Evidence map›Paper›PMID 40162502›Full record

ArticlePrimary health care research & development2025

Survey protocol: implementing Workload Indicators of Staffing Need in Iranian primary healthcare services.

Sahand Riazi-Isfahani, Elham Ahmadnezhad, Elham Ehsani-Chimeh, Zhaleh Abdi, Bahar Haghdoost, Ali Akbari-Sari, Shadrokh Sirous, Mashyaneh Haddadi, Mahmood Samadpour, Mahboubeh Bayat and 2 more

Abstract read
In one paragraph

Article in Primary health care research & development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Sahand Riazi-IsfahaniHealth System Observatory Secretariat, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Elham AhmadnezhadHealth System Observatory Secretariat, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1373-0777
Elham Ehsani-ChimehDepartment of Human Recourses, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Zhaleh AbdiDepartment of Education and Research, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Bahar HaghdoostHealth System Observatory Secretariat, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Ali Akbari-SariDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Poursina Ave, Tehran, Iran.
Shadrokh SirousNational professional officer and unit head, Universal health coverage/health system. WHO country office, Tehran, Iran.ORCID 0000-0003-3179-7430
Mashyaneh HaddadiNational health policy advisor, Universal health coverage/health system. WHO country office, Tehran, Iran.
Mahmood SamadpourCenter for Health Human Resources Research and Studies, Ministry of Health & Medical Education, Tehran, Iran.
Mahboubeh BayatCenter for Health Human Resources Research and Studies, Ministry of Health & Medical Education, Tehran, Iran.ORCID 0000-0003-2100-9381
Tahereh KashkalaniCenter for Health Human Resources Research and Studies, Ministry of Health & Medical Education, Tehran, Iran.ORCID 0000-0001-6835-8971
Roghayeh KhalilnezhadCenter for Health Human Resources Research and Studies, Ministry of Health & Medical Education, Tehran, Iran.ORCID 0000-0003-1571-1190

Funding

World Health Organization 001
6 · The paper itself

Abstract

aimThe primary objective of this study is to assess the workload situation within Iran's primary healthcare (PHC) sector, with an emphasis on identifying workforce needs and ascertaining any existing shortages or surpluses.

backgroundOver the past four decades, the establishment of PHC in Iran has been a significant accomplishment for the country's healthcare system. Iran places substantial importance on achieving universal health coverage through PHC, aligning with global health goals, and acknowledging the critical role of human resources in this context. This commitment has enabled widespread and inclusive access to PHC services for both urban and rural populations across the nation. The primary objective of this study is to assess the workload situation within Iran's PHC sector, with an emphasis on identifying workforce needs and ascertaining any existing shortages or surpluses.

methodsIn 2023, a retrospective cross-sectional survey in Iran's PHC sector sampled 1,212 individuals from 557 units across seven districts. Units were selected based on predetermined criteria for proportional representation of eligible occupational groups. Data was collected using tailored electronic questionnaires, covering facility and individual characteristics, working time, activities, and support tasks. Shortages or surpluses were assessed using Workload Indicators of Staffing Need (WISN) ratios under various scenarios, utilizing data from 2022 registration systems. Adjusted time data-informed workload pressure calculations.

findingsCustomizing the WISN protocol to each country's context is crucial, involving stakeholders in study design, including sample selection and data collection methods. Contextual facility information aids analysis, necessitating standardized data collection approaches for diverse registration systems.

Indexed as

Health Services Needs and DemandHealth WorkforcePersonnel Staffing and SchedulingPrimary Health CareWorkloadCross-Sectional StudiesHumansIranRetrospective StudiesSurveys and QuestionnairesEvidence informed-policy makingFacility surveyPrimary healthcareProtocolUniversal health coverageworkload indicators of staffing need

Identifiers

PMID40162502
PMCPMC11955537

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.