The main themes include designing an appropriate structure for accountability, considering trustees for accountability of the health system, defined and independent management for accountability, predicting units outside the health system for accountability, designing an appropriate model for customer-centered accountability, use indicators and checklists to assess the accountability of the health system.Ĭonclusion: This study identified six strategies for evaluating health system accountability to be suggested to managers and policymakers, and to consider these strategies when planning to evaluate health system accountability. Results: By reviewing and analyzing the interviews, 6 main themes and 84 sub-themes were extracted. Concept mapping was used to devise the list, including the steps of preparation, brainstorming and structuring. We conducted a series of consultations with experts to develop a relevant list of indicators. And was analyzed using Granheim-llandman's qualitative content analysis method. To identify key indicators that will allow empirical measurement of a health system’s responsiveness to older people. After conducting 30 interviews with managers, experts and experts, the data were saturated. The data collection tool was a semi-structured interview. Methods: This qualitative study was conducted in 1399 with content analysis method. WHO identified ‘health system responsiveness’ as a universal health system goal, and an indicator that can be used for evaluating how well healthcare systems respond to people's needs in non-clinical domains such as communication, autonomy and confidentiality (Kowal et al., Citation 2011 Malhotra & Do, Citation 2017 Valentine et al. Since the study of the dimensions of accountability of any organization requires the determination of specific indicators for that organization, recognizing the indicators and determining the degree of reliability becomes an important issue. The indicators should be informed by considerations of scientific soundness, relevance, usefulness for decision-making, responsiveness to change and data. Objective (s): Responsiveness is considered as a strategic tool through which organizational performance is evaluated, customer satisfaction is promoted, and operational efficiency and improvement of business operations are achieved.
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