ArticleHealth services research and managerial epidemiology
Inequality in Responsiveness: A Study of Comprehensive Physical Rehabilitation Centers in Capital of Iran.
Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Suggesting global insights to local challenges: expanding financing of rehabilitation services in low and middle-income countries.Frontiers in rehabilitation sciences · 2024Pooled it
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7 authors.
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Abstract
objectiveResponsiveness refers to meeting the legitimate expectations of people who interact with the health system. This study aimed to assess the presence of any inequality in responsiveness based on the different sociodemographic groups.
methodsThis cross-sectional study was carried out in Tehran. A total of 610 people with a physical disability from 10 comprehensive physical rehabilitation centers (5 public and 5 private) were included in the study through quota sampling. Data were gathered using the World Health Organization Standard Responsiveness Questionnaire and a sociodemographic checklist. Relative inequality indices were used for the analytical statistics.
resultsStudy respondents between 18 and 59 years and those equal to or older than 60 years formed 78.1% (475/610) and 21.9% (133/610) of the total study sample, respectively. The study sample consisted of 298 (48.7%) women and 312 (51.3%) men, and their mean age was 46.4 and 45.6 years, respectively. No significant inequality was found in responsiveness of total centers based on the socioeconomic status of the study participants. However, in the private comprehensive physical rehabilitation centers, significant inequality was found in responsiveness based on residential area per capita, with more reporting of poor responsiveness by people with physical disability in the lower residential area per capita quintiles (Wagstaff index [WI] = -0.262;
conclusionIn the private sector, economic issues are the main reason for the poorer experiences. Furthermore, residential area per capita showed to be a more sensitive index among economic indices to measure inequality. In public sector, education level was the key social factor. More attention and interventions need to be implemented by mid-level policymakers and rehabilitation service providers to meet the needs of people with physical disability.
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