title: Health System's Responsiveness of Inpatients: Hospitals of Iran.
abstract: BACKGROUND
  Additional to improving health and ensuring equitable financing that are two predominant goals of health system, another important goal of health systems is responsiveness to people's non-medical expectations. In this study we try to assess the health system's responsiveness in academic and non-academic hospitals.
  
  
  METHODS
  This is a cross sectional study done in summer 2014 in Mashhad-Iran, we surveyed a total number of 403 inpatients by multi-stage sampling. A questionnaire of responsiveness and a check list included demographic variables and characteristics of hospitalization were completed by trained interviewers. Scales from 0 to 10 was applied for each questionnaire at the end of assessment of questions.
  
  
  RESULTS
  403 participants Took part in this survey from 10 hospitals (6 academic and 4 non-academic hospitals). 124(30.8%) were from non-academic and 279(69.2%) from academic hospitals 140(34.7%) of patients were male and 263(65.3%) were female. mean age of participants was 36.77±1.52 years. The mean total score of responsiveness was 7.12±1.31 in academic hospitals and 6.99±1.38 in non-academic hospitals, considered as good performance. There was no significant difference between total scores of these two groups (p=0.38). Health care responsiveness score was higher in private (8.35±0.95) than other kinds of hospitals and charity hospitals had the lowest score (5.98±0.51).
  
  
  CONCLUSIONS
  Responsiveness of health care system at hospitals is an important parameter for measuring patients' perception of quality of health care. Although responsiveness rate of our hospitals are good but some components such as: choice health care providers, respect to autonomy of individuals, clear communication and confidentiality received lower responsiveness scores, therefore they require more attention and these domains can be the more significant choices that should be considered while designing improvement programs.
authors.affiliation: . Abbasishz911@mums.ac.ir.
authors.forename: Mojtaba Mousavi
authors.initials: MM
authors.lastname: Bazzaz
authors.forename: Majid Reza Erfanian
authors.initials: MR
authors.lastname: Taghvaee
authors.forename: Maryam
authors.initials: M
authors.lastname: Salehi
authors.forename: Matin
authors.initials: M
authors.lastname: Bakhtiari
authors.forename: Zahra Abbasi
authors.initials: ZA
authors.lastname: Shaye
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003219:Confidentiality; D003430:Cross-Sectional Studies; D005260:Female; D006739:Hospital Administration; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007492:Iran; D008297:Male; D008875:Middle Aged; D010067:Ownership; D017060:Patient Satisfaction; D026684:Personal Autonomy; D011787:Quality of Health Care; D012737:Sex Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013997:Time Factors; D055815:Young Adult