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Designing Iranian model to assess the level of health system responsiveness
Joint Authors
Askari, Roohollah
Akbari Sari, Ali
Husayni, Sayyid Mustafa
Gharaee, Hojat
Arab, Muhammad
Rashidiyan, Arash
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 18, Issue 3 (31 Mar. 2016), pp.1-8, 8 p.
Publisher
Publication Date
2016-03-31
Country of Publication
United Arab Emirates
No. of Pages
8
Main Subjects
Abstract EN
Background: Given the rapid pace of changes in community health needs and the mission of healthcare organizations to provide and promote the community’s health, the growing need to increase health system responsiveness to people as a key element of observance and fulfillment of justice is felt more than ever.
Objectives: This study was aimed at designing the native model of responsiveness for Iran and to validate the aspects of the proposed model.
Materials and Methods: Our study had a cross-sectional design and was a validation study performed in 2014.
In order to define and identify responsiveness model aspects, the first phase recorded the views of 200 key informants from 19 provinces of Iran.
Snowball sampling was used to select experts (based on WHO guideline).
Then, the opinions of 18 comments were received from service recipients in the form of three focus group discussions and were analyzed by the frame framework analysis (interviewed recipients were selected using the purposive sampling method).
Finally, in order to confirm the model’s efficacy, a responsiveness questionnaire with 7 aspects (domains) and 52 indicators (items) obtained from the initial proposed model was answered by 600 members of the selected families in the two provinces of Fars and Yazd.
A multi-stage cluster sampling approach was used for the household survey.
The results were analyzed by the Confirmatory Factor Analysis (CFA) test and through the use of Lisrel software.
Results: Confirmatory Factor Analysis, based on the results of the key informant survey and group discussions, showed that according to quantities of GFI = 0.91, CFI = 0.93, NFI = 0.91, RMSEA = 0.074, SRMR = 0.061 and Hoelter (CN) = 178.54 in outpatient services and where GFI = 0.89, CFI = 0.91, NFI = 0.86, RMSEA = 0.064, SRMR = 0.053 and Hoelter (CN) = 158.93 for inpatient services, seven factors (F) (dignity, informed choice, confidentiality, patient training and informing, access to services, quality of basic amenities, and access to social support) are the main determinants of the responsiveness model and proposed model validity.
Conclusions: Given the comprehensiveness of presented aspects and indicators in this proposed model and its validity test, the aforementioned responsiveness model can be considered a suitable model to use when assessing the levels of health system responsiveness in Iran.
American Psychological Association (APA)
Askari, Roohollah& Arab, Muhammad& Rashidiyan, Arash& Akbari Sari, Ali& Husayni, Sayyid Mustafa& Gharaee, Hojat. 2016. Designing Iranian model to assess the level of health system responsiveness. Iranian Red Crescent Medical Journal،Vol. 18, no. 3, pp.1-8.
https://search.emarefa.net/detail/BIM-679281
Modern Language Association (MLA)
Askari, Roohollah…[et al.]. Designing Iranian model to assess the level of health system responsiveness. Iranian Red Crescent Medical Journal Vol. 18, no. 3 (Mar. 2016), pp.1-8.
https://search.emarefa.net/detail/BIM-679281
American Medical Association (AMA)
Askari, Roohollah& Arab, Muhammad& Rashidiyan, Arash& Akbari Sari, Ali& Husayni, Sayyid Mustafa& Gharaee, Hojat. Designing Iranian model to assess the level of health system responsiveness. Iranian Red Crescent Medical Journal. 2016. Vol. 18, no. 3, pp.1-8.
https://search.emarefa.net/detail/BIM-679281
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8
Record ID
BIM-679281