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Please use this identifier to cite or link to this item:
http://ir.nhri.org.tw/handle/3990099045/1598
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| Title: | The dimensions of responsiveness of a health system: a Taiwanese perspective |
| Authors: | Hsu, CC;Chen, LW;Hu, YW;Yip, WN;Shu, CC |
| Contributors: | Center for Health Policy Research and Development |
| Abstract: | Background: Responsiveness is an indicator used to measure how well a health system performs relative to non-health aspects. This study assessed whether seven dimensions proposed by the World Health Organization ( WHO) to measure responsiveness ( dignity, autonomy, confidentiality, prompt attention, social support, basic amenities, and choices of providers) are applicable in evaluating the health system of Taiwan. Methods: A key informant survey and focus group research were used in this study. The translated WHO proposed questionnaire was sent to 205 nominated key informants by mail, and 132 (64.4%) were returned. We used principal component analysis to extract factors. Linear regression analysis was used to assess the relationship between the total score and the extracted factors. A qualitative content analysis was also carried out in focus group research. Results: Principal component analysis produced five factors ( respect, access, confidentiality, basic amenities, and social support) that explained 63.5% of the total variances. These five factors demonstrated acceptable internal consistency and four of them ( except social support) were significantly correlated with the total responsiveness score. The focus group interviews revealed health providers' communication ability and medical ethics were also highly appraised by Taiwanese. Conclusion: When the performance of a health system is to be evaluated, elements of responsiveness proposed by WHO may have to be tailored to fit different cultural backgrounds. Four key features illustrate the uniqueness of Taiwanese perspectives: the idea of autonomy may not be conceptualized, prompt attention and choice of providers are on the same track, social support during care is trivially correlated to the total responsiveness score, and accountability of health providers is deemed essential to a health system. |
| Keywords: | Public, Environmental & Occupational Health |
| Date: | 2006-03-17 |
| Relation: | BMC Public Health. 2006 Mar;6:Article number 72. |
| Link to: | http://dx.doi.org/10.1186/1471-2458-6-72 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1471-2458&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:000237427800001 |
| Cited Times(Scopus): | http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=33646566508 |
| Appears in Collections: | [陳麗光] 期刊論文
[許志成] 期刊論文
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| 000237427800001.pdf | | 240Kb | Adobe PDF | 600 | View/Open |
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