en Health Management and Economics Health Management and Economics Original Research Original Research <p dir="ltr" style="text-align: justify;"><strong>  Background: </strong>Responsiveness is one of the three main goals of the health system introduced by World Health Organization. This study aimed at examining health system responsiveness after Health Sector Evolution Plan in Kermanshah, Western Iran.</p> <p dir="ltr" style="text-align: justify;"><strong>  Methods</strong>: A sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of Kermanshah (Iran) in 2015. World Health Survey (WHS) questionnaire was used to collect data. Data were analyzed using descriptive statistics and principal component analysis by STATA 12.</p> <p dir="ltr" style="text-align: justify;">  <strong>Results</strong>: The overall health system responsiveness score was 72.6. The best and worst performance for domains of dignity and autonomy were 82.2 and 62.5, respectively. Socio-demographic variables of the patients had no significant effect on the total health system responsiveness score. The principal component analysis findings indicated that 68% of the variance of the overall responsiveness score was explained by four components.</p> <p dir="ltr" style="text-align: justify;">  <strong>Conclusion</strong>: The overall responsiveness score of each of the domains was higher than that of other similar previous studies in Iran. Although it is difficult to reach a conclusion, our findings may show better responsiveness of the health system compared to the previous reports.</p> <p></p> Health System Responsiveness, Health Sector Evolution, Inpatient Care, Iran. 620 626 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1016&slc_lang=en&sid=1 Farid Najafi farid_n32@yahoo.com 200319475328460022995 200319475328460022995 No Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. Behzad Karami-Matin bkm_1344@yahoo.com 200319475328460022996 200319475328460022996 No Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. Satar Rezaei satarrezaei@gmail.com 200319475328460022997 200319475328460022997 No Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran. Nader Rajabi-Gilan rajabi_nader@yahoo.com 200319475328460022998 200319475328460022998 No Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. Moslem Soofi moslemsoofi@yahoo.com 200319475328460022999 200319475328460022999 Yes Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran, & Center of Excellence for Community Oriented Medical Education, Kermanshah University of Medical Sciences, Kermanshah, Iran.