Volume 23, Issue 4 (July - August 2024)
Payesh 2024, 23(4): 551-559 |
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Ethics code: IR.SBMU.SME.REC.1399.029
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Shams L, Fardi E, Nasiri T, Zarei E. Health system responsiveness and its impact on public trust: A study in north of Iran. Payesh 2024; 23 (4) :551-559
URL: http://payeshjournal.ir/article-1-2276-en.html
URL: http://payeshjournal.ir/article-1-2276-en.html
1- Shahid Beheshti University of Medical Sciences & Department of Health Service Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Community Health Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Health Care Management, School of Public Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
4- Department of Health Service Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Community Health Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Health Care Management, School of Public Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
4- Department of Health Service Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (858 Views)
Objective (s): Health system responsiveness and meeting patients' expectations are important in creating public trust in the health system. This study was conducted to determine the relationship between health system responsiveness and public trust in the health system in Gorgan, Iran.
Methods: This cross-sectional study was conducted in 2020. The sample size in this study was 450 households. To collect data, a health system responsiveness questionnaire including 32 questions in 8 dimensions, and a public trust questionnaire including 25 questions in 6 dimensions were used. The validity and reliability of the instruments were confirmed. The path analysis was used in AMOS software to determine the relationship between responsiveness and public trust in the health system.
Results: The mean score of responsiveness was 3.4 (±0.53) out of 5, the highest score was related to social support and the lowest was related to the right to choose a doctor. The mean score of public trust was 3.3 (± 0.52) out of 5, the highest score was related to the quality of care, and the lowest was related to macro health policies. The hypothesis test findings showed a positive and significant relationship between all dimensions of responsiveness and public trust in the health system. In general, 64% of the variance in public trust is explained by the health system responsiveness.
Conclusion: The health system responsiveness and public trust in the health system were evaluated at an average level, and responsiveness plays an important role in influencing public trust in the health system. Therefore, the government should play its role in properly managing citizens' needs in order to regulate its credibility and most importantly to maintain public trust.
Methods: This cross-sectional study was conducted in 2020. The sample size in this study was 450 households. To collect data, a health system responsiveness questionnaire including 32 questions in 8 dimensions, and a public trust questionnaire including 25 questions in 6 dimensions were used. The validity and reliability of the instruments were confirmed. The path analysis was used in AMOS software to determine the relationship between responsiveness and public trust in the health system.
Results: The mean score of responsiveness was 3.4 (±0.53) out of 5, the highest score was related to social support and the lowest was related to the right to choose a doctor. The mean score of public trust was 3.3 (± 0.52) out of 5, the highest score was related to the quality of care, and the lowest was related to macro health policies. The hypothesis test findings showed a positive and significant relationship between all dimensions of responsiveness and public trust in the health system. In general, 64% of the variance in public trust is explained by the health system responsiveness.
Conclusion: The health system responsiveness and public trust in the health system were evaluated at an average level, and responsiveness plays an important role in influencing public trust in the health system. Therefore, the government should play its role in properly managing citizens' needs in order to regulate its credibility and most importantly to maintain public trust.
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2023/09/4 | Accepted: 2024/06/9 | ePublished ahead of print: 2024/07/10 | Published: 2024/08/19
Received: 2023/09/4 | Accepted: 2024/06/9 | ePublished ahead of print: 2024/07/10 | Published: 2024/08/19
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