Identification of Native Physicians Retention Components in Iranian Health System: A Mixed Method Study

Article Type:
Research/Original Article (دارای رتبه معتبر)

 Physicians and health professionals are the cornerstone of health systems and play an indelible role in promoting the health of each community. As mentioned by the World Bank, human capital, particularly elites and highly skilled human resources, is the wealth of countries. Maintaining and preserving them is the prerequisite of sustainable development of the health sector, availability, and quality of health services.


 The main purpose of this study was to identify the effective key variables in the retention of native Iranian physicians and preventing their migration abroad.


 This study was conducted using a mixed-method approach based on a sequential exploratory strategy in 2018. In the qualitative section, semi-structured interviews were conducted with 36 faculty members of Shiraz University of Medical Sciences (SUMS). The theoretical saturation was reached via a purposeful sampling and maximum variation by applying conventional thematic analysis method processes. In the quantitative section, a questionnaire was developed, and its validity and reliability were tested and verified. The questionnaire was distributed among a random sample of 158 physicians out of a target population of 283 first-year medical assistants at SUMS. In addition, the data were reviewed by applying a descriptive-survey method, and thematic analysis was used to analyze the data.


 In total, 60 basic themes, 9 organizing themes, and one global theme were extracted. The strong educational management base for the educational support theme with a factor of 0.91 (P < 0.001) was the best descriptor in the physicians’ preservation model.


 The following critical variables affect the native physicians’ retention: effective and strong medical education administration as educational support, flexible working hours, availability of complete labor market information, emphasis and attention to creativity and scientific, and research innovations in the medical profession.

Shiraz Emedical Journal, Volume:22 Issue: 2, Feb 2021
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 1,390,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
In order to view content subscription is required

Personal subscription
Subscribe for 70 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!