Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Health Plann Manage. 2022 Jan;37(1):78-93. doi: 10.1002/hpm.3328. Epub 2021 Sep 17.
Responsiveness is the ability of health system to satisfy non-clinical people's expectations. This review aimed at assessing responsiveness of hospitals' services in the low- and middle-income countries, and identifying the influencing factors. This systematic review followed the PRISMA guidelines. PubMed, Scopus, Web of Science and ProQuest were searched. Studies of all designs aiming to assess responsiveness of hospitals' services in the period from 2005 up to the end of 2018 were included. Quality was appraised based on McMaster University tool. Results were presented as a narrative review. Fifteen studies originated from five low-middle- income countries have been included. Results have been proposed under five subtopics; level and distribution of responsiveness and its domains at hospitals, rank of domains according to the participants, and factors affecting responsiveness and its related domains. Most studies have focused on responsiveness level, but not the distribution. Socioeconomic status, organisational, systemic, and contextual factors have led to varied responsiveness, consequently, policymakers would benefit from these valuable results while planning for improving health system in order to accomplish its intrinsic goals. Further research is required in the low- and middle-income countries other than the five included in this review. Using the World Health Organization questionnaires for measuring responsiveness is recommended, and the contextual variations should be considered.
反应性是卫生系统满足非临床人群期望的能力。本综述旨在评估中低收入国家医院服务的反应性，并确定其影响因素。本系统评价遵循 PRISMA 指南。检索了 PubMed、Scopus、Web of Science 和 ProQuest。纳入了所有旨在评估 2005 年至 2018 年底期间医院服务反应性的设计研究。根据麦克马斯特大学工具评估质量。结果以叙述性综述呈现。来自五个中低收入国家的 15 项研究被纳入。结果分为五个子主题提出；医院的反应性及其领域的水平和分布、参与者对各领域的排名，以及影响反应性及其相关领域的因素。大多数研究都集中在反应性水平上，但没有关注分布。社会经济地位、组织、系统和背景因素导致了不同的反应性，因此，政策制定者在规划改善卫生系统以实现其内在目标时，将受益于这些有价值的结果。建议在该综述中纳入的五个国家之外的中低收入国家开展进一步研究。建议使用世界卫生组织的反应性测量问卷，并考虑到背景差异。
