ArticleAnnals of medicine2025
Health system responsiveness: comparison of different levels of medical institutions in Kunshan City, China.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundEvaluation of health system responsiveness (HSR) can improve patient satisfaction, promote health equity and enhance the quality of health services.
objectivesTo explore the differences in HSR among medical institutions at different levels and in various domains.
methodsA multi-stage stratified sampling method was used to select 820 participants aged 18 years and older from Kunshan City, China. Analysis of variance was used for univariate analysis. Linear regression and ordinal logistics were applied to explore the relationship between different hospital levels and HSR. Forest plots were used to illustrate the relationship between each domain and the hospital level.
resultsThe relationship between hospital level and HSR remained significant (
conclusionsBy comparing the HSR of hospitals at different levels, the study identified areas for improvement. Particularly, urgent improvements are needed in prompt attention, communication, basic amenities, social support and the choice of healthcare providers.
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