Responsiveness of the health system towards patients admitted to west of Iran hospitals
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Assistant professor, Department of Social Medicine, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
Online publication date: 2018-07-15
Publication date: 2019-04-22
Electron J Gen Med 2019;16(2):em121
Responsiveness refers to non-clinical aspects of the health system and responds to this question that whether health system is responsive to rightful expectations of people. This study aimed to assess the responsiveness of the health system towards patients admitted to hospitals in Khorramabad city in 2017.

This cross-sectional study was conducted on 700 patients hospitalized in hospitals affiliated to Lorestan University of Medical Sciences in Khorramabad, 2017, who were included into the study using multi stage method. Data collection was performed using valid questionnaire that designed by the World Health Organization (WHO) for measurement of responsiveness. Data were entered into SPSS 22 software and analyzed using descriptive and analytical statistics.

In this study, the highest responsiveness was related to social support networks dimension with a mean score of 3.95 ± 0.92 and the least responsiveness was related to choice of therapist (2.70 ± 0.33) and autonomy (2.81 ± .0.71) dimensions. According to the viewpoint of patients the most important dimensions were prompt attention (41%) and dignity (28%).

According to the results of this study, it seems logical and necessary to take steps to improve the health system’s responsiveness for patient care by paying pay more attention to patients’ rights, in particular, regarding the provision of conditions and facilities for choosing a health provider and considering their autonomy.

