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:: Volume 28, Issue 4 (Scientific Journal of Kurdistan University of Medical Sciences 2023) ::
SJKU 2023, 28(4): 174-185 Back to browse issues page
Iran Health System Responsiveness in regared to Provision of Physical Rehabilitation: Results of a National Survey
Marzieh Shirazikhah1 , Gholamreza Ghaedamini Harouni2 , Atefe Shirazikhah1 , Mehdi Noroozi3 , Haniye Sadat Sajadi 4
1- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2- Social Determinants of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Knowledge Utilization Research Center, University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran , hsajjadi@tums.ac.ir
Abstract:   (1232 Views)
Background and Aim: The health system's responsiveness to provision of health services displays the ability of the system to meet the non-medical needs of people. The present study aimed to assess Iran's health system responsiveness in providing rehabilitation for people with disabilities (PWD).
Materials and Methods: This population-based cross-sectional study included 1537 PWD referring to physical rehabilitation centers in all provinces of Iran by using a multistage cluster sampling method in 2019. A valid self-administrated questionnaire was used for data collection. Stata software (version 14.0) was used for data processing and analysis.
Results: The frequency rate of good responsiveness to meet physical rehabilitation needs was 64.5%. The health system's highest and lowest frequency rates of good responsiveness were related to rapid response (74.5%), independence  and participation in decision-making (52.5). Having basic health insurance coverage (OR=1.97, 95% CI:1.20-3.25), severity of disability (OR=2.02, 95% CI:1.14-3.60), economic status of individuals (OR=2.04, 95% CI:1.17-3.56), and household size (OR=0.82, 95% CI:0.72-0.94) were significant determinants in regard to poor responsiveness of the health system.
Conclusion: To maintain and enhance responsiveness and eliminate inequalities, interventions such as expanding the rehabilitation facilities, holding special skills training courses for rehabilitation-related assistants, general practitioners, and health workers, and also, empowering PWD are recommended. Further studies are also recommended to identify the causes of poor responsiveness and take measures that can make the health system more responsible.
 
Keywords: Disabled persons, Health care sector, Responsiveness, Rehabilitation, Iran
Full-Text [PDF 429 kb]   (293 Downloads)    
Type of Study: Original Research | Subject: Health Management Services
Received: 2021/07/28 | Accepted: 2021/11/16 | Published: 2023/09/27
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Shirazikhah M, Ghaedamini Harouni G, Shirazikhah A, Noroozi M, Sajadi H S. Iran Health System Responsiveness in regared to Provision of Physical Rehabilitation: Results of a National Survey. SJKU 2023; 28 (4) :174-185
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Volume 28, Issue 4 (Scientific Journal of Kurdistan University of Medical Sciences 2023) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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