Volume 11, Number 4 (Vol 11, No.4, Winter 2016 2016)                   irje 2016, 11(4): 1-9 | Back to browse issues page


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Piroozi B, Mohamadi Bolban Abad A, Moradi G. Assessing Health System Responsiveness after the Implementation of Health System Reform: A Case Study of Sanandaj, 2014- 2015. irje. 2016; 11 (4) :1-9
URL: http://irje.tums.ac.ir/article-1-5457-en.html

1- 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 Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- PhD Student in Health Care Management, 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
3- MD, MPH, PhD of epidemiology, Assistant Professor of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran MD, MPH, PhD of epidemiology, Assistant Professor of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran , moradi_gh@yahoo.com
Abstract:   (6216 Views)

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.

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Type of Study: Research | Subject: General
Received: 2016/04/23 | Accepted: 2016/04/23 | Published: 2016/04/23

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