Evidence map›Paper›PMID 35209882›Full record

ArticleBMC health services research2022

Health system responsiveness and associated factors among outpatients in primary health care facilities in Ethiopia.

Wubshet Debebe Negash, Chalie Tadie Tsehay, Lake Yazachew, Desale Bihonegn Asmamaw, Dawit Zenamarkos Desta, Asmamaw Atnafu

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Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wubshet Debebe NegashDepartment of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia. wubshetdn@gmail.com.
Chalie Tadie TsehayDepartment of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Lake YazachewDepartment of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Desale Bihonegn AsmamawDepartment of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Dawit Zenamarkos DestaDepartment of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Asmamaw AtnafuDepartment of Health Systems and Policy, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth system responsiveness is defined as the outcome of designing health facility relationships so that they are familiar and responsive to patients' universally legitimate expectations. Even though different strategies have been implemented to measure responsiveness, only limited evidence exists in Sub-Saharan Africa. In Ethiopia, information about health system responsiveness among outpatients is limited. Assessing responsiveness could help facilities in improving service delivery based on patient expectations.

objectiveThe study aimed to assess health system responsiveness and associated factors among outpatients in primary health care facilities, Asagirt District, Ethiopia, 2021.

methodsFacility-based cross-sectional quantitative study was implemented between March 30 and April 30/2021. A systematic random sampling technique was employed to select 423 participants, and interviewer-administered data were collected using structured and pretested questionnaires. Both bivariable and multivariable logistic regressions were employed to identify factors associated with health system responsiveness. Adjusted Odds Ratio with their corresponding 95% CI was used to declare factors associated with health system responsiveness. A p-value less than 0.05 was used to declare significant statistical variables.

resultsThe overall health system responsiveness performance was 66.2% (95% CI: 61.4-70.7). Confidentiality and dignity were the highest responsive domains. Health system responsiveness was higher among satisfied patients (AOR: 9.9, 95% CI: 5.11-19.46), utilized private clinics (AOR: 8.8, 95% CI: 4.32-18.25), and no transport payment (AOR: 1.7, 95% CI: 1.03-2.92) in the study setting.

conclusionOverall, health system responsiveness performance was higher than a case-specific study in Ethiopia. To improve the health systems responsiveness and potentially fulfil patients' legitimate expectations, we need to facilitate informed treatment choice, provide reasonable care within a reasonable time frame, and give patients the option of consulting a specialist. Aside from that, enhancing patient satisfaction, using input from service users, Collaboration, and exchanging experiences between public and private facilities will be important interventions to improve HSR performance.

Indexed as

Health FacilitiesOutpatientsCross-Sectional StudiesEthiopiaHumansPrimary Health CareSurveys and QuestionnairesEthiopiaHealth system responsivenessOutpatients

Identifiers

PMID35209882
PMCPMC8867670

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.