottawa Scale (NOS) scoring was adopted to assess the quality of each study. RESULTS: A total of 118 studies were displayed, and among them, 102 were excluded due to duplication and study relevance. Study selection was made based on its content were classified into two groups (1) shortage and unsuitable distribution of specialist and sub-specialist physicians in Iran, and (2) studies that explain the status of degradation in different areas of Iran. Outcomes demonstrated that Iran is generally suffering the shortage and unsuitable distribution of specialists and sub-specialists. This lack is particularly crucial in deprived and faraway areas from the cities. CONCLUSION: The present study analyzed in detail the current data regarding pediatric health services (specialist and subspecialty) and health-specific facilities distribution in the country.

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Inequality in Distribution of Health Care Resources in Iran: Human Resources, Health Centers and Hospital Beds

Cited by 16 publications

References 20 publications

Supply-and-demand projections for the health workforce at a provincial level from 2015 to 2025 in Ilam, Iran

Supply-and-demand projections for the health workforce at a provincial level from 2015 to 2025 in Ilam, Iran

The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies

Telepediatric assistance in Iran: Specialist and subspecialty challenges

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