Volume 21, Issue 1 (January - February 2022)
Payesh 2022, 21(1): 35-46 |
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Ethics code: IR.IAU.SEMNAN.REC.1398.018
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Saravani S, Kebriaie A, Roshdi I. Assessing the health system responsiveness: A qualitative study. Payesh 2022; 21 (1) :35-46
URL: http://payeshjournal.ir/article-1-1753-en.html
URL: http://payeshjournal.ir/article-1-1753-en.html
1- Semnan Branch, Islamic Azad University, Semnan, Iran
2- School of Health, Kashan University of Medical Sciences, Kashan, Iran
2- School of Health, Kashan University of Medical Sciences, Kashan, Iran
Abstract: (2617 Views)
Objective (s): Responsiveness is considered as a strategic tool through which organizational performance is evaluated, customer satisfaction is promoted, and operational efficiency and improvement of business operations are achieved. Since the study of the dimensions of accountability of any organization requires the determination of specific indicators for that organization, recognizing the indicators and determining the degree of reliability becomes an important issue.
Methods: This qualitative study was conducted in 1399 with content analysis method. Participants were purposefully selected. The data collection tool was a semi-structured interview. After conducting 30 interviews with managers, experts and experts, the data were saturated. And was analyzed using Granheim-llandman's qualitative content analysis method.
Results: By reviewing and analyzing the interviews, 6 main themes and 84 sub-themes were extracted. The main themes include designing an appropriate structure for accountability, considering trustees for accountability of the health system, defined and independent management for accountability, predicting units outside the health system for accountability, designing an appropriate model for customer-centered accountability, use indicators and checklists to assess the accountability of the health system.
Conclusion: This study identified six strategies for evaluating health system accountability to be suggested to managers and policymakers, and to consider these strategies when planning to evaluate health system accountability.
Methods: This qualitative study was conducted in 1399 with content analysis method. Participants were purposefully selected. The data collection tool was a semi-structured interview. After conducting 30 interviews with managers, experts and experts, the data were saturated. And was analyzed using Granheim-llandman's qualitative content analysis method.
Results: By reviewing and analyzing the interviews, 6 main themes and 84 sub-themes were extracted. The main themes include designing an appropriate structure for accountability, considering trustees for accountability of the health system, defined and independent management for accountability, predicting units outside the health system for accountability, designing an appropriate model for customer-centered accountability, use indicators and checklists to assess the accountability of the health system.
Conclusion: This study identified six strategies for evaluating health system accountability to be suggested to managers and policymakers, and to consider these strategies when planning to evaluate health system accountability.
Keywords: Health system, Responsiveness. Evaluation
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2021/10/4 | Accepted: 2022/01/29 | ePublished ahead of print: 2022/02/20 | Published: 2022/03/5
Received: 2021/10/4 | Accepted: 2022/01/29 | ePublished ahead of print: 2022/02/20 | Published: 2022/03/5
References
1. Hao L, Xu X, Dupre ME, Guo A, Zhang X, Qiu L, et al. Adequate access to healthcare and added life expectancy among older adults in China. BMC geriatrics 2020;20:1-15
http://link.springer.com/article/10.1186/s12877-020-01524-9 [DOI:10.1186/s12877-020-01524-9]
2. Wainwright V, Cordingley L, Chew-Graham CA, Kapur N, Shaw J, Smith S, et al. Experiences of support from primary care and perceived needs of parents bereaved by suicide: a qualitative study. British journal of general practice 2020;70 :e102-e10
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6960001/ [DOI:10.3399/bjgp20X707849]
3. Organization WH. Clinical management of rape and intimate partner violence survivors: developing protocols for use in humanitarian settings 2020
https://apps.who.int/iris/handle/10665/331535.
4. Andreasson J, Eriksson A, Dellve L. Health care managers' views on and approaches to implementing models for improving care processes. Journal of nursing management 2016; 24:219-27 [DOI:10.1111/jonm.12303]
5. Patouillard E, Goodman CA, Hanson KG, Mills AJ. Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature. International Journal for equity in health 2007; 6 :1-11
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2186328/ [DOI:10.1186/1475-9276-6-17]
6. Campanella F, Serino L, Mustilli M, Crisci A, D'Ambra A. The evaluation of performance in the European public e-health services sector by Generalized Estimating Equations. Socio-Economic Planning Sciences 2021; 73:1008-13
https://www.sciencedirect.com/science/article/pii/S0038012119306548) [DOI:10.1016/j.seps.2020.100813]
7. Borkowski N, Meese KA. Organizational behavior in health care: Jones & Bartlett Publishers 2020
https://www.amazon.com/Organizational-Behavior-Health-Nancy-Borkowski/dp/1284183246?asin=1284183246&revisionId=&format=4&depth=1
8. Veillard J, Huynh T, Ardal S, Kadandale S, Klazinga NS, Brown AD. Making Health System performance measurement useful to policy makers: aligning strategies, measurement and local health system accountability in Ontario. Healthcare Policy 2010; 5:49 [DOI:10.12927/hcpol.2013.21639]