Malhotra C, Do YK. Socio-economic disparities in health system responsiveness in India. Health Policy Plan. 2013;28(2):197-205. https://doi.org/10.1093/heapol... PMid:22709921 PMCid:PMC3584994.
Messina DJ, Scotti DJ, Ganey R, Zipp GP, The relationship between patient satisfaction and inpatient admissions across teaching and nonteaching hospitals. Journal of healthcare management/American College of Healthcare Executives. 2009;54(3):177.
Valentine N, Darby C, Bonsel GJ. Which aspects of non-clinical quality of care are most important? Results from WHO’s general population surveys of “health systems responsiveness” in 41 countries. Social Science & Medicine. 2008;66(9):1939-50. https://doi.org/10.1016/j.socs... PMid:18313822.
De Silva A. A framework for measuring responsiveness. Geneva: World Health Organization, unpublished document, GPE Discussion Paper Series: No. 34. 2002.
Murray CJ, Frenk J, A framework for assessing the performance of health systems. Bulletin of the World Health Organization. 2000:78(6):717-31. PMid:10916909 PMCid:PMC2560787.
Reinhardt UE, Cheng T m, the world health report 2000-Health systems: improving performance. Bulletin of the World Health Organization. 2:1064: (8)78.
De Silva A. A Framework for Measuring Responsiveness. GPE Discussion Paper Series No. 32 [Online]. 1997; Retrieved from http://www.who.int/healthinfo/....
Ministry of Health. Third and fourth development plans [Online]. 2010; Retrieved from http://hamahangi.behdasht.gov.....
Ugurluoglu O, Celik Y. How responsive Turkish health care system is to its citizens: the views of hospital managers. Journal of Medical Systems. 2006;30(6):421-8. https://doi.org/10.1007/s10916....
Mohammadi A, Kamali K. Patients’ Perspectives on Responsiveness in Outpatient Clinics of Hospitals at Zanjan University of Medical Sciences. Preventive Care in Nursing & Midwifery Journal (PCNM). 2015;5(1).
Aharony L, Strasser S. Patient satisfaction: what we know about and we still need to explore. Medical Care Review 1993;50:49-79. https://doi.org/10.1177/002570... PMid:10125117.
Ware JE, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care.Evaluation and Program Planning. 1983;6:247-263. https://doi.org/10.1016/0149-7....
Wouters A. Essential national health research in developing countries: health care financing and the quality of care. International Journal of Health Planning and Management. 1991;6:253-271. https://doi.org/10.1002/hpm.47....
McPake B. User charges for health services in developing countries: a review of the economic literature. Social and Science and Medicine. 1993;36:1397-1405. https://doi.org/10.1016/0277-9....
Gilson L, Alilio M, Heggenhougen K. Community satisfaction with primary health care services: an evaluation undertaken in the Morogoro region of Tanzania. Social Science and Medicine. 1994;39:767-780.
Gakidou EE, Frenk J, Murray CJL. Measuring preferences on health system performance assessment. Geneva, World Health Organization, 2000 (Global Programme on Evidence for Health Policy Discussion paper No. 20).
Ebrahimipour H, Najjar A, Jahani AK, Pourtaleb A, Javadi M, Rezazadeh A, et al. Health system responsiveness: a case study of general hospitals in Iran. International journal of Health Policy and Management. 2013;1(1):85-90. https://doi.org/10.15171/ijhpm....
Zarei E, Daneshkohan A, Khodakarim S, Shamsdini Lori A, Ahmadi Kashkoli S. Hospitals’ Responsiveness from the patient’s perspective: A cross-sectional Study in Tehran, Iran. Pejouhandeh 2016;21(2):99-10.
Rashidian A, Kavosi Z, Majdzadeh R, Pourreza A, Pourmalek F, Arab M, et al. Assessing health system responsiveness: a household survey in 17th District of Tehran. Iranian Red Crescent Medical Journal. 2011;13(5):302-8. PMid:22737485 PMCid:PMC3371967.
Kowal P, Naidoo N, Williams SR, Chatterji S. Performance of the health system in China and Asia as measured by responsiveness. Health. 2011;3(10):638-46. https://doi.org/10.4236/health....
Njeru MK, Blystad A, Nyamongo IK, Fylkesnes K. A critical assessment of the WHO responsiveness tool: lessons from voluntary HIV testing and counseling services in Kenya. BMC Health Serv Res. 2009;9:243. https://doi.org/10.1186/1472-6... PMid:20028540 PMCid:PMC2811110.
Javadi M, Yaghoobi M, Raiesi A, Mandegar HA, Ayoobian A. A Study of Non-Medical Aspects of Health Services Provided to Patients in Selected Hospitals of Isfahan: Responsiveness. Health Information Management. 2011;8(5):709-17.
Ristea AL, Stegaroiu I, Franc VI, Dinu V. Responsiveness of Health Systems: a Barometer of the Quality of Health Services. j 2009;11(26):277-87.
Bramesfeld A, Wedegärtner F, Elgeti H, Bisson S. How does mental health care perform in respect to service users’ expectations? Evaluating inpatient and outpatient care in Germany with the WHO responsiveness concept. BMC Health Services Research. 2007;7(1):79-99. https://doi.org/10.1186/1472-6... PMid:17605786 PMCid:PMC1931438.
Peltzer K, Phaswana-Mafuya N. Patient experiences and health system responsiveness among older adults in South Africa. Global Health Action. 2012;5(2):1-11. https://doi.org/10.3402/gha.v5....
Fotaki M, Roland M, Boyd A, Mc Donald R, Scheaff R, Smith L. What benefits will choice bring to patients? Literature review and assessment of implications. Journal of Health Services Research & Policy. 2008; 13(3):178-84. https://doi.org/10.1258/jhsrp.....
Coulter A, Jenkinson C. European patients’ views on the responsiveness of health systems and healthcare providers. The European Journal of Public Health. 2005;15:355-60. https://doi.org/10.1093/eurpub... PMid:15975955.
Mousavi M, Erfanian Taghvaee M, Salehi M. Health System’s Responsiveness of Inpatients: Hospitals of Iran. Global Journal of Health Science. 2015;7(7):106-113.
Sajjadi F, Moradi-Lakeh M, Nojomi M, Baradaran HR, Azizi F. Health system responsiveness for outpatient care in people with diabetes Mellitus in Tehran. Medical Journal of the Islamic Republic of Iran 2015; 29(1):1136 -49.
Mosallam R, Aly MM, Moharram AM. Responsiveness of the health insurance and private systems in Alexandria, Egypt. The Journal of the Egyptian Public Health Association. 2013; 88(1):46-51. https://doi.org/10.1097/01.EPX... PMid:23528532.
Fazaeli S, Hashemi S, Ebrahimipour H, Banikazemi H, Yousefi M. Importance of health System responsiveness in a high and low income areas in Mashhad, Iran: A Household surve. Journal of the Iranian Institute for Health Sciences Research. 2016;4(15):153-162.
Liabsuetraku T, Petmanee P, Sanguanchua S, Oumudee N. Health system responsiveness for delivery care in Southern Thailand. Int J Qual Health Care. 2012;24(4):169-75. https://doi.org/10.1093/intqhc... PMid:22215759.
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