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What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework
Responsiveness is a key objective of national health systems. Responsive health systems anticipate and adapt to existing and future health needs, thus contributing to better health outcomes. Of all the health systems objectives, responsiveness is the least studied, which perhaps reflects lack of com...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717934/ https://www.ncbi.nlm.nih.gov/pubmed/29225953 http://dx.doi.org/10.1136/bmjgh-2017-000486 |
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author | Mirzoev, Tolib Kane, Sumit |
author_facet | Mirzoev, Tolib Kane, Sumit |
author_sort | Mirzoev, Tolib |
collection | PubMed |
description | Responsiveness is a key objective of national health systems. Responsive health systems anticipate and adapt to existing and future health needs, thus contributing to better health outcomes. Of all the health systems objectives, responsiveness is the least studied, which perhaps reflects lack of comprehensive frameworks that go beyond the normative characteristics of responsive services. This paper contributes to a growing, yet limited, knowledge on this topic. Herewith, we review the current frameworks for understanding health systems responsiveness and drawing on these, as well as key frameworks from the wider public services literature, propose a comprehensive conceptual framework for health systems responsiveness. This paper should be of interest to different stakeholders who are engaged in analysing and improving health systems responsiveness. Our review shows that existing knowledge on health systems responsiveness can be extended along the three areas. First, responsiveness entails an actual experience of people’s interaction with their health system, which confirms or disconfirms their initial expectations of the system. Second, the experience of interaction is shaped by both the people and the health systems sides of this interaction. Third, different influences shape people’s interaction with their health system, ultimately affecting their resultant experiences. Therefore, recognition of both people and health systems sides of interaction and their key determinants would enhance the conceptualisations of responsiveness. Our proposed framework builds on, and advances, the core frameworks in the health systems literature. It positions the experience of interaction between people and health system as the centrepiece and recognises the determinants of responsiveness experience both from the health systems (eg, actors, processes) and the people (eg, initial expectations) sides. While we hope to trigger further thinking on the conceptualisation of health system responsiveness, the proposed framework can guide assessments of, and interventions to strengthen, health systems responsiveness. |
format | Online Article Text |
id | pubmed-5717934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57179342017-12-08 What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework Mirzoev, Tolib Kane, Sumit BMJ Glob Health Research Responsiveness is a key objective of national health systems. Responsive health systems anticipate and adapt to existing and future health needs, thus contributing to better health outcomes. Of all the health systems objectives, responsiveness is the least studied, which perhaps reflects lack of comprehensive frameworks that go beyond the normative characteristics of responsive services. This paper contributes to a growing, yet limited, knowledge on this topic. Herewith, we review the current frameworks for understanding health systems responsiveness and drawing on these, as well as key frameworks from the wider public services literature, propose a comprehensive conceptual framework for health systems responsiveness. This paper should be of interest to different stakeholders who are engaged in analysing and improving health systems responsiveness. Our review shows that existing knowledge on health systems responsiveness can be extended along the three areas. First, responsiveness entails an actual experience of people’s interaction with their health system, which confirms or disconfirms their initial expectations of the system. Second, the experience of interaction is shaped by both the people and the health systems sides of this interaction. Third, different influences shape people’s interaction with their health system, ultimately affecting their resultant experiences. Therefore, recognition of both people and health systems sides of interaction and their key determinants would enhance the conceptualisations of responsiveness. Our proposed framework builds on, and advances, the core frameworks in the health systems literature. It positions the experience of interaction between people and health system as the centrepiece and recognises the determinants of responsiveness experience both from the health systems (eg, actors, processes) and the people (eg, initial expectations) sides. While we hope to trigger further thinking on the conceptualisation of health system responsiveness, the proposed framework can guide assessments of, and interventions to strengthen, health systems responsiveness. BMJ Publishing Group 2017-10-31 /pmc/articles/PMC5717934/ /pubmed/29225953 http://dx.doi.org/10.1136/bmjgh-2017-000486 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Research Mirzoev, Tolib Kane, Sumit What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title | What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title_full | What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title_fullStr | What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title_full_unstemmed | What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title_short | What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework |
title_sort | what is health systems responsiveness? review of existing knowledge and proposed conceptual framework |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717934/ https://www.ncbi.nlm.nih.gov/pubmed/29225953 http://dx.doi.org/10.1136/bmjgh-2017-000486 |
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