9. Gaitonde R, Muraleedharan V, San Sebastian M, Hurtig A-K. Accountability in the health system of Tamil Nadu, India: exploring its multiple meanings. Health research policy and systems 2019; 17:1-11 10.1186/s12961-019-0448-8 https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-019-0448-8 []
10. McClellan M, Kent J, Beales SJ, Cohen SI, Macdonnell M, Thoumi A, et al. Accountable care around the world: a framework to guide reform strategies. Health Affairs 2014; 33:1507-15 [DOI:10.1377/hlthaff.2014.0373]
11. Manzini F, Diehl EE, Farias MR, Dos Santos RI, Soares L, Rech N, et al. Analysis of a Blended, In-Service, Continuing Education Course in a Public Health System: Lessons for Education Providers and Healthcare Managers. Frontiers in Public Health 2020; 8:827 [DOI:10.3389/fpubh.2020.561238]
12. Hunt P, Backman G. Health systems and the right to the highest attainable standard of health. Health and Human Rights 2008:81-92 [DOI:10.2307/20460089 https://pubmed.ncbi.nlm.nih.gov/20845831/]
13. Organization WH. The world health report 2000: health systems: improving performance: World Health Organization; 2000https://apps.who.int/iris/handle/10665/42281
14. Baez Camargo C. Accountability for better healthcare provision: A framework and guidelines to define understand and assess accountability in health systems 2011
https://baselgovernance.org/sites/default/files/2019-06/biog_working_paper_10.pdf [DOI:10.12685/bigwp.2011.19.1-22]
15. Marefat M.Use national care in Iran's health system (Phd thesis).tehran: School of health management and Information sciences. Iran University of Medical Sciences 2001
16. Csiki I, Marcu A .Description of the national Health Information System in Romania. Bucharest: WHO regional office for Europe 2005https://apps.who.int/iris/handle/10665/107568
17. Kowal P, Naidoo N, Williams SR, Chatterji S. Performance of the health system in China and Asia as measured by responsiveness. Health 2011; 3:638 [DOI:10.4236/health.2011.310108]
18. Fazaeli S, Ahmadi M, Rashidian A, Sadoughi F. A framework of a health system responsiveness assessment information system for Iran. Iranian Red Crescent Medical Journal 2014; 16: 6 [DOI:10.5812/ircmj.17820]
19. 19 Gagnon AJ. 11. The Responsiveness of the Canadian Health Care System towards Newcomers: University of Toronto Press 2016 [DOI:10.3138/9781442672833-014 https://doi.org/10.3138/9781442672833-014]
20. Witter S, Toonen J, Meessen B, Kagubare J, Fritsche G, Vaughan K. Performance-based financing as a health system reform: mapping the key dimensions for monitoring and evaluation. BMC health Services Research 2013; 13:1-10 [DOI:10.1186/1472-6963-13-367]
21. Heshmati B, Joulaei H. Iran's health-care system in transition. The Lancet 2016; 387:29-30 [DOI:10.1016/S0140-6736(15)01297-0]
22. Rajabi F, Esmailzadeh H, Rostamigooran N, Majdzadeh R. What must be the pillars of Iran's health system in 2025? Values and principles of health system reform plan. Iranian Journal of Public Health 2013; 4:197 https://ijph.tums.ac.ir/index.php/ijph/article/view/4735
23. Dastgerdi MV. Islamic Republic of Iran's Health System: Achievements and Prospective. Iranian Journal of Public Health 2013; 42:1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712605/
24. Jahanmehr N, Rashidian A, Khosravi A, Farzadfar F, Shariati M, Majdzadeh R, et al. A conceptual framework for evaluation of public health and primary care system performance in Iran. Global Journal of Health Science 2015; 7:341
https://pubmed.ncbi.nlm.nih.gov/25946937/ [DOI:10.5539/gjhs.v7n4p341]
25. Salari P, Larijani B. Publication Trend in Islamic Medical Ethics in Iran and the World: Designing a Road. Journal of Religion and Health 2021; 60:941-60 [DOI:10.1007/s10943-020-01154-w]
26. Bitarafan M, Zolfani SH, Arefi SL, Zavadskas EK, Mahmoudzadeh A. Evaluation of real-time intelligent sensors for structural health monitoring of bridges based on SWARA-WASPAS; a case in Iran. The Baltic Journal of Road and Bridge Engineering 2014; 9:333-40 [DOI:10.3846/bjrbe.2014.40]
27. Sarani M, Arbabisarjou A, Saravani S, Miri A, Shahrakivahed A. Effect of the Implementation of the Family Physician Program 2015 on Fair Accessibility for People to Health Care Services in the Sistan Region. Global Journal of Health Science 2016; 8:1-20 [DOI:10.5539/gjhs.v8n12p20]
28. Grosso AL, Van Ryzin GG. Public management reform and citizen perceptions of the UK health system. International Review of Administrative Sciences 2012; 78:494-513 [DOI:10.1177/0020852312442658]
29. Papanicolas I, Cylus J, Smith P. What drives people's perceptions of their health system? In the UK, overall satisfaction with the NHS is closely associated with GP performance. British Politics and Policy at LSE 2013
30. Chao J, Lu B, Zhang H, Zhu L, Jin H, Liu P. Healthcare system responsiveness in Jiangsu Province, China. BMC health Services Research 2017; 17:1-7 [DOI:10.1186/s12913-017-1980-2]
31. Omran A-R. Family planning in the legacy of Islam: Routledge 2012
https://www.routledge.com/Family-Planning-in-the-Legacy-of-Islam/Omran/p/book/9781138969582 [DOI:10.4324/9780203167977]
32. Greer S, Wismar M, Figueras J. EBOOK: Strengthening Health System Governance: Better policies, stronger performance: McGraw-Hill Education (UK) 2015 https://www.euro.who.int/__data/assets/pdf_file/0004/307939/Strengthening-health-system-governance-better-policies-stronger-performance.pdf
33. Chevreul K, Brigham B, Durand-Zaleski I, Hernández-Quevedo C. France: Health system review. Health systems in Transition 2015; 17:3
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