Policy brief: addressing the shortage of human resources in the Iranian health system

Abstract

Background: This policy brief addresses the critical shortage of human resources in the Iranian healthcare system, which significantly hampers healthcare access, quality, and patient outcomes. The ongoing mismatch between the supply of healthcare professionals and the growing demand due to population increases and the rising burden of chronic diseases necessitates urgent action. Despite efforts to expand the healthcare workforce, challenges such as geographic maldistribution, migration of healthcare workers abroad, inadequate training opportunities, and limited support systems persist, further exacerbating the crisis. Introduction: The current landscape reveals an uneven distribution of healthcare professionals, with urban areas benefiting disproportionately compared to rural regions. As a result, many communities face difficulties accessing essential healthcare services. Additionally, the migration of skilled professionals seeking better opportunities overseas undermines the existing workforce, leading to further gaps in care delivery. These shortages directly affect healthcare quality, resulting in longer wait times, decreased patient satisfaction, and poorer health outcomes. Furthermore, the strain on remaining healthcare workers contributes to burnout, compromising their well-being and the effectiveness of care provided. Materials and Methods: To address these challenges, this policy brief presents evidence-based recommendations aimed at enhancing the capacity and effectiveness of the healthcare workforce. Key policy options include: Implementing strategies to incentivize the placement of healthcare workers in underserved areas, establishing centralized data systems for workforce management, and developing rural placement programs. Improving salary structures, working conditions, and career development opportunities to retain healthcare workers and reduce migration, along with promoting work-life balance. Increasing investments in medical and nursing education, expanding specialized training opportunities, and establishing continuing education frameworks to ensure ongoing skill development. Exploring innovative models that allow for task-shifting, enabling non-physician health workers to perform essential tasks, thereby optimizing the use of available human resources. Encouraging collaboration with the private sector and NGOs to expand training capacities and provide healthcare services in underserved regions. Promoting digital health tools and telemedicine to extend healthcare access, especially in remote areas. Discussion:  The brief outlines a phased implementation strategy that includes both short-term actions, such as pilot projects and capacity-building initiatives, and long-term structural reforms aimed at sustaining a robust healthcare workforce. Conclusion: Addressing the human resource shortage in Iran's healthcare system is vital for improving healthcare access and outcomes, requiring immediate and comprehensive policy action to foster a resilient healthcare environment for all citizens