title: Health system responsiveness after health sector evolution plan (HSEP): An inpatient survey in Kermanshah in 2015.
abstract: BACKGROUND
  Responsiveness is one of the three main goals of the health system introduced by World Health Organization. This study aimed at examining health system responsiveness after Health Sector Evolution Plan in Kermanshah, Western Iran.
  
  
  METHODS
  A sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of Kermanshah (Iran) in 2015. World Health Survey (WHS) questionnaire was used to collect data. Data were analyzed using descriptive statistics and principal component analysis by STATA 12.
  
  
  RESULTS
  The overall health system responsiveness score was 72.6. The best and worst performance for domains of dignity and autonomy were 82.2 and 62.5, respectively. Socio-demographic variables of the patients had no significant effect on the total health system responsiveness score. The principal component analysis findings indicated that 68% of the variance of the overall responsiveness score was explained by four components.
  
  
  CONCLUSIONS
  The overall responsiveness score of each of the domains was higher than that of other similar previous studies in Iran. Although it is difficult to reach a conclusion, our findings may show better responsiveness of the health system compared to the previous reports.
authors: Professor of Epidemiology, Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. farid_n32@yahoo.com.
authors: Farid
authors: F
authors: Najafi
authors: Associate Professor of Health Management, Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. bkm_1344@yahoo.com.
authors: Behzad
authors: B
authors: Karami-Matin
authors: PhD Student of Health Economics, Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. satarrezaei@gmail.com.
authors: Satar
authors: S
authors: Rezaei
authors: MSc of Social Research, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. rajabi_nader@yahoo.com.
authors: Nader
authors: N
authors: Rajabi-Gilan
authors: PhD Student of Health Economics, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran, & Center of Excellence for Community Oriented Medical Education, Kermanshah University of Medical Sciences, Kermanshah, Iran, moslemsoofi@yahoo.com.
authors: Moslem
authors: M
authors: Soofi
keywords: Health Sector Evolution; Health System Responsiveness; Inpatient Care; Iran