Evidence map›Paper›PMID 38993148›Full record

ArticleGlobal health action2024

Analysis of Iranian health workforce emigration based on a system dynamics approach: a study protocol.

Hamideh Keyvani, Reza Majdzadeh, Esmaeil Khedmati Morasae, Leila Doshmangir

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Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hamideh KeyvaniDepartment of Health Policy & Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0003-1586-236X
Reza MajdzadehSchool of Health and Social Care, University of Essex Colchester, Colchester, UK.
Esmaeil Khedmati MorasaeComplex Systems Science, Research Fellow in Complex Systems and Policy, Faculty of Environment, Science, and Economy, University of Exeter, Exeter, UK.ORCID 0000-0003-2172-9653
Leila DoshmangirDepartment of Health Policy & Management, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-5197-8437

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmigration of health workers has emerged as a significant obstacle in Iran, compelling policymakers to implement a diverse range of interventions and reforms to enhance healthcare services. It is imperative to comprehend the efficacy of emigration control interventions. To explore the intricate dynamics of elite emigration, this study employs a system dynamics modeling approach. The objective is to scrutinize Iranian health workers' emigration, examine the relationships, and evaluate the impact of various factors involved.

objectivesThe general purpose of this study is to analyze the policy interventions affecting the emigration of human resources in the field of health in Iran based on the system's dynamic approach.

methodThe research consists of four phases including analyzing the emigration status of health workers in developing countries, studying health personnel emigration in Iran, developing a System Dynamics (SD) model, and determining evidence-based policy interventions to address health worker emigration. These phases involve realist review, document analysis, qualitative interviews, data integration, and policy scenario planning. The primary objective is to gain a profound understanding of the underlying causes, mechanisms, and consequences of migration, as well as assess the impact of policies, in order to prioritize effective interventions.

resultsIt seems that the SD model developed in this study can highlight the interconnectedness of various factors that influence health worker emigration, including demographic changes, economic conditions, and characteristics of healthcare systems.

conclusionThis study uses a systems dynamics approach to analyze health worker emigration from Iran, focusing on policies that promote retention and explore the implications of emigration on the healthcare system. By examining interrelationships and feedback loops within the healthcare system and socioeconomic factors, the study aims to identify effective policy interventions that can mitigate the negative effects of emigration.

Indexed as

Emigration and ImmigrationHealth PersonnelHealth PolicyHealth WorkforceDeveloping CountriesHumansIranSystems AnalysisEmigrationhealth human resourceshealth workerpolicy analysissystem dynamics

Identifiers

PMID38993148
PMCPMC11249144

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.