Evidence map›Paper›PMID 42141421›Full record

SynthesisHuman resources for health2026

Health workforce planning models for older adults in the WHO Eastern Mediterranean Region: a mixed methods systematic review.

Salim Ahmed Alshehri, Lucy Simmonds, Angie Shafei, Fany Indriyani, Mohammed Khaled Al-Hanawi, Madhan Balasubramanian

Abstract readSystematic Review
In one paragraph

Synthesis in Human resources for health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

6 authors.

Salim Ahmed AlshehriDepartment of Finance, College of Business Administration in Hawtat Bani Tamim, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia. s.alshehri@psau.edu.sa.ORCID http://orcid.org/0000-0003-0351-6662
Lucy SimmondsFlinders Business School | Health Care Management | College of Business Creative Arts Law and Social Sciences, Flinders University, Adelaide SA, Australia.ORCID http://orcid.org/0000-0002-4795-5141
Angie ShafeiFlinders Business School | Health Care Management | College of Business Creative Arts Law and Social Sciences, Flinders University, Adelaide SA, Australia.ORCID http://orcid.org/0000-0002-3155-356X
Fany IndriyaniFlinders Business School | Health Care Management | College of Business Creative Arts Law and Social Sciences, Flinders University, Adelaide SA, Australia.ORCID http://orcid.org/0000-0002-8811-0276
Mohammed Khaled Al-HanawiDepartment of Health Services and Hospitals Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID http://orcid.org/0000-0002-8419-2219
Madhan BalasubramanianFlinders Business School | Health Care Management | College of Business Creative Arts Law and Social Sciences, Flinders University, Adelaide SA, Australia.ORCID http://orcid.org/0000-0003-2798-5850

Funding

Prince Sattam bin Abdulaziz University PSAU/2024/03/32108
6 · The paper itself

Abstract

BACKGROUND/

objectiveAs the population across the World Health Organization Eastern Mediterranean Region (EMR) ages, healthcare systems are increasingly strained by the rising burden of non-communicable diseases and the growing demand for chronic geriatric care. Effective health workforce planning is essential to address these evolving needs. However, limited evidence exists on the applicability of workforce planning models tailored specifically to older adults in the EMR. The purpose of this review is to examine current models and strategies in health workforce planning for older adult care in the EMR, with a focus on regionally tailored, financially sustainable, and policy-relevant solutions.

methodsA mixed methods systematic review following JBI methodology was conducted. Five databases (MEDLINE, Embase, Scopus, CINAHL, and Web of Science) were searched for English-language qualitative, quantitative, and mixed-methods studies examining workforce planning models relevant to older adults' care in the EMR. The review focused on identifying approaches to workforce supply, demand and needs forecasting, competency development, retention, and financial sustainability in healthcare systems. The data were synthesized using a convergent integrated approach and the included studies were assessed for quality using the QuADS tool.

resultsAmong the total 1152 records identified, 11 studies met the inclusion criteria, covering four EMR countries (Iran, Lebanon, Jordan, and Saudi Arabia) across three healthcare settings. The key findings highlighted persistent shortages in geriatric, rehabilitation, and chronic disease specialists; limited use of forecasting models; and insufficient professional development opportunities. Major barriers included health professional migration, poor working conditions, and financial instability. Critical enablers included integrated supply-and-demand forecasting, competency-based training, and retention strategies such as improved remuneration, career progression, and supportive work environments. Financial sustainability was highlighted as a cross-cutting concern.

conclusionThis review highlights the urgent need for regionally adapted data-driven workforce planning models that integrate forecasting, competency development, and retention strategies to meet the care demands of aging populations in the EMR.

Indexed as

Delivery of Health CareHealth PlanningHealth Services for the AgedHealth Services Needs and DemandHealth WorkforceAgedHumansMediterranean RegionWorld Health OrganizationFinancial sustainabilityHealthcare modelsHealth systemsHealth workforceOlder adultsPlanningSystematic reviewWHO Eastern Mediterranean Region

Identifiers

PMID42141421
PMCPMC13348860

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.