Volume 23, Issue 4 (2-2025)
jhosp 2025, 23(4): 471-489 |
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Babaei G, Dargahi H, Rahmani H. Causes of the Tendency to Migrate and Strategies to Reduce it among Paramedics at Tehran University of Medical Sciences: A Mixed-Methods Study. jhosp 2025; 23 (4) :471-489
URL: http://jhosp.tums.ac.ir/article-1-6739-en.html
URL: http://jhosp.tums.ac.ir/article-1-6739-en.html
1- Master's Student, Department of Health Management, Policy, and Economics, Tehran University of Medical Sciences, Tehran, Iran.
2- Professor of Health Services Management, Department of Health Management, Policy, and Economics, Tehran University of Medical Sciences, Tehran, Iran. Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
3- Associate Professor of Health Services Management, Department of Health Management, Policy, and Economics, Tehran University of Medical Sciences, Tehran, Iran. *Corresponding Author Email: hojjatrahmani@ yahoo.com
2- Professor of Health Services Management, Department of Health Management, Policy, and Economics, Tehran University of Medical Sciences, Tehran, Iran. Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
3- Associate Professor of Health Services Management, Department of Health Management, Policy, and Economics, Tehran University of Medical Sciences, Tehran, Iran. *Corresponding Author Email: hojjatrahmani@ yahoo.com
Abstract: (1037 Views)
Background and purpose: The migration of healthcare workers from developing countries to more developed nations is a long-standing and ongoing trend. The loss of personnel due to migration can negatively impact healthcare systems. Therefore, this study aimed to identify the causes of the tendency to migrate and strategies to reduce it among paramedics at Tehran University of Medical Sciences.
Methods: The present study is an applied research conducted using a mixed-methods approach in three phases: literature review, Delphi method, and expert panel. It was carried out at Tehran University of Medical Sciences in 2024. Based on the literature review, a questionnaire on the causes of and solutions for reducing paramedical staff migration was developed. After confirming its validity and reliability, the questionnaire was distributed among students. The most important strategies for reducing migration were identified through the expert panel. Quantitative data were analyzed using SPSS version 22, while qualitative content analysis was used for the literature review and expert panel data.
Results: The main causes of paramedics’ migration included contextual factors, work-related factors, health system-related factors, individual-related factors, and factors related to the destination countries. According to the findings, increasing salaries and benefits, improving welfare facilities, and enhancing economic conditions were the most important strategies for reducing migration from the perspective of students and experts.
Conclusion: Although some actions, such as raising awareness about the hardships of migration, may influence individuals’ decisions, more fundamental measures—such as improving economic conditions, reforming the healthcare system structure, creating equal job opportunities, and enhancing the social status of paramedics—are essential to control and reduce the migration trend.
Methods: The present study is an applied research conducted using a mixed-methods approach in three phases: literature review, Delphi method, and expert panel. It was carried out at Tehran University of Medical Sciences in 2024. Based on the literature review, a questionnaire on the causes of and solutions for reducing paramedical staff migration was developed. After confirming its validity and reliability, the questionnaire was distributed among students. The most important strategies for reducing migration were identified through the expert panel. Quantitative data were analyzed using SPSS version 22, while qualitative content analysis was used for the literature review and expert panel data.
Results: The main causes of paramedics’ migration included contextual factors, work-related factors, health system-related factors, individual-related factors, and factors related to the destination countries. According to the findings, increasing salaries and benefits, improving welfare facilities, and enhancing economic conditions were the most important strategies for reducing migration from the perspective of students and experts.
Conclusion: Although some actions, such as raising awareness about the hardships of migration, may influence individuals’ decisions, more fundamental measures—such as improving economic conditions, reforming the healthcare system structure, creating equal job opportunities, and enhancing the social status of paramedics—are essential to control and reduce the migration trend.
Type of Study: Original Article |
Subject:
مدیریت منابع انسانی در بیمارستان
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