Assessing health system responsiveness : a household survey in 17th district of Tehran
Joint Authors
Rashidian, A.
Kavosi, Z.
Majdzadeh, R.
Pourreza, A.
Muhammad, K.
Arab, M.
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 13, Issue 5 (31 May. 2011), pp.302-308, 7 p.
Publisher
Publication Date
2011-05-31
Country of Publication
United Arab Emirates
No. of Pages
7
Main Subjects
Topics
Abstract EN
Background: responsiveness is an indicator by WHO to evaluate the performance of health systems on non-medical expectations of consumers.
This study measures the health system responsiveness and the factors affecting responsiveness in Iran health system.
Methods: world Health Survey (WHS) questionnaire was used to collect data on a two-stage cluster sampling in 17th District of Tehran in 2003.
Of a sample of 773, 677 and 299 individuals who respectively had outpatient or inpatient services utilization responded to the responsiveness module of WHS questionnaire.
Result: more than 90% of respondents believed that responsiveness issues were very important.
Performance of outpatient services was better than hospital services in terms of responsiveness.
"Prompt attention" and "quality of basic amenities" received low score for outpatient services.
Service user variables had no significant effect on responsiveness, while type of centers was significantly related to responsiveness.
Principal component analysis found three factors for both outpatient and inpatient services that explained 62% and 61% of total variances respectfully.
Conclusion: Iran health system should pay more attention to responding non-medical expectations of service users.
It sounds that health system interventions are main determinant of responsiveness score compared to demographic or user variables.
Training health staff, allocating more resources and reengineering some processes may play a role in improving responsiveness.
Responsiveness domains seem to be tailored based on each society's cultural factors.
American Psychological Association (APA)
Rashidian, A.& Kavosi, Z.& Majdzadeh, R.& Pourreza, A.& Arab, M.& Muhammad, K.. 2011. Assessing health system responsiveness : a household survey in 17th district of Tehran. Iranian Red Crescent Medical Journal،Vol. 13, no. 5, pp.302-308.
https://search.emarefa.net/detail/BIM-268247
Modern Language Association (MLA)
Pourreza, A.…[et al.]. Assessing health system responsiveness : a household survey in 17th district of Tehran. Iranian Red Crescent Medical Journal Vol. 13, no. 5 (May. 2011), pp.302-308.
https://search.emarefa.net/detail/BIM-268247
American Medical Association (AMA)
Rashidian, A.& Kavosi, Z.& Majdzadeh, R.& Pourreza, A.& Arab, M.& Muhammad, K.. Assessing health system responsiveness : a household survey in 17th district of Tehran. Iranian Red Crescent Medical Journal. 2011. Vol. 13, no. 5, pp.302-308.
https://search.emarefa.net/detail/BIM-268247
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 301
Record ID
BIM-268247