Introduction: Improving the non-medical performance of health systems is important because it is an integral part of increasing the welfare of people, which is the public and ultimate mission of the health system. On the other hand, the growth of people’s expectations and attention to safety, quality, and justice has increased the pressure to create a responsive health system. The purpose of this study was to review the evidence of each of the different dimensions of health system responsiveness and assess their current status in Iran.
Methods: Six Persian and English databases, including PubMed, Magiran, Iranmedex, SID, Elsevier, and Emerald, and Google Scholar search engine were searched from the beginning of 2000 to the end of 2020. In order to search for sources, English or Persian equivalents of the keywords of health responsiveness, health evaluation, health performance, accountability, health goals, health monitoring, patient satisfaction, patient expectancies, inpatient services, and patient rights were searched. After careful studying of relevant articles, finally, six eligible studies entered into meta-analysis.
Results: Out of a total of 571 articles found, six studies were included in the meta-analysis. Findings of these studies showed that the overall response rate after combining the results of these six studies was equal to 60.8% (95% CI: 54.1-68.9). The confidentiality dimension with 72.1% (95% CI: 64.6-81.3) and the right to choose parameters with 55.1% (95% CI: 45.5-68.4) had the highest and lowest responsiveness, respectively.
Conclusion: Studies have shown that the confidentiality of personal information, respect for their dignity and support had the highest performance and the right to choose a doctor and independence and attention, and care had the lowest performance. Therefore, it is suggested that in order to make the health system accountable, reforms should be made in these areas simultaneously with the implementation of the health system transformation plan.