Comparison of health system responsiveness between HIV and non-HIV patients at infectious disease clinics in Yunnan, China

Li, Jing; Chongsuvivatwong, Virasakdi; Assanangkornchai, Sawitri; McNeil, Edward; Cai, Le

doi:10.2147/ppa.s163416

Cited by 3 publications

(1 citation statement)

References 38 publications

(47 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This technique was chosen because it is straightforward, uncomplicated and requires no additional presumptions. A similar method was used by Geldsetzer et al [47] and Li et al [48].…”

Section: Score Computationmentioning

confidence: 99%

Assessment of the level and distribution of health system responsiveness in Oyo State, Nigeria

Adelabu

Akinyemi

Adebayo

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Health systems need to be evaluated to ascertain if they are meeting their objectives. There is an increased interest in health system responsiveness (HSR) as a means to appraise health systems. This becomes vital as we put people at the centre of integrated health systems and put a premium on their rights and perspectives. Thus, this study assessed the levels, distribution and factors associated with HSR in Oyo State. Methods The study was a cross-sectional study with 717 adults, who had used an out-patient health facility in the preceding 12 months, interviewed using a semi-structured, interviewer-administered questionnaire. HSR was measured on a multi-domain and multi-item (7 domains and 20 items) 5-point Likert scale that was developed by the WHO to measure HSR globally. Summary scores were computed for level, distribution and the most important domains of HSR. Determinants of poor HSR were determined using binomial logistic regression. The level of statistical significance was set at 5%. Results The overall level of HSR was 47%. The highest-rated domains were confidentiality (72%), dignity (64%) and choice (60%), while the least rated were prompt attention (43%) and communication (52%). The overall distribution of HSR was 0.228 (range of 0 to 1) with the domains of prompt attention (0.595) and choice (0.506) being the most unequally distributed. The most important domains were communication, prompt attention and dignity. The least important domains were choice and confidentiality. The factors associated with poor HSR (overall) were no formal education, (OR = 2.81; 95% CI: 1.35–5.86), primary education as the highest level of education (OR = 2.19; 95% CI: 1.28–3.75), poor socioeconomic class (OR = 1.86; 95% CI: 1.23–2.80), using a government-owned facility (OR = 1.56; 95% CI: 1.11–2.19) and not using the usual health facility (OR = 1.69; 95% CI: 1.13–2.53). Conclusions The overall level of HSR in Oyo State was low with the domains of prompt attention, communication and autonomy being the least rated domains. Therefore, concerted efforts should be targeted at improving HSR as this will improve wellbeing, health system utilization, and the overall health system.

show abstract

“…This technique was chosen because it is straightforward, uncomplicated and requires no additional presumptions. A similar method was used by Geldsetzer et al [47] and Li et al [48].…”

Section: Score Computationmentioning

confidence: 99%

Assessment of the level and distribution of health system responsiveness in Oyo State, Nigeria

Adelabu

Akinyemi

Adebayo

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Health system responsiveness in Hong Kong: a comparison between South Asian and Chinese patients’ experiences

et al. 2020

View full text Add to dashboard Cite

Health System Responsiveness for HIV/AIDS Treatment and Care Services in Shewarobit, North Shewa Zone, Ethiopia

Asefa¹,

Atnafu²,

Dellie³

et al. 2021

PPA

View full text Add to dashboard Cite

Purpose Health System Responsiveness is the key objective of the health system used to fulfil patients’ universal legitimate expectations. However, the health system’s responsiveness to HIV/AIDS was not assessed in Ethiopia. Therefore, this study aimed at assessing the health system responsiveness of HIV/AIDS treatment and care services and associated factors in the public health facilities of Shewarobit town, Ethiopia. Patients and Methods An institution-based cross-sectional study was employed from 15 February to 15 April 2020 in the public health facilities of Shewarobit town. The data were collected among 416 randomly selected Anti-Retroviral Therapy (ART) users using an interviewer-administered questionnaire. Responsiveness was measured using 27 Likert scale questions across seven responsiveness domains. A binary logistic regression model was fitted. A p-value of less than 0.05 and AOR with a 95% confidence interval (CI) was used to declare the associated factors in the final multivariable logistic regression analysis. Results The overall health system responsiveness was 55.3% (95% CI: 50.6–59.8). High performance of responsiveness was found on confidentiality, respect, and communication domains, whereas poor responsiveness was achieved in prompt attention and choice domains. Participants aged 50+ years (AOR:2.48, 95% CI, 1.12–5.54), perceived good health (AOR: 3.10, 95% CI: 1.75–5.48), patients’ satisfaction with care (AOR: 2.98, 95% CI: 1.35–6.54) and history of visiting traditional healers (AOR: 2.50, 95% CI:1.51–4.17) were factors associated with health system responsiveness of HIV/AIDS treatment and care services in the study area. Conclusions Unacceptable responsive performance was found in choice and prompt attention domains. Participants’ age, perceived health status, history of visiting traditional healers, and patient satisfaction were factors that affect responsiveness in the study area. Thus, providing training, frequent supportive supervision, improving community awareness, and incorporating traditional healers in the modern health system would enhance the health system responsiveness in Ethiopia.

show abstract

Comparison of health system responsiveness between HIV and non-HIV patients at infectious disease clinics in Yunnan, China

Cited by 3 publications

References 38 publications

Assessment of the level and distribution of health system responsiveness in Oyo State, Nigeria

Assessment of the level and distribution of health system responsiveness in Oyo State, Nigeria

Health system responsiveness in Hong Kong: a comparison between South Asian and Chinese patients’ experiences

Health System Responsiveness for HIV/AIDS Treatment and Care Services in Shewarobit, North Shewa Zone, Ethiopia

Contact Info

Product

Resources

About