Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015
Background and Objectives: Responsiveness is a response to the reasonable expectations of people about non-clinical aspects of the health system. The purpose of this paper was to assess the responsiveness of the health system after the first year of the health system reform in Sanandaj in 2015. Met...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2016-03-01
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| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-5457-en.html |
| _version_ | 1818693330278547456 |
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| author | B Piroozi A Mohamadi Bolban Abad GH Moradi |
| author_facet | B Piroozi A Mohamadi Bolban Abad GH Moradi |
| author_sort | B Piroozi |
| collection | DOAJ |
| description | Background and Objectives: Responsiveness is a response to the reasonable expectations of people about non-clinical aspects of the health system. The purpose of this paper was to assess the responsiveness of the health system after the first year of the health system reform in Sanandaj in 2015.
Methods: This descriptive-analytic and cross-sectional study was conducted on 646 households in Sanandaj. The World Health Survey (WHS) questionnaire was used to collect the data. The data was analyzed with SPSS 16 as well as descriptive statistics and ANOVA.
Results: All dimensions of responsiveness, except for choice, were 100% important according to the respondents. In inpatient services, social support (100%) and confidentiality (96%) had the best performance while communication had the worst performance (49%). In outpatient services, confidentiality (100%) and autonomy (42%) had the best and worst performance, respectively. In inpatient wards, a significant difference only in “quick attention” dimension was observed among responsiveness dimensions with regards to proprietorship of the health care center (P-value=0.03). On the contrary, this difference was not significant in outpatient wards.
Conclusion: In this study, communication (time to ask questions about health problem/treatment, clarity of providers explanations), autonomy (participation in treatment decision-making, possibility of obtaining information on other types of treatment) and quality of basic amenities (cleanliness inside the health facility, available space in waiting and examination rooms) were identified as priority areas for actions to improve the responsiveness of the health care services. |
| first_indexed | 2024-12-17T13:11:58Z |
| format | Article |
| id | doaj.art-ebd4c25edb4d46faacba03288180d726 |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-12-17T13:11:58Z |
| publishDate | 2016-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-ebd4c25edb4d46faacba03288180d7262022-12-21T21:47:06ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072016-03-0111419Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015B Piroozi0A Mohamadi Bolban Abad1GH Moradi2 PhD Student in Health Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD Student in Health Care Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran MD, MPH, PhD of epidemiology, Assistant Professor of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran Background and Objectives: Responsiveness is a response to the reasonable expectations of people about non-clinical aspects of the health system. The purpose of this paper was to assess the responsiveness of the health system after the first year of the health system reform in Sanandaj in 2015. Methods: This descriptive-analytic and cross-sectional study was conducted on 646 households in Sanandaj. The World Health Survey (WHS) questionnaire was used to collect the data. The data was analyzed with SPSS 16 as well as descriptive statistics and ANOVA. Results: All dimensions of responsiveness, except for choice, were 100% important according to the respondents. In inpatient services, social support (100%) and confidentiality (96%) had the best performance while communication had the worst performance (49%). In outpatient services, confidentiality (100%) and autonomy (42%) had the best and worst performance, respectively. In inpatient wards, a significant difference only in “quick attention” dimension was observed among responsiveness dimensions with regards to proprietorship of the health care center (P-value=0.03). On the contrary, this difference was not significant in outpatient wards. Conclusion: In this study, communication (time to ask questions about health problem/treatment, clarity of providers explanations), autonomy (participation in treatment decision-making, possibility of obtaining information on other types of treatment) and quality of basic amenities (cleanliness inside the health facility, available space in waiting and examination rooms) were identified as priority areas for actions to improve the responsiveness of the health care services.http://irje.tums.ac.ir/article-1-5457-en.htmlresponsivenesshealth system reformworld health survey |
| spellingShingle | B Piroozi A Mohamadi Bolban Abad GH Moradi Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 مجله اپیدمیولوژی ایران responsiveness health system reform world health survey |
| title | Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 |
| title_full | Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 |
| title_fullStr | Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 |
| title_full_unstemmed | Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 |
| title_short | Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015 |
| title_sort | assessing health system responsiveness after the implementation of health system reform a case study of sanandaj 2014 2015 |
| topic | responsiveness health system reform world health survey |
| url | http://irje.tums.ac.ir/article-1-5457-en.html |
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