Health System Responsiveness in the Primary Health in a Developing Country: Expectations and Experiences of Clients
Sima Ahmadpour1, Jamileh Amirzadeh Iranag2, Hasan Yusefzadeh1, Bahram Nabilou1, *
Identifiers and Pagination:Year: 2023
E-location ID: e18749445265436
Publisher ID: e18749445265436
Article History:Received Date: 03/06/2023
Revision Received Date: 26/07/2023
Acceptance Date: 20/09/2023
Electronic publication date: 20/10/2023
Collection year: 2023
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Healthcare responsiveness is an essential goal of health systems. Responsiveness focuses on the nonclinical aspects of healthcare and measures individuals; experiences. There is little knowledge about responsiveness in primary care; most responsiveness studies have focused on inpatient services.
This study aimed to assess the responsiveness of primary care in the Urmia District Health Network in northwestern Iran.
Data collection was conducted at urban health centers. The data presented are from a single observational research project.
Two hundred forty regular clients were interviewed in selected urban health centers in the Urmia district health network. The mean total response score was satisfactory. Full access and easy receipt of services without discrimination were important and noteworthy results for responsiveness. Regarding respondents, expectations, dignity, and prompt attention were the most important domains, while provider choice and social support were the least important. The results showed no statistically significant differences between the mean responsiveness scores for ambulatory care and hospital services.
Improvements in responsiveness domains increase convergence and alignment between clients' expectations and health system performance. In this context, dignity and prompt attention are essential.