Comparison of Responsiveness Level in Iranian Public and Private Physiotherapy Clinics: a Cross-Sectional Multi-center Study

Torabipour, Amin; Gharacheh, Laleh; Lorestani, Leila; Salehi, Reza

doi:10.5455/msm.2017.29.172-175

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…This discrepancy could be due to different contexts as Wang studied in rural area where confidentiality may be more of concern in small population compared with large populations such as in Tehran. Results regarding the poorest performing domains supports those of Piroozi et al in Sanandaj, a western city of Iran in 2014–2015 ( 27 ) and Torabipour et al that investigated the responsiveness of physiotherapy clinics in Ahvaz in south of Iran in 2014 ( 39 ).…”

Section: Discussionsupporting

confidence: 79%

Responsiveness of Physical Rehabilitation Centers in Capital of Iran: Disparities and Related Determinants in Public and Private Sectors

Alavi

Khodaie‐Ardakani

Moradi‐Lakeh

et al. 2018

Front. Public Health

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Background: Responsiveness as a non-medical, non-financial goal of the health system is of special importance to people with physical disability. The current study assessed the experiences of people with physical disabilities when they encounter rehabilitation centers in Tehran.Methods: This cross-sectional study was conducted in Tehran, the capital of Iran. The sample consisted of 610 people with physical disabilities referred to 10 comprehensive rehabilitation centers (CRCs) selected by Quota sampling. Data were collected by a standard responsiveness questionnaire proposed by the World Health Organization (WHO) and were analyzed by a standard protocol. Blinder-Oaxaca analysis was done to explain the inequality in performance of public and private sectors.Results: Study participants included 298 (48.7%) women and 312 (51.3%) men. The mean age of the respondents was 46.3 (SD = 14.3) for women and 45.6 (SD = 15.4) for men. Prompt attention (33.3%) and confidentiality (1.3%) were the most and least important reported domains, respectively. Overall poor responsiveness was reported by 20.9% of respondents. Private rehabilitation centers showed significantly better performance in communication, basic amenities and autonomy compared to public centers (P ≤ 0.05). Perceived social class explained 76% of the inequality in autonomy in the private and public sector (P ≤ 0.05).Conclusion: Improving overall responsiveness in domains that are of high importance from the respondents' viewpoint but are performing poorly—areas such as prompt attention and basic amenities—is essential. Additionally, interventions are needed to improve the performance of the public centers and providers in the areas of participation of service users in all social classes in their rehabilitation decisions and procedures, clear communication, and basic amenities.

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Section: Discussionsupporting

confidence: 79%

Responsiveness of Physical Rehabilitation Centers in Capital of Iran: Disparities and Related Determinants in Public and Private Sectors

Alavi

Khodaie‐Ardakani

Moradi‐Lakeh

et al. 2018

Front. Public Health

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“…For categorization 1, health system responsiveness is understood primarily as a performance and service quality indicator [ 53 , 62 ]. This seems to originate in the WHR2000 on health system performance and was likely also influenced by the increased importance given to ‘patient-centered care’ in that decade, which includes emphasis on non-clinical aspect of care.…”

Section: Resultsmentioning

confidence: 99%

“…Across items in this category, the WHO responsiveness tool has been validated and adaptations suggested – such as the addition of domains for education and information sharing [ 3 , 36 ], effective care [ 73 , 74 ], trust [ 73 , 75 ], coordination and responsibility [ 62 ]. Several authors have argued that the WHO’s conceptualization and tools have inherent inadequacies [ 69 , 76 , 77 ].…”

Section: Resultsmentioning

confidence: 99%

Health system responsiveness: a systematic evidence mapping review of the global literature

Khan

Kagwanja

Whyle

et al. 2021

Int J Equity Health

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Background The World Health Organisation framed responsiveness, fair financing and equity as intrinsic goals of health systems. However, of the three, responsiveness received significantly less attention. Responsiveness is essential to strengthen systems’ functioning; provide equitable and accountable services; and to protect the rights of citizens. There is an urgency to make systems more responsive, but our understanding of responsiveness is limited. We therefore sought to map existing evidence on health system responsiveness. Methods A mixed method systemized evidence mapping review was conducted. We searched PubMed, EbscoHost, and Google Scholar. Published and grey literature; conceptual and empirical publications; published between 2000 and 2020 and English language texts were included. We screened titles and abstracts of 1119 publications and 870 full texts. Results Six hundred twenty-one publications were included in the review. Evidence mapping shows substantially more publications between 2011 and 2020 (n = 462/621) than earlier periods. Most of the publications were from Europe (n = 139), with more publications relating to High Income Countries (n = 241) than Low-to-Middle Income Countries (n = 217). Most were empirical studies (n = 424/621) utilized quantitative methodologies (n = 232), while qualitative (n = 127) and mixed methods (n = 63) were more rare. Thematic analysis revealed eight primary conceptualizations of ‘health system responsiveness’, which can be fitted into three dominant categorizations: 1) unidirectional user-service interface; 2) responsiveness as feedback loops between users and the health system; and 3) responsiveness as accountability between public and the system. Conclusions This evidence map shows a substantial body of available literature on health system responsiveness, but also reveals evidential gaps requiring further development, including: a clear definition and body of theory of responsiveness; the implementation and effectiveness of feedback loops; the systems responses to this feedback; context-specific mechanism-implementation experiences, particularly, of LMIC and fragile-and conflict affected states; and responsiveness as it relates to health equity, minority and vulnerable populations. Theoretical development is required, we suggest separating ideas of services and systems responsiveness, applying a stronger systems lens in future work. Further agenda-setting and resourcing of bridging work on health system responsiveness is suggested.

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“…As has been shown previously, the level of responsiveness especially in communication and autonomy dimensions perceived higher by patients in Iranian private clinics than in public ones (29). Therefore, it might conclude that communication and patient-centered have gotten a lot of attention in private clinics in service previous study showed that Iranian physicians could have a determining contribution to a patient's choice of a hospital.…”

Section: Communication Preferencementioning

confidence: 60%

Impact of Patient Communication Preferences on the Patient Trust in Physicians: A Cross-Sectional Study in Iranian Outpatient's Clinics

Chegini

Kakemam

Behforoz

et al. 2022

Journal of Patient Experience

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There are widely emerging concerns that patient confidence in physicians is diminishing as physician–patient communication is threatened globally. This study aimed to assess patient communication preferences and their impact on patient trust in physicians. A cross-sectional study was conducted among outpatient clinics of 2 public and private hospitals in Tabriz, Iran. A total of 704 patients were selected conveniently. Of the 704 patients, 6.39% had low trust, 36.79% moderate trust, 35.37% had a high trust, and 21.45% had blind trust in physicians. Overall patient communication preference score was more in a private clinic rather than a public one ( P = .008). Patients of private hospitals and those who were living in rural areas have been shown to have more trust in physicians. Patients’ trust in physicians showed a significant association with patient communication preference ( B = 0.58; 95% CI: 0.53-0.63, P < .001).

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Comparison of Responsiveness Level in Iranian Public and Private Physiotherapy Clinics: a Cross-Sectional Multi-center Study

Cited by 7 publications

References 18 publications

Responsiveness of Physical Rehabilitation Centers in Capital of Iran: Disparities and Related Determinants in Public and Private Sectors

Responsiveness of Physical Rehabilitation Centers in Capital of Iran: Disparities and Related Determinants in Public and Private Sectors

Health system responsiveness: a systematic evidence mapping review of the global literature

Impact of Patient Communication Preferences on the Patient Trust in Physicians: A Cross-Sectional Study in Iranian Outpatient's Clinics

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