Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
Predictors of poor responsiveness in physical rehabilitation centers in Tehran
Health System
Health System
Original Research
Original Research
<strong>Background: </strong>Responsiveness as a nonmedical, nonfinancial aspect of a health system’s goals requires special attention, particularly in people with physical disabilities. This study aimed to investigate the predictors of poor responsiveness of rehabilitation centers in Tehran.<br>
<strong>Methods:</strong> A cross sectional study was conducted to investigate 610 individuals with physical disabilities who referred to 10 comprehensive rehabilitation centers in Tehran using Quota sampling in 2016-2017. The following questionnaires were used in this study: Health System Responsiveness questionnaire, recommended by World Health Organization (WHO); Activities of Daily Living (ADL); and Instrumental Activity of Daily Living (IADL). Multiple logistic regression models were used to determine the sociodemographic characteristics (sex, age, perceived social class, etc.), self-assessed health, and physical functioning [(eg, Instrumental Activities of Daily Living (IADL)] as predictors of poor responsiveness in comprehensive rehabilitation centers of Tehran.<br>
<strong>Results:</strong> The mean years of education of respondents was 12.57 (SD=5.07). The majority of the participants perceived themselves as belonging to the middle class. Among the participants, 17.1% were completely dependent in their instrumental activities of daily living (IADL). Respondents who were not satisfied with their health insurance accounted for 40.2% of the sample. Also, 20.9% of the participants reported poor responsiveness. Based on the logistic regression model, variables of education, perceived social class, satisfaction with health insurance, and IADL were predictors of overall poor responsiveness after adjusting other covariates.<br>
<strong> Conclusion:</strong> Level of education was a strong predictor of poor responsiveness. Insurance companies should make policies to facilitate people's access to rehabilitation services and increase customer satisfaction. Moreover, rehabilitation service providers should pay special attention to those with physical disabilities who are more severely disadvantaged.
Physical rehabilitation center, Poor responsiveness, Iran
101
108
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4117-1&slc_lang=en&sid=1
Manijeh
Alavi
manijehalavi2015@gmail.com
200319475328460062841
200319475328460062841
No
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences & Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
Maziar
Moradi-Lakeh
mazmoradi@yahoo.com
200319475328460062842
200319475328460062842
No
Department of Community and Family Medicine, Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
Ameneh Setareh
Forouzan
asforouzan@gmail.com
200319475328460062843
200319475328460062843
No
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Homeira
Sajjadi
Safaneh_s@yahoo.com
200319475328460062844
200319475328460062844
No
Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohsen
Shati
Mohsen.shati@gmail.com
200319475328460062845
200319475328460062845
No
Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohammad Reza
Khodaie Ardakani
khodaie4518@gmail.com
200319475328460062846
200319475328460062846
Yes
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran