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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Physicians’ retention rate and its effective factors in the Islamic Republic of Iran
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Physicians’ retention rate and its effective factors in the Islamic Republic of Iran

机译：伊朗伊斯兰共和国内科医生的保留率及其影响因素

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Background : Migration of physicians from less developed countries to affluent ones has become as one of the major concerns of human resource policy-makers. This leads to problems such as inequity in the distribution of physicians, lack of physicians in less developed areas, as well as an excess of the health workforce in developed environs. Thus, policy-makers aim to increase retention of physicians in their places of origin. Aims : This study aimed to find those effective factors for the retention of physicians in the Islamic Republic of Iran. Methods : 30 569 records of public sector physicians in 2016 were gathered from the Ministry of Health and Medical Education database, and the retention rate of each province was calculated. Geographic information system (GIS) was used to show retention in each province, and linear and logistic regression analysis were used to determine the effective factors for physicians’ retention in the country. Results : There was a significant relationship between per capita gross domestic product of each province and its retention rate of physicians (OR = 1.56), retention rate of family physicians (OR = 7.38), and retention rate of specialists (OR = 1.59). In addition, relationships were significant for the human development index (all physicians [OR = 1.22], family physicians [OR = 2.36], and specialists [OR = 1.23]). Married physicians, higher paid physicians, and those who worked in headquarters and clinics showed greater willingness to stay in their area of origin. Conclusions : Physicians’ retention rate is dependent on both macro and microlevel factors.
机译：背景：从不发达国家到富裕国家的医生迁移已成为人力资源政策制定者的主要关切之一。这导致了问题，例如医师分配不均，欠发达地区缺乏医师，以及发达地区的卫生人力过剩。因此，决策者旨在增加医师在其出生地的保留率。目的：本研究旨在寻找有效的因素来挽留伊朗伊斯兰共和国的医生。方法：从卫生和医学教育部数据库中收集2016年30 569名公共部门医生的记录，计算各省的保留率。使用地理信息系统（GIS）来显示每个省的保留率，并使用线性和逻辑回归分析来确定影响医生在该国保留的有效因素。结果：每个省的人均国内生产总值与医生的保留率（OR = 1.56），家庭医生的保留率（OR = 7.38）和专家的保留率（OR = 1.59）之间存在显着的关系。此外，关系对于人类发展指数也很重要（所有医师[OR = 1.22]，家庭医师[OR = 2.36]和专家[OR = 1.23]）。已婚医师，薪酬较高的医师以及在总部和诊所工作的医师均表示愿意留在其原籍地区。结论：医师的保留率取决于宏观和微观因素。

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