Forouzan Ameneh Setareh, Mirabzadeh Arash, Falahat Katayoun, Banazadeh Zahra, Eftekhari Monir Baradaran
Department of social welfare, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Psychiatric, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Int J Prev Med. 2023 Mar 21;14:34. doi: 10.4103/ijpvm.ijpvm_14_22. eCollection 2023.
As a public health emergency, coronavirus disease 2019 (Covid-19) is a threat to our future; therefore, appropriate health system responsiveness (HSR), as an important criterion, is of crucial importance. This study aimed to evaluate the different dimensions of responsiveness of healthcare centers, both public and private, providing COVID-19 services in Tehran.
Following a cross-sectional design, this study was conducted in Tehran (the capital city of I.R. Iran) from May to November 2020. Data were collected using the World Health Organization (WHO) questionnaire on responsiveness. Two hundred questionnaires were filled out through face-to-face or phone call interviews in two public and private hospitals (100 in each) providing Covid-19 services. Participants were selected using the convenience sampling technique among all those who received Covid-19 services during the past six months in the city of Tehran.
The mean age of participants was 45.9 ± 15.9 and 51.5% were female. On an average, 52.6% of the respondents evaluated at least one dimension of responsiveness as appropriate and/or strongly appropriate. Communication obtained the highest score (58.2%), followed by confidentiality (56.5%), dignity (56%), and prompt attention (52%). Meanwhile, autonomy and choice were evaluated as poor (moderate, weak, and strongly weak) by 63.5 and 52.5% of respondents. There was no significant association between the type of healthcare center (i.e., public or private) and responsiveness (-value = 0.896). However, there was a significant difference between gender (-value = 0.036) and education level (-value = 0.014) with responsiveness. According to the respondents, prompt attention and choice were the most and least important dimensions, respectively.
Evaluation of HSR in the era of COVID-19 not only provides a tool for qualitative assessment of services but also plays an important role in providing feedback to policymakers to adopt effective policies.
作为一场突发公共卫生事件，2019年冠状病毒病（Covid-19）对我们的未来构成威胁；因此，适当的卫生系统响应能力（HSR）作为一项重要标准，至关重要。本研究旨在评估德黑兰提供新冠病毒病服务的公立和私立医疗中心响应能力的不同维度。
本研究采用横断面设计，于2020年5月至11月在德黑兰（伊朗伊斯兰共和国首都）开展。数据通过世界卫生组织（WHO）的响应能力调查问卷收集。在两家提供新冠病毒病服务的公立和私立医院（各100家）通过面对面或电话访谈填写了200份问卷。参与者是在德黑兰市过去六个月内接受过新冠病毒病服务的所有人中采用便利抽样技术选取的。
参与者的平均年龄为45.9±15.9岁，女性占51.5%。平均而言，52.6%的受访者将至少一个响应能力维度评估为适当和/或非常适当。沟通得分最高（58.2%），其次是保密性（56.5%）、尊严（56%）和及时关注（52%）。同时，63.5%和52.5%的受访者将自主性和选择评估为较差（中等、较弱和非常弱）。医疗中心类型（即公立或私立）与响应能力之间无显著关联（P值=0.896）。然而，性别（P值=0.036）和教育水平（P值=0.014）与响应能力之间存在显著差异。据受访者称，及时关注和选择分别是最重要和最不重要的维度。
在新冠病毒病时代评估卫生系统响应能力不仅为服务的定性评估提供了一种工具，而且在向政策制定者提供反馈以采取有效政策方面也发挥着重要作用。
