Volume 23, Issue 5 (September-October 2024)
Payesh 2024, 23(5): 715-726 |
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Khammarnia M, Jafarinezhad J, Barfar E, Karimi A. Assessing the responsiveness of health system in Iran: a meta-analysis study. Payesh 2024; 23 (5) :715-726
URL: http://payeshjournal.ir/article-1-2345-en.html
URL: http://payeshjournal.ir/article-1-2345-en.html
1- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Faculty of Health, Zahedan University of Medical Sciences, Zahedan, Iran
3- Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Faculty of Health, Zahedan University of Medical Sciences, Zahedan, Iran
3- Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract: (459 Views)
Objective(s): Improving the non-medical performance of health systems is an integral part of increasing people's well-being, which is the general and ultimate mission of the health systems. Responsiveness is a response to the reasonable expectations of people about non-clinical aspects of the health system. This study aimed to evaluate the responsiveness of health system in Iran.
Methods: Electronic databases including Scientific Information Database (SID), Magiran, PubMed, Scopus, Science Direct, Web of Science and Google Scholar were searched to retrieve relevant papers that have been published during 2000 to May 2023 using the keywords of health system, responsiveness and Iran. After a detailed review of related studies, finally 26 papers were included in the meta-analysis. Data were analyzed using Stata software and significance level of the tests was considered P˂0.05.
Results: The overall responsiveness rate in Iran after combining the results of the selected studies was 0.65. Dimensions of human dignity and social support had the highest responsiveness score (0.68, and 0.67, respectively). Also, the right to choose with 0.51 and autonomy with 0.55 had the least responsiveness score. Additionally, social security and private hospitals had shown the highest level of responsiveness (0.74 and 0.71, respectively). Responsiveness in the studies conducted before the implementation of the health transformation plan (HTP) was evaluated as 0.66 and it was 0.62 after the HTP.
Conclusion: The results of this study showed that Iran's health system has moderate responsiveness to the non-clinical needs of society. Considering the importance of responsiveness and its impact on the quality of life, improving the responsiveness of the country's health system is essential through effective planning and interventions.
Methods: Electronic databases including Scientific Information Database (SID), Magiran, PubMed, Scopus, Science Direct, Web of Science and Google Scholar were searched to retrieve relevant papers that have been published during 2000 to May 2023 using the keywords of health system, responsiveness and Iran. After a detailed review of related studies, finally 26 papers were included in the meta-analysis. Data were analyzed using Stata software and significance level of the tests was considered P˂0.05.
Results: The overall responsiveness rate in Iran after combining the results of the selected studies was 0.65. Dimensions of human dignity and social support had the highest responsiveness score (0.68, and 0.67, respectively). Also, the right to choose with 0.51 and autonomy with 0.55 had the least responsiveness score. Additionally, social security and private hospitals had shown the highest level of responsiveness (0.74 and 0.71, respectively). Responsiveness in the studies conducted before the implementation of the health transformation plan (HTP) was evaluated as 0.66 and it was 0.62 after the HTP.
Conclusion: The results of this study showed that Iran's health system has moderate responsiveness to the non-clinical needs of society. Considering the importance of responsiveness and its impact on the quality of life, improving the responsiveness of the country's health system is essential through effective planning and interventions.
type of study: Systematic Reviw |
Subject:
Helath Services Management
Received: 2023/11/19 | Accepted: 2024/09/1 | ePublished ahead of print: 2024/09/17 | Published: 2024/10/8
Received: 2023/11/19 | Accepted: 2024/09/1 | ePublished ahead of print: 2024/09/17 | Published: 2024/10/8
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